hcpcs	source	category	cms_code	description	unit	price	nf_quantity	f_quantity	global_period
0446T	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
0446T	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	000
0446T	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
0446T	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
0446T	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	000
0446T	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1	0	000
0446T	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
0446T	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
0446T	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
0446T	CMS	"Accessory, Procedure"	SD334	implantable interstitial glucose sensor	item	6000	1	0	000
0446T	CMS	"Cutters, Closures, Cautery"	SF044	"blade, surgical, super-sharp"	item	4.59	1	0	000
0446T	CMS	"Wound Care, Dressings"	SG014	"bandage, elastic, self-adherent wrap 1in (Coban)"	item	1.59	1	0	000
0446T	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	000
0446T	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	0.33	0	000
0446T	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	000
0446T	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	000
0446T	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
0447T	CMS	"Kit, Pack, Tray"	SA027	"kit, scissors and clamp"	kit	0.82	1	0	000
0447T	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
0447T	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	000
0447T	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
0447T	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
0447T	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	000
0447T	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1	0	000
0447T	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
0447T	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
0447T	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
0447T	CMS	"Cutters, Closures, Cautery"	SF044	"blade, surgical, super-sharp"	item	4.59	1	0	000
0447T	CMS	"Wound Care, Dressings"	SG014	"bandage, elastic, self-adherent wrap 1in (Coban)"	item	1.59	1	0	000
0447T	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	000
0447T	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	0.33	0	000
0447T	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	000
0447T	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	000
0447T	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
0448T	CMS	"Kit, Pack, Tray"	SA027	"kit, scissors and clamp"	kit	0.82	1	0	000
0448T	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
0448T	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	000
0448T	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
0448T	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
0448T	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	000
0448T	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1	0	000
0448T	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
0448T	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
0448T	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
0448T	CMS	"Accessory, Procedure"	SD334	implantable interstitial glucose sensor	item	6000	1	0	000
0448T	CMS	"Cutters, Closures, Cautery"	SF044	"blade, surgical, super-sharp"	item	4.59	1	0	000
0448T	CMS	"Wound Care, Dressings"	SG014	"bandage, elastic, self-adherent wrap 1in (Coban)"	item	1.59	1	0	000
0448T	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	000
0448T	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	0.33	0	000
0448T	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	000
0448T	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	000
0448T	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
0509T	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2		XXX
0509T	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2		XXX
0509T	CMS	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	5		XXX
0509T	CMS	"Pharmacy, Rx"	SH037	Goniosol 2.5% ophth	ml	0.64	2		XXX
0509T	CMS	"Pharmacy, Rx"	SH058	"proparacaine 0.5% ophth (Ophthaine, Alcaine)"	ml	2.3533	0.2		XXX
0509T	CMS	"Pharmacy, NonRx"	SJ021	electrode conductive paste	oz	1.81	0.1014		XXX
0509T	CMS	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.15	1		XXX
0509T	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	3		XXX
0509T	CMS	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.87	0.05		XXX
0509T	CMS	Lab	SL020	bleach	ml	0.01	2		XXX
0583T	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
0583T	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	000
0583T	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
0583T	CMS	"Kit, Pack, Tray"	SA106	"kit, sinus surgery, balloon (maxillary, frontal, or sphenoid)"	kit	2338	0.5	0	000
0583T	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
0583T	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
0583T	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
0583T	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
0583T	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
0583T	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	000
0583T	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
0583T	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
0583T	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
0583T	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
0583T	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
0583T	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	000
0583T	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8	5	0	000
0583T	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
0583T	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	000
0583T	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	3	0	000
0583T	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	000
0583T	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
0583T	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	3	0	000
0583T	CMS	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	1	0	000
0583T	CMS	Lab	SL038	"cup-container, sterile, graduated 1000ml"	item	1.15	1	0	000
0583T	CMS	Lab	SL146	tubed culture media	item	0.92	1	0	000
0583T	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02	2	0	000
0583T	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	2	0	000
0596T	RUC	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	1.27	1	0	000
0596T	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
0596T	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
0596T	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
0596T	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
0596T	RUC	"Accessory, Procedure"	SD029	"catheter, red rubber"	item	0.87	1	0	000
0596T	RUC	"Accessory, Procedure"	SD370	inFlow Measuring Device	item	140	1	0	000
0596T	RUC	"Accessory, Procedure"	SD371	inFlow Valve-Pump Device	item	495	1	0	000
0596T	RUC	"Accessory, Procedure"	SD372	inFlow Activator Kit	item	1250	1	0	000
0596T	RUC	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	1.04	30	0	000
0596T	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
0596T	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1	0	000
0597T	RUC	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	1.27	1	0	000
0597T	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
0597T	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
0597T	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
0597T	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
0597T	RUC	"Accessory, Procedure"	SD371	inFlow Valve-Pump Device	item	495	1	0	000
0597T	RUC	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	1.04	30	0	000
0597T	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1	0	000
10004	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	ZZZ
10004	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	3	0	ZZZ
10004	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	ZZZ
10005	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	XXX
10005	CMS	"Kit, Pack, Tray"	SA061	"tray, biopsy procedure"	tray	21.58	1	0	XXX
10005	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	XXX
10005	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	XXX
10005	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	XXX
10005	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	XXX
10005	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	XXX
10005	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	XXX
10005	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	XXX
10005	CMS	"Pharmacy, NonRx"	SJ089	"ultrasound transmission gel, sterile (single use)"	item	2.28	1	0	XXX
10005	CMS	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	10	0	XXX
10006	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	ZZZ
10006	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	3	0	ZZZ
10006	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	ZZZ
10007	CMS	"Kit, Pack, Tray"	SA061	"tray, biopsy procedure"	tray	21.58	1	0	XXX
10007	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	XXX
10007	CMS	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1	0	XXX
10007	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	XXX
10007	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	XXX
10007	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	XXX
10007	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	XXX
10007	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	XXX
10007	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	XXX
10007	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	XXX
10007	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	XXX
10007	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	XXX
10007	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	XXX
10007	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	XXX
10007	CMS	"Hypodermic, IV"	SC035	"needle, Chiba"	item	10.1	3	0	XXX
10007	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	XXX
10007	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	XXX
10007	CMS	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	10	0	XXX
10008	CMS	"Hypodermic, IV"	SC035	"needle, Chiba"	item	10.1	3	0	ZZZ
10008	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	3	0	ZZZ
10008	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	ZZZ
10008	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	ZZZ
10009	CMS	"Kit, Pack, Tray"	SA061	"tray, biopsy procedure"	tray	21.58	1	0	XXX
10009	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	XXX
10009	CMS	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1	0	XXX
10009	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	XXX
10009	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	XXX
10009	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	XXX
10009	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	XXX
10009	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	XXX
10009	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	XXX
10009	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	XXX
10009	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	XXX
10009	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	XXX
10009	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	XXX
10009	CMS	"Hypodermic, IV"	SC035	"needle, Chiba"	item	10.1	3	0	XXX
10009	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	XXX
10009	CMS	"Accessory, Procedure"	SD086	grids	item	0.22	1	0	XXX
10009	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	XXX
10009	CMS	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	10	0	XXX
10010	CMS	"Hypodermic, IV"	SC035	"needle, Chiba"	item	10.1	3	0	ZZZ
10010	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	3	0	ZZZ
10010	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	ZZZ
10010	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	ZZZ
10021	CMS	"Kit, Pack, Tray"	SA061	"tray, biopsy procedure"	tray	21.58	1	0	XXX
10021	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	XXX
10021	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	XXX
10021	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	XXX
10021	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	XXX
10021	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	XXX
10021	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	XXX
10030	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
10030	CMS	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	000
10030	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
10030	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
10030	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	000
10030	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	000
10030	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
10030	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
10030	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
10030	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
10030	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
10030	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	2	0	000
10030	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
10030	CMS	"Accessory, Procedure"	SD043	"dilator, vessel, angiographic"	item	7.34	1	0	000
10030	CMS	"Accessory, Procedure"	SD088	guidewire	item	15.85	1	0	000
10030	CMS	"Accessory, Procedure"	SD146	catheter percutaneous fastener (Percu-Stay)	item	8.75	1	0	000
10030	CMS	"Accessory, Procedure"	SD161	"drainage catheter, all purpose"	item	88.58	1	0	000
10030	CMS	"Accessory, Procedure"	SD163	"drainage pouch, nephrostomy-biliary"	item	10.09	1	0	000
10030	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	000
10030	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
10030	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	000
10030	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
10030	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	1	0	000
10030	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
10030	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
10030	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	000
10030	CMS	Lab	SL156	"cup, sterile, 12-16 oz"	item	0.75	1	0	000
10030	CMS	Lab	SL157	"cup, sterile, 8 oz"	item	0.58	1	0	000
10030	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
10035	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	000
10035	CMS	"Gown, Drape"	SB018	"drape-sleeve, sterile, for handpiece"	item	0.14	1	0	000
10035	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2	0	000
10035	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
10035	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
10035	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
10035	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
10035	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	5	0	000
10035	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1	0	000
10035	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
10035	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
10035	CMS	"Accessory, Procedure"	SD037	"clip, tissue marker"	item	71.11	3	0	000
10035	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
10035	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
10035	CMS	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	4.01	1	0	000
10035	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	5	0	000
10035	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	000
10035	CMS	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.47	2	0	000
10035	CMS	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	1.13	1	0	000
10035	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	1	0	000
10035	CMS	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.57	4	0	000
10035	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	000
10035	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
10035	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	2	0	000
10035	CMS	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	10	0	000
10035	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.34	0	000
10035	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2	0	000
10036	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	ZZZ
10036	CMS	"Gown, Drape"	SB018	"drape-sleeve, sterile, for handpiece"	item	0.14	1	0	ZZZ
10036	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2	0	ZZZ
10036	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	ZZZ
10036	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	ZZZ
10036	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	ZZZ
10036	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	ZZZ
10036	CMS	"Accessory, Procedure"	SD037	"clip, tissue marker"	item	71.11	3	0	ZZZ
10036	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	ZZZ
10036	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	ZZZ
10036	CMS	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	4.01	1	0	ZZZ
10036	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	5	0	ZZZ
10036	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	ZZZ
10036	CMS	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.47	2	0	ZZZ
10036	CMS	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	1.13	1	0	ZZZ
10036	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	1	0	ZZZ
10036	CMS	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.57	4	0	ZZZ
10036	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	ZZZ
10036	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	ZZZ
10036	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	2	0	ZZZ
10036	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2	0	ZZZ
10040	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	010
10040	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
10040	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
10040	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
10040	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
10040	CMS	"Cutters, Closures, Cautery"	SF022	comedone extractor	item	1.89	1	0	010
10040	CMS	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	4.97	1	0	010
10040	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	5	0	010
10040	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	5	0	010
10040	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	1	0	010
10040	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
10040	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
10040	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	010
10060	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	1	010
10060	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
10060	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
10060	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	010
10060	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
10060	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1	0	010
10060	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
10060	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	1	1	010
10060	CMS	"Wound Care, Dressings"	SG034	"dressing, 3in x 3in (Adaptic)"	item	0.48	1	0	010
10060	CMS	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.14	10	6	010
10060	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
10060	CMS	"Pharmacy, NonRx"	SJ025	ethyl chloride spray	oz	6.17	1	0	010
10060	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	10	010
10060	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	10	010
10060	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
10061	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	2	010
10061	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	1	010
10061	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
10061	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
10061	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
10061	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
10061	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	010
10061	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	010
10061	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	1	010
10061	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	3	1	010
10061	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	1	010
10061	CMS	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.14	6	0	010
10061	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	010
10061	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	1	010
10061	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78	1	1	010
10061	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
10061	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	5	010
10061	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	3	010
10061	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	010
10061	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	1	010
10080	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	1	010
10080	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5	1	1	010
10080	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
10080	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	1	010
10080	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
10080	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
10080	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	010
10080	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	5	1	010
10080	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
10080	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
10080	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	010
10080	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1	0	010
10080	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
10080	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
10080	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	010
10080	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
10080	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
10080	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	010
10080	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	010
10080	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
10080	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	010
10080	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	010
10080	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	010
10080	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
10080	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	010
10080	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	120	0	010
10080	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	010
10080	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
10080	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	010
10080	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	010
10081	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
10081	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5	1	1	010
10081	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
10081	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	1	010
10081	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
10081	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
10081	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	010
10081	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	5	1	010
10081	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
10081	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
10081	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	010
10081	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1	0	010
10081	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
10081	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
10081	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
10081	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	010
10081	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	010
10081	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	010
10081	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	010
10081	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
10081	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
10081	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	010
10081	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	010
10081	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
10081	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	010
10081	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	010
10081	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	010
10081	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
10081	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	010
10081	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	120	0	010
10081	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
10081	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	010
10081	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	010
10120	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	1	010
10120	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	010
10120	CMS	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	1.88	1	0	010
10120	CMS	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	6.71	1	0	010
10120	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	010
10120	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
10120	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
10120	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
10120	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
10120	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	010
10120	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	010
10120	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	010
10120	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	010
10120	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	010
10120	CMS	"Pharmacy, NonRx"	SJ025	ethyl chloride spray	oz	6.17	1	0	010
10120	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	010
10121	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	1	010
10121	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	010
10121	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	010
10121	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
10121	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	1	0	010
10121	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
10121	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
10121	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
10121	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
10121	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
10121	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
10121	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
10121	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	010
10121	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
10121	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	010
10121	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	010
10121	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	010
10121	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
10121	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	010
10140	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
10140	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
10140	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	010
10140	CMS	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	1.88	1	0	010
10140	CMS	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	6.71	1	0	010
10140	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	010
10140	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
10140	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
10140	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
10140	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	010
10140	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	010
10140	CMS	"Pharmacy, NonRx"	SJ025	ethyl chloride spray	oz	6.17	1	0	010
10140	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	010
10160	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
10160	CMS	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	1.88	1	0	010
10160	CMS	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	6.71	1	0	010
10160	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	010
10160	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	010
10160	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	010
10160	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
10160	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	010
10160	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	010
10160	CMS	"Pharmacy, NonRx"	SJ025	ethyl chloride spray	oz	6.17	1	0	010
10160	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	010
10180	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
10180	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	1	010
10180	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	010
10180	CMS	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	1.88	1	0	010
10180	CMS	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	6.71	1	0	010
10180	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
10180	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
10180	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
10180	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
10180	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
10180	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
10180	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
10180	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
10180	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	010
10180	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	010
10180	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	010
10180	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	010
10180	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
10180	CMS	Lab	SL146	tubed culture media	item	0.92	1	0	010
11000	CMS	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1	0	000
11000	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
11000	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	000
11000	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
11000	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
11000	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
11000	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	000
11000	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1	0	000
11000	CMS	"Gown, Drape"	SB040	"slippers, paper"	pair	0.201	1	0	000
11000	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
11000	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	1	0	000
11000	CMS	"Wound Care, Dressings"	SG034	"dressing, 3in x 3in (Adaptic)"	item	0.48	1	0	000
11000	CMS	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.14	3	0	000
11000	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	3	0	000
11000	CMS	"Pharmacy, Rx"	SH038	hemostatic solution (Lumicain)	ml	0.15	1	0	000
11000	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	10	0	000
11000	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
11001	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	ZZZ
11001	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	1	0	ZZZ
11001	CMS	"Wound Care, Dressings"	SG034	"dressing, 3in x 3in (Adaptic)"	item	0.48	1	0	ZZZ
11001	CMS	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.14	3	0	ZZZ
11001	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	3	0	ZZZ
11001	CMS	"Pharmacy, Rx"	SH038	hemostatic solution (Lumicain)	ml	0.15	1	0	ZZZ
11001	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	10	0	ZZZ
11001	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	ZZZ
11010	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	010
11010	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5	1	0	010
11010	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	010
11010	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	010
11010	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
11010	CMS	"Gown, Drape"	SB013	"drape, sterile, hand-upper extremity"	item	8.38	1	0	010
11010	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	2	0	010
11010	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	010
11010	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
11010	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	1	0	010
11010	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	4	0	010
11010	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
11010	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	3	0	010
11010	CMS	"Gown, Drape"	SB038	safety glasses	item	1.92	2	0	010
11010	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	010
11010	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
11010	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
11010	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	010
11010	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
11010	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	010
11010	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
11010	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
11010	CMS	"Wound Care, Dressings"	SG015	"bandage, Esmarch-Martin, sterile 3in x 9ft"	item	6.08	1	0	010
11010	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7	5	0	010
11010	CMS	"Wound Care, Dressings"	SG028	"cast, stockinette 6in"	yd	1.14	3	0	010
11010	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	010
11010	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	1	0	010
11010	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
11010	CMS	"Wound Care, Dressings"	SG068	plaster bandage (4in x 5yd uou)	item	0.78	3	0	010
11010	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	18	0	010
11010	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	1	0	010
11010	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	010
11010	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	010
11010	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
11010	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	010
11011	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	000
11011	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5	1	0	000
11011	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
11011	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	000
11011	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
11011	CMS	"Gown, Drape"	SB013	"drape, sterile, hand-upper extremity"	item	8.38	1	0	000
11011	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	2	0	000
11011	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	000
11011	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	000
11011	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	1	0	000
11011	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	4	0	000
11011	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
11011	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	3	0	000
11011	CMS	"Gown, Drape"	SB038	safety glasses	item	1.92	2	0	000
11011	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
11011	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
11011	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
11011	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	000
11011	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	000
11011	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	000
11011	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	000
11011	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	000
11011	CMS	"Wound Care, Dressings"	SG015	"bandage, Esmarch-Martin, sterile 3in x 9ft"	item	6.08	1	0	000
11011	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7	5	0	000
11011	CMS	"Wound Care, Dressings"	SG028	"cast, stockinette 6in"	yd	1.14	3	0	000
11011	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	000
11011	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	1	0	000
11011	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
11011	CMS	"Wound Care, Dressings"	SG068	plaster bandage (4in x 5yd uou)	item	0.78	3	0	000
11011	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	18	0	000
11011	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	1	0	000
11011	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
11011	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	000
11011	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
11011	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	000
11012	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	000
11012	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5	1	0	000
11012	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
11012	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	000
11012	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
11012	CMS	"Gown, Drape"	SB013	"drape, sterile, hand-upper extremity"	item	8.38	1	0	000
11012	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	2	0	000
11012	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	000
11012	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	000
11012	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	1	0	000
11012	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	4	0	000
11012	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
11012	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	3	0	000
11012	CMS	"Gown, Drape"	SB038	safety glasses	item	1.92	2	0	000
11012	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
11012	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
11012	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
11012	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	000
11012	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	000
11012	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	000
11012	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	000
11012	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	000
11012	CMS	"Wound Care, Dressings"	SG015	"bandage, Esmarch-Martin, sterile 3in x 9ft"	item	6.08	1	0	000
11012	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7	5	0	000
11012	CMS	"Wound Care, Dressings"	SG028	"cast, stockinette 6in"	yd	1.14	3	0	000
11012	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	000
11012	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	1	0	000
11012	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
11012	CMS	"Wound Care, Dressings"	SG068	plaster bandage (4in x 5yd uou)	item	0.78	3	0	000
11012	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	18	0	000
11012	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	1	0	000
11012	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
11012	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	000
11012	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
11012	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	000
11042	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	000
11042	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
11042	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
11042	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
11042	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
11042	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
11042	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
11042	CMS	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.45	2	0	000
11042	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
11042	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
11042	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	2	0	000
11042	CMS	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.34	1	0	000
11042	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	000
11042	CMS	"Wound Care, Dressings"	SG052	"gauze, self-adherent roll 0.5in to 2in (Fabco, Gauztex)"	inch	0.08	72	0	000
11042	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
11042	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	10	0	000
11042	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
11042	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	000
11042	CMS	Lab	SL033	culture swab system (Culturette)	item	0.96	1	0	000
11043	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	000
11043	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
11043	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
11043	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
11043	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
11043	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
11043	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
11043	CMS	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.45	2	0	000
11043	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
11043	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
11043	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
11043	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
11043	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	3	0	000
11043	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	2	0	000
11043	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	000
11043	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
11043	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
11043	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	6	0	000
11043	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
11043	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	000
11043	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	000
11043	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	000
11043	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
11043	CMS	Lab	SL033	culture swab system (Culturette)	item	0.96	1	0	000
11044	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	000
11044	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
11044	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
11044	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
11044	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
11044	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
11044	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
11044	CMS	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.45	2	0	000
11044	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
11044	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
11044	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
11044	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
11044	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	3	0	000
11044	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	2	0	000
11044	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	000
11044	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
11044	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
11044	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	6	0	000
11044	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
11044	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	000
11044	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	000
11044	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	000
11044	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
11044	CMS	Lab	SL033	culture swab system (Culturette)	item	0.96	1	0	000
11045	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	ZZZ
11045	CMS	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.34	1	0	ZZZ
11045	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	ZZZ
11045	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	ZZZ
11045	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	ZZZ
11046	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	ZZZ
11046	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	ZZZ
11046	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	6	0	ZZZ
11046	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	ZZZ
11046	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	10	0	ZZZ
11047	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	ZZZ
11047	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	ZZZ
11047	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	ZZZ
11047	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	6	0	ZZZ
11047	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	ZZZ
11047	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	10	0	ZZZ
11055	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	000
11055	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
11055	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	000
11055	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1	0	000
11055	CMS	"Gown, Drape"	SB040	"slippers, paper"	pair	0.201	1	0	000
11055	CMS	"Accessory, Procedure"	SD097	"monofilament, sensory testing"	item	0.42	1	0	000
11055	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
11055	CMS	"Wound Care, Dressings"	SG001	"adherent, pre-tape spray"	oz	0.9	1	0	000
11055	CMS	"Wound Care, Dressings"	SG003	adhesive foam	inch	0.71	4	0	000
11055	CMS	"Wound Care, Dressings"	SG052	"gauze, self-adherent roll 0.5in to 2in (Fabco, Gauztex)"	inch	0.08	6	0	000
11055	CMS	"Wound Care, Dressings"	SG075	"tape, elastic, 1in (Elastoplast, Elasticon) (5yd uou)"	item	5.86	6	0	000
11055	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
11056	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	000
11056	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
11056	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	000
11056	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1	0	000
11056	CMS	"Gown, Drape"	SB040	"slippers, paper"	pair	0.201	1	0	000
11056	CMS	"Accessory, Procedure"	SD097	"monofilament, sensory testing"	item	0.42	1	0	000
11056	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
11056	CMS	"Wound Care, Dressings"	SG001	"adherent, pre-tape spray"	oz	0.9	1	0	000
11056	CMS	"Wound Care, Dressings"	SG003	adhesive foam	inch	0.71	6	0	000
11056	CMS	"Wound Care, Dressings"	SG052	"gauze, self-adherent roll 0.5in to 2in (Fabco, Gauztex)"	inch	0.08	6	0	000
11056	CMS	"Wound Care, Dressings"	SG075	"tape, elastic, 1in (Elastoplast, Elasticon) (5yd uou)"	item	5.86	6	0	000
11056	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
11057	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	000
11057	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
11057	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	000
11057	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1	0	000
11057	CMS	"Gown, Drape"	SB040	"slippers, paper"	pair	0.201	1	0	000
11057	CMS	"Accessory, Procedure"	SD097	"monofilament, sensory testing"	item	0.42	1	0	000
11057	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
11057	CMS	"Wound Care, Dressings"	SG001	"adherent, pre-tape spray"	oz	0.9	1	0	000
11057	CMS	"Wound Care, Dressings"	SG003	adhesive foam	inch	0.71	8	0	000
11057	CMS	"Wound Care, Dressings"	SG052	"gauze, self-adherent roll 0.5in to 2in (Fabco, Gauztex)"	inch	0.08	6	0	000
11057	CMS	"Wound Care, Dressings"	SG075	"tape, elastic, 1in (Elastoplast, Elasticon) (5yd uou)"	item	5.86	6	0	000
11057	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
11102	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	000
11102	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
11102	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
11102	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
11102	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	000
11102	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
11102	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
11102	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
11102	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1	0	000
11102	CMS	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.78	1	0	000
11102	CMS	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	4.97	1	0	000
11102	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	000
11102	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
11102	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
11102	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	000
11102	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	2	0	000
11102	CMS	"Pharmacy, Rx"	SH090	sodium bicarbonate 8.4% inj w-needle (1ml uou)	item	2.2	1	0	000
11102	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	000
11102	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	000
11102	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
11102	CMS	"Pharmacy, NonRx"	SJ081	"swab, patient prep, 1.5 ml  (chloraprep)"	item	1.09	1	0	000
11102	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
11103	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	ZZZ
11103	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	ZZZ
11103	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1	0	ZZZ
11103	CMS	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.78	1	0	ZZZ
11103	CMS	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	4.97	1	0	ZZZ
11103	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	ZZZ
11103	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	ZZZ
11103	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	ZZZ
11103	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	ZZZ
11103	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	2	0	ZZZ
11103	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	ZZZ
11103	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	ZZZ
11103	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	ZZZ
11103	CMS	"Pharmacy, NonRx"	SJ081	"swab, patient prep, 1.5 ml  (chloraprep)"	item	1.09	1	0	ZZZ
11104	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	0	000
11104	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	000
11104	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
11104	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
11104	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
11104	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	000
11104	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
11104	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
11104	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
11104	CMS	"Hypodermic, IV"	SC046	"punch, biopsy"	item	2.69	1	0	000
11104	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1	0	000
11104	CMS	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.78	1	0	000
11104	CMS	"Accessory, Procedure"	SD269	Grounding pad	item	2.09	1	0	000
11104	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	000
11104	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	000
11104	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	000
11104	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
11104	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
11104	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	000
11104	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	3	0	000
11104	CMS	"Pharmacy, Rx"	SH090	sodium bicarbonate 8.4% inj w-needle (1ml uou)	item	2.2	1	0	000
11104	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	000
11104	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	000
11104	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
11104	CMS	"Pharmacy, NonRx"	SJ081	"swab, patient prep, 1.5 ml  (chloraprep)"	item	1.09	1	0	000
11104	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
11105	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	ZZZ
11105	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	ZZZ
11105	CMS	"Hypodermic, IV"	SC046	"punch, biopsy"	item	2.69	1	0	ZZZ
11105	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1	0	ZZZ
11105	CMS	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.78	1	0	ZZZ
11105	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	ZZZ
11105	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	ZZZ
11105	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	ZZZ
11105	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	ZZZ
11105	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	ZZZ
11105	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	3	0	ZZZ
11105	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	ZZZ
11105	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	ZZZ
11105	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	ZZZ
11105	CMS	"Pharmacy, NonRx"	SJ081	"swab, patient prep, 1.5 ml  (chloraprep)"	item	1.09	1	0	ZZZ
11106	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	0	000
11106	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	000
11106	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
11106	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
11106	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
11106	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
11106	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	000
11106	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
11106	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
11106	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
11106	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
11106	CMS	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.78	2	0	000
11106	CMS	"Accessory, Procedure"	SD269	Grounding pad	item	2.09	1	0	000
11106	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	000
11106	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	000
11106	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	000
11106	CMS	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	4.97	1	0	000
11106	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
11106	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
11106	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
11106	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	5	0	000
11106	CMS	"Pharmacy, Rx"	SH090	sodium bicarbonate 8.4% inj w-needle (1ml uou)	item	2.2	1	0	000
11106	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	2	0	000
11106	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	000
11106	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
11106	CMS	"Pharmacy, NonRx"	SJ081	"swab, patient prep, 1.5 ml  (chloraprep)"	item	1.09	1	0	000
11106	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
11107	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	ZZZ
11107	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	ZZZ
11107	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	ZZZ
11107	CMS	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.78	2	0	ZZZ
11107	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	ZZZ
11107	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	ZZZ
11107	CMS	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	4.97	1	0	ZZZ
11107	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	ZZZ
11107	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	ZZZ
11107	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	ZZZ
11107	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	5	0	ZZZ
11107	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	2	0	ZZZ
11107	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	ZZZ
11107	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	ZZZ
11107	CMS	"Pharmacy, NonRx"	SJ081	"swab, patient prep, 1.5 ml  (chloraprep)"	item	1.09	1	0	ZZZ
11200	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	1	010
11200	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	010
11200	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
11200	CMS	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.14	6	0	010
11200	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	010
11200	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	5	0	010
11200	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	12	0	010
11200	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	010
11300	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	000
11300	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
11300	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	000
11300	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
11300	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	000
11300	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2	0	000
11300	CMS	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	1	0	000
11300	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
11300	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
11300	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
11300	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	000
11300	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	000
11300	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
11300	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	000
11300	CMS	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.4	1	0	000
11300	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	4	0	000
11300	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
11300	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
11300	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	000
11300	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	6	0	000
11300	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	4	0	000
11300	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	000
11300	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
11300	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
11300	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
11300	CMS	Lab	SL463	Aluminum Chloride 70%	ml	0.24	2	0	000
11300	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3	0	000
11301	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	000
11301	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
11301	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	000
11301	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
11301	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	000
11301	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2	0	000
11301	CMS	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	1	0	000
11301	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
11301	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
11301	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
11301	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	000
11301	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	000
11301	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
11301	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	000
11301	CMS	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.4	1	0	000
11301	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	4	0	000
11301	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
11301	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
11301	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
11301	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	8	0	000
11301	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	4	0	000
11301	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	000
11301	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
11301	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
11301	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
11301	CMS	Lab	SL463	Aluminum Chloride 70%	ml	0.24	4	0	000
11301	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3	0	000
11302	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	000
11302	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
11302	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	000
11302	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
11302	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	000
11302	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2	0	000
11302	CMS	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	1	0	000
11302	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
11302	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
11302	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
11302	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	2	0	000
11302	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	2	0	000
11302	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	000
11302	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	000
11302	CMS	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.4	1	0	000
11302	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	4	0	000
11302	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
11302	CMS	"Wound Care, Dressings"	SG038	"dressing, 4in x 4in (Vigilon)"	item	1.27	1	0	000
11302	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	3	0	000
11302	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	18	0	000
11302	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	10	0	000
11302	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	8	0	000
11302	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	000
11302	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
11302	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
11302	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
11302	CMS	Lab	SL463	Aluminum Chloride 70%	ml	0.24	6	0	000
11302	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3	0	000
11303	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	000
11303	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
11303	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	000
11303	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
11303	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	000
11303	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2	0	000
11303	CMS	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	1	0	000
11303	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
11303	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
11303	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
11303	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	2	0	000
11303	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	2	0	000
11303	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	000
11303	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	000
11303	CMS	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.4	1	0	000
11303	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	4	0	000
11303	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
11303	CMS	"Wound Care, Dressings"	SG038	"dressing, 4in x 4in (Vigilon)"	item	1.27	1	0	000
11303	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	4	0	000
11303	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	000
11303	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	12	0	000
11303	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	8	0	000
11303	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	2	0	000
11303	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
11303	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
11303	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
11303	CMS	Lab	SL463	Aluminum Chloride 70%	ml	0.24	8	0	000
11303	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3	0	000
11305	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	000
11305	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
11305	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
11305	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	000
11305	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
11305	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	000
11305	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2	0	000
11305	CMS	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	1	0	000
11305	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
11305	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
11305	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
11305	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	000
11305	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	000
11305	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
11305	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	000
11305	CMS	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.4	1	0	000
11305	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	4	0	000
11305	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
11305	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
11305	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	000
11305	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	6	0	000
11305	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	4	0	000
11305	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	000
11305	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
11305	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
11305	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
11305	CMS	Lab	SL463	Aluminum Chloride 70%	ml	0.24	2	0	000
11305	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3	0	000
11306	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	000
11306	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
11306	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	000
11306	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
11306	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	000
11306	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2	0	000
11306	CMS	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	1	0	000
11306	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
11306	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
11306	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
11306	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	2	0	000
11306	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	000
11306	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
11306	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	000
11306	CMS	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.4	1	0	000
11306	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	4	0	000
11306	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
11306	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
11306	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
11306	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	8	0	000
11306	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	4	0	000
11306	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	000
11306	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
11306	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
11306	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
11306	CMS	Lab	SL463	Aluminum Chloride 70%	ml	0.24	4	0	000
11306	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3	0	000
11307	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	000
11307	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
11307	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	000
11307	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
11307	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	000
11307	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2	0	000
11307	CMS	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	1	0	000
11307	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
11307	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
11307	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
11307	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	2	0	000
11307	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	2	0	000
11307	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	000
11307	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	000
11307	CMS	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.4	1	0	000
11307	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	4	0	000
11307	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
11307	CMS	"Wound Care, Dressings"	SG038	"dressing, 4in x 4in (Vigilon)"	item	1.27	1	0	000
11307	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	3	0	000
11307	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	18	0	000
11307	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	10	0	000
11307	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	8	0	000
11307	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	000
11307	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
11307	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
11307	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
11307	CMS	Lab	SL463	Aluminum Chloride 70%	ml	0.24	6	0	000
11307	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3	0	000
11308	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	000
11308	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
11308	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	000
11308	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
11308	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	000
11308	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2	0	000
11308	CMS	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	1	0	000
11308	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
11308	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
11308	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
11308	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	2	0	000
11308	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	2	0	000
11308	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	000
11308	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	000
11308	CMS	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.4	1	0	000
11308	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	4	0	000
11308	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
11308	CMS	"Wound Care, Dressings"	SG038	"dressing, 4in x 4in (Vigilon)"	item	1.27	1	0	000
11308	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	4	0	000
11308	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	000
11308	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	12	0	000
11308	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	8	0	000
11308	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	2	0	000
11308	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
11308	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
11308	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
11308	CMS	Lab	SL463	Aluminum Chloride 70%	ml	0.24	8	0	000
11308	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3	0	000
11310	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	000
11310	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
11310	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	000
11310	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
11310	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	000
11310	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2	0	000
11310	CMS	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	1	0	000
11310	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
11310	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
11310	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
11310	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	000
11310	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	000
11310	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
11310	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	000
11310	CMS	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.4	1	0	000
11310	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	4	0	000
11310	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
11310	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
11310	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	000
11310	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	6	0	000
11310	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	4	0	000
11310	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	000
11310	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
11310	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
11310	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
11310	CMS	Lab	SL463	Aluminum Chloride 70%	ml	0.24	2	0	000
11310	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3	0	000
11311	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	000
11311	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
11311	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	000
11311	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
11311	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	000
11311	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2	0	000
11311	CMS	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	1	0	000
11311	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
11311	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
11311	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
11311	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	000
11311	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	000
11311	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
11311	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	000
11311	CMS	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.4	1	0	000
11311	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	4	0	000
11311	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
11311	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
11311	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
11311	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	8	0	000
11311	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	4	0	000
11311	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	000
11311	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
11311	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
11311	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
11311	CMS	Lab	SL463	Aluminum Chloride 70%	ml	0.24	4	0	000
11311	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3	0	000
11312	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	000
11312	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
11312	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	000
11312	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
11312	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	000
11312	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2	0	000
11312	CMS	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	1	0	000
11312	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
11312	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
11312	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
11312	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	2	0	000
11312	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	2	0	000
11312	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	000
11312	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	000
11312	CMS	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.4	1	0	000
11312	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	4	0	000
11312	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
11312	CMS	"Wound Care, Dressings"	SG038	"dressing, 4in x 4in (Vigilon)"	item	1.27	1	0	000
11312	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	3	0	000
11312	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	18	0	000
11312	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	10	0	000
11312	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	8	0	000
11312	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	000
11312	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
11312	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
11312	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
11312	CMS	Lab	SL463	Aluminum Chloride 70%	ml	0.24	6	0	000
11312	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3	0	000
11313	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	000
11313	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
11313	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	000
11313	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
11313	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	000
11313	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2	0	000
11313	CMS	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	1	0	000
11313	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
11313	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
11313	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
11313	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	2	0	000
11313	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	2	0	000
11313	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	000
11313	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	000
11313	CMS	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.4	1	0	000
11313	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	4	0	000
11313	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
11313	CMS	"Wound Care, Dressings"	SG038	"dressing, 4in x 4in (Vigilon)"	item	1.27	1	0	000
11313	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	4	0	000
11313	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	000
11313	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	12	0	000
11313	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	8	0	000
11313	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	2	0	000
11313	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
11313	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
11313	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
11313	CMS	Lab	SL463	Aluminum Chloride 70%	ml	0.24	8	0	000
11313	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3	0	000
11400	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	010
11400	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	1	010
11400	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	010
11400	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
11400	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
11400	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
11400	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
11400	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	010
11400	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
11400	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
11400	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
11400	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
11400	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	1	010
11400	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
11400	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
11400	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	1	010
11400	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
11400	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
11400	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
11401	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	010
11401	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
11401	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	010
11401	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
11401	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
11401	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
11401	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
11401	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	010
11401	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
11401	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
11401	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
11401	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
11401	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	1	010
11401	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
11401	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
11401	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	1	010
11401	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
11401	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
11401	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
11402	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	010
11402	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
11402	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	010
11402	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
11402	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
11402	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
11402	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
11402	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	010
11402	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	010
11402	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
11402	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
11402	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
11402	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
11402	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	1	010
11402	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	18	0	010
11402	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
11402	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	1	010
11402	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
11402	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
11402	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
11403	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	010
11403	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
11403	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	010
11403	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
11403	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
11403	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
11403	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
11403	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	2	0	010
11403	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	010
11403	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
11403	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
11403	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
11403	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
11403	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	1	010
11403	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	010
11403	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
11403	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	2	1	010
11403	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
11403	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
11403	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
11404	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	010
11404	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
11404	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	010
11404	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
11404	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
11404	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
11404	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
11404	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	3	0	010
11404	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	010
11404	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	010
11404	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
11404	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
11404	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
11404	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	2	1	010
11404	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	30	0	010
11404	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
11404	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	2	1	010
11404	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
11404	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
11404	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
11406	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	010
11406	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
11406	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	010
11406	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
11406	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
11406	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
11406	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
11406	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	4	0	010
11406	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	010
11406	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	010
11406	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
11406	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
11406	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
11406	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	2	1	010
11406	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	36	0	010
11406	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
11406	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	3	1	010
11406	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
11406	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
11406	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
11420	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	010
11420	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
11420	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	010
11420	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
11420	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
11420	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
11420	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
11420	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	010
11420	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
11420	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
11420	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
11420	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
11420	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	1	010
11420	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
11420	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
11420	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	1	010
11420	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
11420	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
11421	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	010
11421	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
11421	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	010
11421	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
11421	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
11421	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
11421	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
11421	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	010
11421	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
11421	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
11421	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
11421	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
11421	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	1	010
11421	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
11421	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
11421	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	1	010
11421	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
11421	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
11422	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	010
11422	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
11422	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	010
11422	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
11422	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
11422	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
11422	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
11422	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	2	0	010
11422	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	010
11422	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
11422	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
11422	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
11422	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
11422	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	1	010
11422	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
11422	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
11422	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	1	010
11422	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
11422	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
11423	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	010
11423	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
11423	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	010
11423	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
11423	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
11423	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
11423	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
11423	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	2	0	010
11423	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	010
11423	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
11423	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
11423	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
11423	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	010
11423	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	1	010
11423	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
11423	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
11423	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	1	010
11423	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
11423	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
11424	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	2	1	010
11424	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
11424	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	010
11424	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
11424	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
11424	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
11424	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
11424	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	3	0	010
11424	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	010
11424	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
11424	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
11424	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
11424	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	010
11424	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	2	1	010
11424	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
11424	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
11424	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	1	010
11424	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
11424	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
11426	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	2	1	010
11426	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
11426	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	010
11426	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
11426	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
11426	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
11426	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
11426	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	4	0	010
11426	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	010
11426	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
11426	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
11426	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
11426	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	010
11426	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	2	1	010
11426	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
11426	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
11426	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	3	1	010
11426	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
11426	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
11440	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	010
11440	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
11440	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	010
11440	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
11440	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
11440	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
11440	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
11440	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	010
11440	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
11440	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
11440	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
11440	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
11440	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	1	010
11440	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
11440	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
11440	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	1	010
11440	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
11440	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
11440	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
11441	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	010
11441	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
11441	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	010
11441	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
11441	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
11441	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
11441	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
11441	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	010
11441	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
11441	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
11441	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
11441	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
11441	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	1	010
11441	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
11441	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
11441	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	1	010
11441	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
11441	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
11441	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
11442	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	010
11442	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
11442	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	010
11442	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
11442	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
11442	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
11442	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
11442	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	2	0	010
11442	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	010
11442	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
11442	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
11442	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
11442	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
11442	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	1	010
11442	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	18	0	010
11442	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
11442	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	2	1	010
11442	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
11442	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
11442	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
11443	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	010
11443	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
11443	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	010
11443	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
11443	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
11443	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
11443	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
11443	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	2	0	010
11443	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	010
11443	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
11443	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
11443	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
11443	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
11443	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	1	010
11443	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	18	0	010
11443	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
11443	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	2	1	010
11443	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
11443	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
11443	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
11444	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	2	1	010
11444	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
11444	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	010
11444	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
11444	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
11444	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
11444	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
11444	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	3	0	010
11444	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	010
11444	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
11444	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
11444	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
11444	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
11444	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	2	1	010
11444	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	010
11444	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
11444	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	2	1	010
11444	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
11444	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
11444	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
11446	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	2	1	010
11446	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
11446	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	010
11446	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
11446	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
11446	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
11446	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
11446	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	4	0	010
11446	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	010
11446	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
11446	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
11446	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
11446	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
11446	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	2	1	010
11446	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	30	0	010
11446	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
11446	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	3	1	010
11446	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
11446	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
11446	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
11450	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	090
11450	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3	2	090
11450	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
11450	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	4	0	090
11450	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	090
11450	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
11450	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
11450	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
11450	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
11450	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	090
11450	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	090
11450	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	090
11450	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
11450	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
11450	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
11450	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	090
11450	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	090
11450	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	12	0	090
11450	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	090
11450	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	30	0	090
11450	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	25	0	090
11450	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1	0	090
11451	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	090
11451	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3	2	090
11451	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
11451	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	4	0	090
11451	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	090
11451	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
11451	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
11451	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
11451	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
11451	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	090
11451	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	090
11451	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	090
11451	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
11451	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
11451	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
11451	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	4	0	090
11451	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	090
11451	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	12	0	090
11451	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	090
11451	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	30	0	090
11451	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	25	0	090
11451	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1	0	090
11462	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	090
11462	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3	2	090
11462	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
11462	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	4	0	090
11462	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	090
11462	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
11462	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
11462	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
11462	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
11462	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	090
11462	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	090
11462	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	090
11462	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
11462	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
11462	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
11462	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	090
11462	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	090
11462	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	12	0	090
11462	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	090
11462	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	30	0	090
11462	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	25	0	090
11462	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1	0	090
11463	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	090
11463	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3	2	090
11463	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
11463	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	4	0	090
11463	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	090
11463	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
11463	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
11463	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
11463	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
11463	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	090
11463	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	090
11463	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	090
11463	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
11463	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
11463	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
11463	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	4	0	090
11463	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	090
11463	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	12	0	090
11463	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	090
11463	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	30	0	090
11463	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	25	0	090
11463	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1	0	090
11470	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	090
11470	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3	2	090
11470	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
11470	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	4	0	090
11470	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	090
11470	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
11470	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
11470	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
11470	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
11470	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	090
11470	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	090
11470	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	090
11470	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
11470	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
11470	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
11470	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	090
11470	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	090
11470	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	12	0	090
11470	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	090
11470	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	30	0	090
11470	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	25	0	090
11470	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1	0	090
11471	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	090
11471	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3	2	090
11471	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
11471	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	4	0	090
11471	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	090
11471	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
11471	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
11471	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
11471	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
11471	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	090
11471	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	090
11471	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	090
11471	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
11471	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
11471	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
11471	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	4	0	090
11471	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	090
11471	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	12	0	090
11471	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	090
11471	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	30	0	090
11471	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	25	0	090
11471	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1	0	090
11600	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	010
11600	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
11600	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	010
11600	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
11600	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
11600	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
11600	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	010
11600	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
11600	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	010
11600	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
11600	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
11600	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
11600	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
11600	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	010
11600	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
11600	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
11600	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	1	010
11600	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
11600	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
11600	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	010
11600	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
11600	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
11600	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	010
11600	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
11601	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	010
11601	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
11601	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	010
11601	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
11601	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
11601	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
11601	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	010
11601	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
11601	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	010
11601	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
11601	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
11601	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
11601	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
11601	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	010
11601	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
11601	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
11601	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	1	010
11601	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
11601	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
11601	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	010
11601	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
11601	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
11601	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	010
11601	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
11602	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	010
11602	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
11602	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	010
11602	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
11602	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
11602	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
11602	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	010
11602	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
11602	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	2	0	010
11602	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
11602	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
11602	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
11602	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
11602	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	010
11602	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
11602	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
11602	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	1	010
11602	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
11602	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
11602	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	010
11602	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
11602	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
11602	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	010
11602	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
11603	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	010
11603	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
11603	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	010
11603	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
11603	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
11603	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
11603	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	010
11603	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
11603	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	2	0	010
11603	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
11603	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
11603	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
11603	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
11603	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	010
11603	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
11603	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
11603	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	1	010
11603	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
11603	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
11603	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	010
11603	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
11603	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
11603	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	010
11603	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
11604	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	010
11604	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
11604	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	010
11604	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
11604	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
11604	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
11604	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	010
11604	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
11604	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	3	0	010
11604	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
11604	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
11604	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	010
11604	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
11604	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	010
11604	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
11604	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	010
11604	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	1	010
11604	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
11604	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
11604	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	010
11604	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
11604	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
11604	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	010
11604	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
11606	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	010
11606	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
11606	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	010
11606	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
11606	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
11606	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
11606	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	010
11606	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
11606	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	4	0	010
11606	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
11606	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
11606	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	010
11606	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
11606	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	2	0	010
11606	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	010
11606	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
11606	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	010
11606	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	1	010
11606	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
11606	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
11606	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	010
11606	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
11606	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
11606	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	010
11606	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
11620	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	010
11620	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
11620	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	010
11620	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
11620	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
11620	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
11620	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	010
11620	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
11620	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	010
11620	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
11620	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
11620	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
11620	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
11620	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	010
11620	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
11620	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
11620	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	1	010
11620	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
11620	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
11620	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	010
11620	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
11620	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
11620	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	010
11620	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
11621	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	010
11621	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
11621	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	010
11621	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
11621	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
11621	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
11621	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	010
11621	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
11621	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	010
11621	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
11621	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
11621	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
11621	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
11621	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	010
11621	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
11621	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
11621	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	1	010
11621	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
11621	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
11621	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	010
11621	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
11621	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
11621	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	010
11621	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
11622	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	010
11622	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
11622	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	010
11622	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
11622	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
11622	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
11622	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	010
11622	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
11622	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	2	0	010
11622	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
11622	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
11622	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
11622	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
11622	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	010
11622	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
11622	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
11622	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	1	010
11622	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
11622	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
11622	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	010
11622	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
11622	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
11622	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	010
11622	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
11623	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	010
11623	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
11623	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	010
11623	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
11623	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
11623	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
11623	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	010
11623	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
11623	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	2	0	010
11623	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
11623	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
11623	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
11623	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
11623	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	010
11623	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
11623	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
11623	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	1	010
11623	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
11623	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
11623	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	010
11623	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
11623	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
11623	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	010
11623	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
11624	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	010
11624	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
11624	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	010
11624	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
11624	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
11624	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
11624	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	010
11624	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
11624	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	3	0	010
11624	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
11624	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
11624	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	010
11624	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
11624	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	2	0	010
11624	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	010
11624	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
11624	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	1	010
11624	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
11624	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
11624	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	010
11624	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
11624	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
11624	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	010
11624	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
11626	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	010
11626	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
11626	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	010
11626	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
11626	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
11626	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
11626	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	010
11626	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
11626	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	4	0	010
11626	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
11626	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
11626	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	010
11626	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
11626	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	2	0	010
11626	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	010
11626	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
11626	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	010
11626	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	1	010
11626	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
11626	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
11626	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	010
11626	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
11626	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
11626	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	010
11626	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
11640	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	010
11640	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
11640	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	010
11640	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
11640	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
11640	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
11640	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	010
11640	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
11640	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	010
11640	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
11640	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
11640	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
11640	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
11640	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	010
11640	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
11640	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
11640	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	1	010
11640	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
11640	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
11640	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	010
11640	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
11640	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
11640	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	010
11640	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
11641	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	010
11641	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
11641	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	010
11641	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
11641	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
11641	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
11641	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	010
11641	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
11641	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	010
11641	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
11641	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
11641	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
11641	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
11641	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	010
11641	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
11641	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
11641	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	1	010
11641	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
11641	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
11641	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	010
11641	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
11641	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
11641	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	010
11641	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
11642	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	010
11642	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
11642	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	010
11642	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
11642	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
11642	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
11642	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	010
11642	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
11642	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	010
11642	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
11642	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
11642	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
11642	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
11642	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	010
11642	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
11642	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
11642	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	1	010
11642	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
11642	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
11642	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	010
11642	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
11642	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
11642	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	010
11642	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
11643	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	010
11643	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
11643	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	010
11643	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
11643	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
11643	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
11643	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	010
11643	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
11643	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	010
11643	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
11643	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
11643	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
11643	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
11643	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	010
11643	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
11643	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
11643	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	1	010
11643	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
11643	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
11643	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	010
11643	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
11643	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
11643	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	010
11643	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
11644	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	010
11644	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
11644	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	010
11644	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
11644	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
11644	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
11644	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	010
11644	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
11644	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	3	0	010
11644	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
11644	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
11644	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	010
11644	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
11644	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	010
11644	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
11644	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	010
11644	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	2	2	010
11644	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
11644	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
11644	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	010
11644	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
11644	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
11644	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	010
11644	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
11646	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	010
11646	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
11646	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	010
11646	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
11646	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
11646	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
11646	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	010
11646	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
11646	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	4	0	010
11646	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
11646	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
11646	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	010
11646	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
11646	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	010
11646	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
11646	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	3	0	010
11646	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	2	2	010
11646	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
11646	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
11646	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	010
11646	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
11646	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
11646	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	010
11646	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
11719	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	000
11719	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	000
11719	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
11719	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	2	0	000
11719	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	000
11720	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	000
11720	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
11720	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	000
11720	CMS	"Gown, Drape"	SB040	"slippers, paper"	pair	0.201	1	0	000
11720	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	2	0	000
11720	CMS	"Cutters, Closures, Cautery"	SF009	"blade, surgical chisel 81-86 (Beaver)"	item	3.6	1	0	000
11720	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2	0	000
11720	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	2	0	000
11720	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	10	0	000
11720	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	000
11720	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	000
11720	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
11721	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	000
11721	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
11721	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	000
11721	CMS	"Gown, Drape"	SB040	"slippers, paper"	pair	0.201	1	0	000
11721	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	2	0	000
11721	CMS	"Cutters, Closures, Cautery"	SF009	"blade, surgical chisel 81-86 (Beaver)"	item	3.6	1	0	000
11721	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2	0	000
11721	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	2	0	000
11721	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	10	0	000
11721	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	000
11721	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	000
11721	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
11730	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	000
11730	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
11730	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
11730	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
11730	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	3	0	000
11730	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
11730	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
11730	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
11730	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
11730	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	000
11730	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	000
11730	CMS	"Wound Care, Dressings"	SG014	"bandage, elastic, self-adherent wrap 1in (Coban)"	item	1.59	1	0	000
11730	CMS	"Wound Care, Dressings"	SG034	"dressing, 3in x 3in (Adaptic)"	item	0.48	1	0	000
11730	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
11730	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	10	0	000
11730	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	000
11730	CMS	"Pharmacy, NonRx"	SJ025	ethyl chloride spray	oz	6.17	1	0	000
11730	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
11730	CMS	Lab	SL154	alcohol ethyl 100%	ml	0.028	2	0	000
11732	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	ZZZ
11732	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	3	0	ZZZ
11732	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	ZZZ
11732	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	10	0	ZZZ
11732	CMS	"Pharmacy, NonRx"	SJ025	ethyl chloride spray	oz	6.17	1	0	ZZZ
11732	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	ZZZ
11740	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
11740	CMS	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	1.88	1	0	000
11740	CMS	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	6.71	1	0	000
11740	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
11740	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
11740	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
11740	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	000
11740	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	000
11740	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
11740	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
11740	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
11750	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
11750	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	1	010
11750	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
11750	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
11750	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	3	1	010
11750	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
11750	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
11750	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2	1	010
11750	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
11750	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	010
11750	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	1	010
11750	CMS	"Cutters, Closures, Cautery"	SF008	"blade, surgical 64,65,67 (Beaver)"	item	2.98	1	0	010
11750	CMS	"Wound Care, Dressings"	SG014	"bandage, elastic, self-adherent wrap 1in (Coban)"	item	1.59	2	1	010
11750	CMS	"Wound Care, Dressings"	SG034	"dressing, 3in x 3in (Adaptic)"	item	0.48	2	1	010
11750	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	1	010
11750	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	4	0	010
11750	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	10	0	010
11750	CMS	"Pharmacy, Rx"	SH088	"phenol, liquified, USP"	ml	0.48	2	0	010
11750	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	2	1	010
11750	CMS	"Pharmacy, NonRx"	SJ025	ethyl chloride spray	oz	6.17	1	0	010
11750	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	010
11750	CMS	Lab	SL154	alcohol ethyl 100%	ml	0.028	2	0	010
11755	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	000
11755	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	000
11755	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
11755	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
11755	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
11755	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
11755	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
11755	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
11755	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
11755	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	000
11755	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	000
11755	CMS	"Wound Care, Dressings"	SG014	"bandage, elastic, self-adherent wrap 1in (Coban)"	item	1.59	1	0	000
11755	CMS	"Wound Care, Dressings"	SG034	"dressing, 3in x 3in (Adaptic)"	item	0.48	1	0	000
11755	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
11755	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	000
11755	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	10	0	000
11755	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	000
11755	CMS	"Pharmacy, NonRx"	SJ025	ethyl chloride spray	oz	6.17	1	0	000
11755	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
11755	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	000
11760	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
11760	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
11760	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	010
11760	CMS	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	1.88	1	0	010
11760	CMS	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	6.71	1	0	010
11760	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	010
11760	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
11760	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
11760	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
11760	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
11760	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
11760	CMS	"Wound Care, Dressings"	SG034	"dressing, 3in x 3in (Adaptic)"	item	0.48	1	0	010
11760	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
11760	CMS	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	1	1	0	010
11760	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
11760	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	010
11760	CMS	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.47	1	0	010
11760	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	010
11760	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	010
11760	CMS	"Pharmacy, NonRx"	SJ025	ethyl chloride spray	oz	6.17	1	0	010
11760	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	010
11762	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
11762	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
11762	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	010
11762	CMS	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	1.88	1	0	010
11762	CMS	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	6.71	1	0	010
11762	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	010
11762	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
11762	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
11762	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
11762	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
11762	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
11762	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
11762	CMS	"Wound Care, Dressings"	SG015	"bandage, Esmarch-Martin, sterile 3in x 9ft"	item	6.08	1	0	010
11762	CMS	"Wound Care, Dressings"	SG040	"dressing, 5in x 9in (Adaptic)"	item	1.04	1	0	010
11762	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
11762	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
11762	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	010
11762	CMS	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.47	1	0	010
11762	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	010
11762	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	010
11762	CMS	"Pharmacy, NonRx"	SJ025	ethyl chloride spray	oz	6.17	1	0	010
11762	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	010
11765	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
11765	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
11765	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	010
11765	CMS	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	1.88	1	0	010
11765	CMS	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	6.71	1	0	010
11765	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	010
11765	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
11765	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
11765	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
11765	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
11765	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
11765	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
11765	CMS	"Wound Care, Dressings"	SG015	"bandage, Esmarch-Martin, sterile 3in x 9ft"	item	6.08	1	0	010
11765	CMS	"Wound Care, Dressings"	SG040	"dressing, 5in x 9in (Adaptic)"	item	1.04	1	0	010
11765	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
11765	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
11765	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	010
11765	CMS	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.47	1	0	010
11765	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	010
11765	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	010
11765	CMS	"Pharmacy, NonRx"	SJ025	ethyl chloride spray	oz	6.17	1	0	010
11765	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	010
11770	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
11770	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5	1	1	010
11770	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
11770	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	1	010
11770	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
11770	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
11770	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	010
11770	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	5	1	010
11770	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
11770	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
11770	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	010
11770	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1	0	010
11770	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
11770	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
11770	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	010
11770	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
11770	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
11770	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	010
11770	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	010
11770	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
11770	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	010
11770	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	010
11770	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	010
11770	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
11770	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	010
11770	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	120	0	010
11770	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	010
11770	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
11770	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	010
11770	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	010
11771	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	090
11771	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5	4	090
11771	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
11771	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	4	0	090
11771	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	090
11771	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
11771	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
11771	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
11771	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
11771	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	090
11771	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	090
11771	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	090
11771	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
11771	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
11771	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
11771	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	090
11771	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	090
11771	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	12	0	090
11771	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	090
11771	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	30	0	090
11771	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	25	0	090
11771	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1	0	090
11772	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	4	090
11772	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
11772	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
11772	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	3	2	090
11772	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
11772	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
11772	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	1	0	090
11772	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	5	1	090
11772	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
11772	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
11772	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
11772	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	3	2	090
11772	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	3	2	090
11772	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
11772	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
11772	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
11772	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
11772	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
11772	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
11772	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
11772	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
11772	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	3	2	090
11772	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	4	2	090
11772	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	12	090
11772	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	090
11772	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	3	2	090
11772	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	3	2	090
11772	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
11772	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
11772	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	120	0	090
11772	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
11772	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	090
11772	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	090
11900	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
11900	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
11900	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
11900	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
11900	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
11900	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	000
11900	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
11900	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
11900	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	000
11900	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	000
11900	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	000
11900	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
11900	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
11901	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
11901	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
11901	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
11901	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
11901	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
11901	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	000
11901	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
11901	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
11901	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	000
11901	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	000
11901	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	30	0	000
11901	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
11901	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
11920	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
11920	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
11920	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
11920	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	3	0	000
11920	CMS	"Hypodermic, IV"	SC079	"needle, micropigmentation (tattoo)"	item	33.54	1	0	000
11920	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	000
11920	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	000
11920	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	3	0	000
11920	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	3	0	000
11920	CMS	"Office Supply, Grocery"	SK073	skin marking ink (tattoo)	ml	0.51	3	0	000
11921	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
11921	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
11921	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
11921	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	3	0	000
11921	CMS	"Hypodermic, IV"	SC079	"needle, micropigmentation (tattoo)"	item	33.54	1	0	000
11921	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	000
11921	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	000
11921	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	3	0	000
11921	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	3	0	000
11921	CMS	"Office Supply, Grocery"	SK073	skin marking ink (tattoo)	ml	0.51	3	0	000
11922	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	ZZZ
11922	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	ZZZ
11922	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	ZZZ
11922	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	ZZZ
11922	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	ZZZ
11950	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
11950	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
11950	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	1	0	000
11950	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
11951	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
11951	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
11951	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	1	0	000
11951	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
11952	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
11952	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
11952	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
11952	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
11952	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	1	0	000
11952	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	000
11952	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
11954	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
11954	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
11954	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
11954	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
11954	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	1	0	000
11954	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	000
11954	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	3	0	000
11960	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		8	090
11960	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
11960	CMS	"Kit, Pack, Tray"	SA108	"kit, tissue expansion"	kit	8.313		7	090
11970	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
11970	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
11971	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
11971	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
11976	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	000
11976	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	000
11976	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
11976	CMS	"Wound Care, Dressings"	SG012	"bandage, elastic wrap 4in (Ace)"	item	0.52	1	0	000
11980	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
11980	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
11980	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	000
11980	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
11980	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
11980	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1	0	000
11980	CMS	"Cutters, Closures, Cautery"	SF044	"blade, surgical, super-sharp"	item	4.59	1	0	000
11980	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	000
11980	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	000
11980	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
11980	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
11980	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	000
11981	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
11981	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	000
11981	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
11981	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
11981	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	000
11981	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1	0	000
11981	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
11981	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
11981	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
11981	CMS	"Cutters, Closures, Cautery"	SF044	"blade, surgical, super-sharp"	item	4.59	1	0	000
11981	CMS	"Wound Care, Dressings"	SG014	"bandage, elastic, self-adherent wrap 1in (Coban)"	item	1.59	1	0	000
11981	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	000
11981	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	0.33	0	000
11981	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	000
11981	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	000
11981	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
11982	CMS	"Kit, Pack, Tray"	SA027	"kit, scissors and clamp"	kit	0.82	1	0	000
11982	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
11982	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	000
11982	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
11982	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
11982	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	000
11982	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1	0	000
11982	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
11982	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
11982	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
11982	CMS	"Cutters, Closures, Cautery"	SF044	"blade, surgical, super-sharp"	item	4.59	1	0	000
11982	CMS	"Wound Care, Dressings"	SG014	"bandage, elastic, self-adherent wrap 1in (Coban)"	item	1.59	1	0	000
11982	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	000
11982	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	0.33	0	000
11982	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	000
11982	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	000
11982	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
11983	CMS	"Kit, Pack, Tray"	SA027	"kit, scissors and clamp"	kit	0.82	1	0	000
11983	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
11983	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	000
11983	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
11983	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
11983	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	000
11983	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1	0	000
11983	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
11983	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
11983	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
11983	CMS	"Cutters, Closures, Cautery"	SF044	"blade, surgical, super-sharp"	item	4.59	1	0	000
11983	CMS	"Wound Care, Dressings"	SG014	"bandage, elastic, self-adherent wrap 1in (Coban)"	item	1.59	1	0	000
11983	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	000
11983	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	0.33	0	000
11983	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	000
11983	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	000
11983	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
12001	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	000
12001	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
12001	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
12001	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
12001	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
12001	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	000
12001	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	000
12001	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
12001	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
12001	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
12001	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	000
12001	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	000
12001	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	000
12001	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
12001	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
12002	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	000
12002	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
12002	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
12002	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
12002	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
12002	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	2	0	000
12002	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	000
12002	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
12002	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
12002	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
12002	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	000
12002	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	000
12002	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	000
12002	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
12002	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
12004	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	000
12004	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
12004	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
12004	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
12004	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
12004	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	3	0	000
12004	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	000
12004	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	000
12004	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	000
12004	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
12004	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	36	0	000
12004	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	000
12004	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	000
12004	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	000
12004	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
12004	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
12005	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
12005	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	000
12005	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
12005	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
12005	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
12005	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
12005	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	6	0	000
12005	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	000
12005	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	000
12005	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	000
12005	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
12005	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	48	0	000
12005	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	000
12005	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	2	0	000
12005	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	40	0	000
12005	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	15	0	000
12005	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
12006	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
12006	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	000
12006	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
12006	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
12006	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
12006	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
12006	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	8	0	000
12006	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	000
12006	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	3	0	000
12006	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	000
12006	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
12006	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	54	0	000
12006	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	40	0	000
12006	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	2	0	000
12006	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	40	0	000
12006	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	15	0	000
12006	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
12007	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
12007	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	000
12007	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
12007	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
12007	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
12007	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
12007	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	10	0	000
12007	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	000
12007	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	3	0	000
12007	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	000
12007	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	3	0	000
12007	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	66	0	000
12007	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	40	0	000
12007	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	2	0	000
12007	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	40	0	000
12007	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	15	0	000
12007	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
12011	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	000
12011	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
12011	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
12011	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
12011	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
12011	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	000
12011	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	000
12011	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	000
12011	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
12011	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
12011	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	000
12011	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
12011	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	000
12011	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	000
12011	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	000
12011	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
12011	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
12013	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	000
12013	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
12013	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
12013	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
12013	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
12013	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	2	0	000
12013	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	000
12013	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	000
12013	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
12013	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
12013	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
12013	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	000
12013	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	000
12013	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	000
12013	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
12013	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
12014	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
12014	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	000
12014	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
12014	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
12014	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
12014	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
12014	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	2	0	000
12014	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	000
12014	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	000
12014	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
12014	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
12014	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
12014	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	000
12014	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	000
12014	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	000
12014	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
12014	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
12015	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
12015	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	000
12015	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
12015	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
12015	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
12015	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
12015	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	3	0	000
12015	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	000
12015	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	000
12015	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
12015	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
12015	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	36	0	000
12015	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	000
12015	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	000
12015	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	000
12015	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
12015	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
12016	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
12016	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	000
12016	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
12016	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
12016	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
12016	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
12016	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	6	0	000
12016	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	000
12016	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	3	0	000
12016	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	000
12016	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
12016	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	48	0	000
12016	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	000
12016	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	000
12016	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	40	0	000
12016	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	15	0	000
12016	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
12020	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
12020	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
12020	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	010
12020	CMS	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	1.88	1	0	010
12020	CMS	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	6.71	1	0	010
12020	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
12020	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
12020	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
12020	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
12020	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
12020	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
12020	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	010
12020	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
12020	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
12020	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
12020	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	010
12020	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	010
12020	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	010
12020	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	010
12020	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
12020	CMS	Lab	SL146	tubed culture media	item	0.92	1	0	010
12021	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
12021	CMS	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	1.88	1	0	010
12021	CMS	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	6.71	1	0	010
12021	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
12021	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
12021	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	010
12021	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
12021	CMS	Lab	SL146	tubed culture media	item	0.92	1	0	010
12031	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
12031	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
12031	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	010
12031	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
12031	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
12031	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	010
12031	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
12031	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
12031	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
12031	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
12031	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
12031	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
12031	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	010
12031	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	010
12031	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	010
12031	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
12031	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	1	010
12031	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	010
12031	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
12031	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
12031	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
12031	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
12031	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	010
12031	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	010
12031	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
12031	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
12031	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	010
12032	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
12032	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5	1	1	010
12032	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
12032	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	1	010
12032	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
12032	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	2	0	010
12032	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	010
12032	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
12032	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	010
12032	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	5	1	010
12032	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
12032	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
12032	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
12032	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
12032	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
12032	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
12032	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
12032	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	010
12032	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
12032	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
12032	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
12032	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
12032	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	010
12032	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
12032	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
12032	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	010
12032	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	010
12034	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
12034	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
12034	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	010
12034	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
12034	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
12034	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	010
12034	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
12034	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
12034	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
12034	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
12034	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
12034	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
12034	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	010
12034	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	010
12034	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	010
12034	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
12034	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	1	010
12034	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	010
12034	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
12034	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	010
12034	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
12034	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	010
12034	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
12034	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	2	0	010
12034	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
12034	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
12034	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	010
12035	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
12035	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5	1	1	010
12035	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
12035	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	1	010
12035	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
12035	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	2	0	010
12035	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	010
12035	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
12035	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	010
12035	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	5	1	010
12035	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
12035	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
12035	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
12035	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
12035	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
12035	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
12035	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
12035	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	010
12035	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
12035	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
12035	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
12035	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
12035	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	010
12035	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
12035	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
12035	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	010
12035	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	010
12036	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
12036	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
12036	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	010
12036	CMS	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	1.88	1	0	010
12036	CMS	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	6.71	1	0	010
12036	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	010
12036	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
12036	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
12036	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
12036	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
12036	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
12036	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
12036	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	010
12036	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
12036	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
12036	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
12036	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	010
12036	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	010
12036	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	010
12036	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	010
12037	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
12037	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
12037	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	010
12037	CMS	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	1.88	1	0	010
12037	CMS	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	6.71	1	0	010
12037	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	010
12037	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
12037	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
12037	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
12037	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
12037	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
12037	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
12037	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	010
12037	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
12037	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
12037	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
12037	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	010
12037	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	010
12037	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	010
12037	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	010
12041	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
12041	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	0	010
12041	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	010
12041	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
12041	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
12041	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	010
12041	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
12041	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
12041	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
12041	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
12041	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
12041	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
12041	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	010
12041	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	010
12041	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	010
12041	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
12041	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
12041	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	010
12041	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
12041	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
12041	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
12041	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
12041	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	010
12041	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	010
12041	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
12041	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
12041	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	010
12042	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
12042	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
12042	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	010
12042	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
12042	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
12042	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	010
12042	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
12042	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
12042	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
12042	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
12042	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
12042	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
12042	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	010
12042	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	010
12042	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	010
12042	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
12042	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	1	010
12042	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	010
12042	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
12042	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
12042	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
12042	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
12042	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	010
12042	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	010
12042	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
12042	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
12042	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	010
12044	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
12044	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
12044	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	010
12044	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
12044	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
12044	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	010
12044	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
12044	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
12044	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
12044	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
12044	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
12044	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
12044	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	010
12044	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	010
12044	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	010
12044	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
12044	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	1	010
12044	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	2	0	010
12044	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	010
12044	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	010
12044	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	010
12044	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	010
12044	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
12044	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	2	0	010
12044	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
12044	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
12044	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	010
12045	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
12045	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3	2	010
12045	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	010
12045	CMS	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	1.88	1	0	010
12045	CMS	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	6.71	1	0	010
12045	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	010
12045	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
12045	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
12045	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
12045	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
12045	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
12045	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
12045	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	010
12045	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
12045	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
12045	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
12045	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	010
12045	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	010
12045	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	010
12045	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	010
12046	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3	2	010
12046	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5	1	1	010
12046	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
12046	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	2	2	010
12046	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
12046	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	2	0	010
12046	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	010
12046	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
12046	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	5	0	010
12046	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	6	2	010
12046	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
12046	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
12046	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
12046	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
12046	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
12046	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
12046	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
12046	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	010
12046	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	010
12046	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	010
12046	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
12046	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
12046	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	010
12046	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
12046	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
12046	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	010
12046	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	010
12047	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3	2	010
12047	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5	1	1	010
12047	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
12047	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	2	2	010
12047	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
12047	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	2	0	010
12047	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	010
12047	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
12047	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	5	0	010
12047	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	6	2	010
12047	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
12047	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
12047	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
12047	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
12047	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
12047	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
12047	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
12047	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	010
12047	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	010
12047	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	010
12047	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
12047	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
12047	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	010
12047	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
12047	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
12047	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	010
12047	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	010
12051	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
12051	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
12051	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	010
12051	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
12051	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
12051	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	010
12051	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
12051	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
12051	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
12051	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
12051	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
12051	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
12051	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	010
12051	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	010
12051	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	010
12051	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
12051	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
12051	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	010
12051	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
12051	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
12051	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
12051	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
12051	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	010
12051	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	010
12051	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
12051	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
12051	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	010
12052	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
12052	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
12052	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	010
12052	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
12052	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
12052	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	010
12052	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
12052	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
12052	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
12052	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
12052	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
12052	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
12052	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	010
12052	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	010
12052	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	010
12052	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
12052	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
12052	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	010
12052	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
12052	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
12052	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
12052	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
12052	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	010
12052	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	010
12052	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
12052	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
12052	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	010
12053	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
12053	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
12053	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	010
12053	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
12053	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
12053	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	010
12053	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
12053	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
12053	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
12053	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
12053	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
12053	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
12053	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	010
12053	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	010
12053	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	010
12053	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
12053	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
12053	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	2	0	010
12053	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	010
12053	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	010
12053	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	010
12053	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	010
12053	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
12053	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	2	0	010
12053	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
12053	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
12053	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	010
12054	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
12054	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	0	010
12054	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	010
12054	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
12054	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
12054	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	010
12054	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
12054	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
12054	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
12054	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
12054	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
12054	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
12054	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	010
12054	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	010
12054	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	010
12054	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
12054	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
12054	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	2	0	010
12054	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	010
12054	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	010
12054	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	010
12054	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	010
12054	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
12054	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	2	0	010
12054	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
12054	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
12054	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	010
12055	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
12055	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3	0	010
12055	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	2	010
12055	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
12055	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
12055	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	010
12055	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
12055	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
12055	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
12055	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
12055	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
12055	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
12055	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	010
12055	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	010
12055	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	010
12055	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
12055	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
12055	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	3	0	010
12055	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	3	0	010
12055	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	010
12055	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	010
12055	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	010
12055	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
12055	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	2	0	010
12055	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	20	0	010
12055	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
12055	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	010
12056	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
12056	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3	2	010
12056	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	010
12056	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
12056	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
12056	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	010
12056	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
12056	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
12056	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
12056	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
12056	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
12056	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
12056	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	010
12056	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	010
12056	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	010
12056	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
12056	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
12056	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	3	0	010
12056	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	3	0	010
12056	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	3	0	010
12056	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	010
12056	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	36	0	010
12056	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30	0	010
12056	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	3	0	010
12056	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
12056	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
12056	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	010
12057	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
12057	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3	0	010
12057	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	2	010
12057	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
12057	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
12057	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	010
12057	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
12057	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
12057	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
12057	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
12057	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
12057	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
12057	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	010
12057	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	010
12057	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	010
12057	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
12057	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
12057	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	4	0	010
12057	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	4	0	010
12057	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	3	0	010
12057	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	010
12057	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	36	0	010
12057	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30	0	010
12057	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	3	0	010
12057	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
12057	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
12057	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	010
13100	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
13100	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
13100	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	010
13100	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
13100	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	010
13100	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
13100	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	010
13100	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	010
13100	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	010
13100	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
13100	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	1	0	010
13100	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	010
13100	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
13100	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
13100	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	2	0	010
13100	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	010
13100	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	010
13100	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
13100	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
13100	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
13100	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	010
13100	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
13100	CMS	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.4	1	0	010
13100	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
13100	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
13100	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	010
13100	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
13100	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	5	0	010
13100	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	8	0	010
13100	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	010
13100	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
13100	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	010
13100	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3	0	010
13100	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	010
13101	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
13101	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
13101	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	010
13101	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	2	010
13101	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	010
13101	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	1	010
13101	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	010
13101	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	010
13101	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	010
13101	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	2	010
13101	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	1	1	010
13101	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	1	010
13101	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	2	010
13101	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
13101	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	3	0	010
13101	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	3	0	010
13101	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	010
13101	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
13101	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
13101	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
13101	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	2	0	010
13101	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	010
13101	CMS	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.4	1	0	010
13101	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	010
13101	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	010
13101	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	2	0	010
13101	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	010
13101	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	10	0	010
13101	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	12	0	010
13101	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	2	0	010
13101	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	3	0	010
13101	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	1	010
13101	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3	0	010
13101	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	010
13102	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	ZZZ
13102	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	2	0	ZZZ
13102	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	ZZZ
13102	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	ZZZ
13102	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	ZZZ
13102	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	ZZZ
13102	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	ZZZ
13102	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	ZZZ
13102	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	ZZZ
13102	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	5	0	ZZZ
13102	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	8	0	ZZZ
13102	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	ZZZ
13102	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	ZZZ
13120	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
13120	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
13120	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	010
13120	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	2	010
13120	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	010
13120	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	1	010
13120	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	010
13120	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	010
13120	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	010
13120	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	2	010
13120	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	1	1	010
13120	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	1	010
13120	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	2	010
13120	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
13120	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	2	0	010
13120	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	010
13120	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	010
13120	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
13120	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
13120	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
13120	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	010
13120	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
13120	CMS	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.4	1	0	010
13120	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
13120	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
13120	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	010
13120	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
13120	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	5	0	010
13120	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	8	0	010
13120	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	010
13120	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
13120	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	1	010
13120	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3	0	010
13120	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	010
13121	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
13121	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
13121	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	010
13121	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
13121	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	010
13121	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
13121	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	010
13121	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	010
13121	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	010
13121	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
13121	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	1	0	010
13121	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	010
13121	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
13121	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
13121	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	3	0	010
13121	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	3	0	010
13121	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	010
13121	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
13121	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
13121	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
13121	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	2	0	010
13121	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	010
13121	CMS	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.4	1	0	010
13121	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	010
13121	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	010
13121	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	2	0	010
13121	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	010
13121	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	10	0	010
13121	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	12	0	010
13121	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	2	0	010
13121	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	3	0	010
13121	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	010
13121	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3	0	010
13121	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	010
13122	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	ZZZ
13122	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	2	0	ZZZ
13122	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	ZZZ
13122	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	ZZZ
13122	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	ZZZ
13122	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	ZZZ
13122	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	ZZZ
13122	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	ZZZ
13122	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	ZZZ
13122	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	5	0	ZZZ
13122	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	8	0	ZZZ
13122	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	ZZZ
13122	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	ZZZ
13131	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
13131	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
13131	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	010
13131	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
13131	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	010
13131	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
13131	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	010
13131	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	010
13131	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	010
13131	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
13131	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	1	0	010
13131	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	010
13131	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
13131	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
13131	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	2	0	010
13131	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	010
13131	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	010
13131	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
13131	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
13131	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
13131	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	010
13131	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
13131	CMS	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.4	1	0	010
13131	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
13131	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	010
13131	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	010
13131	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
13131	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	5	0	010
13131	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	8	0	010
13131	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	010
13131	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
13131	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	010
13131	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3	0	010
13131	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	010
13132	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
13132	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
13132	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	010
13132	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
13132	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	010
13132	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
13132	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	010
13132	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	010
13132	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	010
13132	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
13132	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	1	0	010
13132	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	010
13132	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
13132	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
13132	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	3	0	010
13132	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	3	0	010
13132	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	010
13132	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
13132	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
13132	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
13132	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	2	0	010
13132	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	010
13132	CMS	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.4	1	0	010
13132	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	010
13132	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	010
13132	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	2	0	010
13132	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	010
13132	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	10	0	010
13132	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	12	0	010
13132	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	2	0	010
13132	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	3	0	010
13132	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	010
13132	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3	0	010
13132	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	010
13133	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	ZZZ
13133	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	2	0	ZZZ
13133	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	ZZZ
13133	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	ZZZ
13133	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	ZZZ
13133	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	ZZZ
13133	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	ZZZ
13133	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	ZZZ
13133	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	5	0	ZZZ
13133	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	8	0	ZZZ
13133	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	ZZZ
13133	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	ZZZ
13151	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
13151	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
13151	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	010
13151	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
13151	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	010
13151	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
13151	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	010
13151	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	010
13151	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	010
13151	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
13151	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	1	0	010
13151	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	010
13151	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
13151	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
13151	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	2	0	010
13151	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	010
13151	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	010
13151	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
13151	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
13151	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
13151	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	010
13151	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
13151	CMS	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.4	1	0	010
13151	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
13151	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
13151	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	010
13151	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
13151	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	5	0	010
13151	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	8	0	010
13151	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	010
13151	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
13151	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	010
13151	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3	0	010
13151	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	010
13152	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
13152	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
13152	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	010
13152	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
13152	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	010
13152	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
13152	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	010
13152	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	010
13152	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	010
13152	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
13152	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	1	0	010
13152	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	010
13152	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
13152	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	3	0	010
13152	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	3	0	010
13152	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	010
13152	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
13152	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
13152	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	2	0	010
13152	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	010
13152	CMS	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.4	1	0	010
13152	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	010
13152	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	010
13152	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	2	0	010
13152	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	010
13152	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	10	0	010
13152	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	12	0	010
13152	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	2	0	010
13152	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	3	0	010
13152	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	010
13152	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3	0	010
13152	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	010
13153	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	ZZZ
13153	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	ZZZ
13153	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	2	0	ZZZ
13153	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	ZZZ
13153	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	ZZZ
13153	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	ZZZ
13153	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	ZZZ
13153	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	ZZZ
13153	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	ZZZ
13153	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	5	0	ZZZ
13153	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	8	0	ZZZ
13153	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	ZZZ
13153	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	ZZZ
13160	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		2	090
13160	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
13160	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		4	090
13160	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05		4	090
13160	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		8	090
13160	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		40	090
14000	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
14000	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4.5	3.5	090
14000	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
14000	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
14000	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	090
14000	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	090
14000	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	090
14000	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
14000	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	090
14000	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	3	0	090
14000	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
14000	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
14000	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
14000	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
14000	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
14000	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
14000	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	1	0	090
14000	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	090
14000	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	090
14000	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
14000	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	090
14000	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
14000	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	090
14000	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	1	090
14000	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	090
14000	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	090
14000	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
14000	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
14001	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
14001	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5	4	090
14001	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
14001	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
14001	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	090
14001	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	090
14001	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	090
14001	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
14001	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	090
14001	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	3	0	090
14001	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
14001	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
14001	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
14001	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
14001	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
14001	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
14001	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	1	0	090
14001	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	090
14001	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	090
14001	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
14001	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	090
14001	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
14001	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	090
14001	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	1	090
14001	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	090
14001	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	090
14001	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
14001	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
14020	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
14020	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5	4	090
14020	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
14020	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
14020	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	090
14020	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	090
14020	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	090
14020	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
14020	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	090
14020	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	3	0	090
14020	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
14020	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
14020	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
14020	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
14020	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
14020	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
14020	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	1	0	090
14020	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	090
14020	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	090
14020	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
14020	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	090
14020	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
14020	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	090
14020	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	1	090
14020	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	090
14020	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	090
14020	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
14020	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
14021	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
14021	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5	4	090
14021	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
14021	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
14021	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	090
14021	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	090
14021	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	090
14021	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
14021	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	090
14021	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	3	0	090
14021	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
14021	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
14021	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
14021	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
14021	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
14021	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
14021	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	1	0	090
14021	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	090
14021	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	090
14021	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
14021	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	090
14021	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
14021	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	090
14021	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	1	090
14021	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	090
14021	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	090
14021	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	090
14021	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
14021	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
14040	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
14040	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	6	4	090
14040	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
14040	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
14040	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	090
14040	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
14040	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	090
14040	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
14040	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	090
14040	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	3	0	090
14040	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
14040	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
14040	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
14040	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
14040	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	2	0	090
14040	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	090
14040	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	090
14040	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	090
14040	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	2	0	090
14040	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	090
14040	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	090
14040	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	090
14040	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	090
14040	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	090
14040	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	090
14040	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
14041	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	090
14041	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5	4	090
14041	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	090
14041	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
14041	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	090
14041	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
14041	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
14041	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
14041	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	6	0	090
14041	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
14041	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
14041	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
14041	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	090
14041	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	2	0	090
14041	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	090
14041	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	090
14041	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	090
14041	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	2	1	090
14041	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	090
14041	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	40	0	090
14041	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	1	1	090
14041	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	40	0	090
14041	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	20	0	090
14041	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
14060	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
14060	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5	4	090
14060	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
14060	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
14060	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	090
14060	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	090
14060	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	090
14060	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
14060	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	090
14060	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	3	0	090
14060	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
14060	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
14060	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
14060	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
14060	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	2	0	090
14060	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	090
14060	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	090
14060	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
14060	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	1	090
14060	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	090
14060	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	090
14060	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	1	090
14060	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	090
14060	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	090
14060	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	090
14060	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
14061	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	090
14061	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	6	5	090
14061	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	090
14061	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
14061	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	090
14061	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
14061	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
14061	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
14061	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	6	0	090
14061	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
14061	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
14061	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
14061	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	090
14061	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	2	0	090
14061	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	090
14061	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	090
14061	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	3	0	090
14061	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	2	1	090
14061	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	090
14061	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	40	0	090
14061	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	1	1	090
14061	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	40	0	090
14061	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	20	0	090
14061	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
14301	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	090
14301	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
14301	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5	4	090
14301	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
14301	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	090
14301	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
14301	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
14301	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2	0	090
14301	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
14301	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
14301	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
14301	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	5	0	090
14301	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	5	0	090
14301	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	5	0	090
14301	CMS	"Cutters, Closures, Cautery"	SF010	"blade, surgical hair clipper"	item	8.29	1	0	090
14301	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
14301	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
14301	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
14301	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	3	0	090
14301	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	3	0	090
14301	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	090
14301	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22	1	0	090
14301	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	090
14301	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	2	0	090
14301	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	090
14301	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	40	0	090
14301	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
14301	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	1	0	090
14301	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	20	0	090
14301	CMS	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.02	10	0	090
14301	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
14301	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
14301	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	090
14301	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	090
14350	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
14350	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		5	090
14350	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05		5	090
14350	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		10	090
14350	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		50	090
15002	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	000
15002	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
15002	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	000
15002	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
15002	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
15002	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
15002	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
15002	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
15002	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	1	0	000
15002	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	4	0	000
15002	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	000
15002	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	000
15002	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
15002	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	3	0	000
15002	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	000
15002	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
15002	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
15002	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	18	0	000
15002	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	000
15002	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	000
15002	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
15003	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	ZZZ
15003	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	4	0	ZZZ
15003	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	ZZZ
15003	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	ZZZ
15003	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	18	0	ZZZ
15003	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	ZZZ
15003	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	10	0	ZZZ
15004	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	000
15004	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
15004	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	000
15004	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
15004	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
15004	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
15004	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
15004	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
15004	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	1	0	000
15004	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	4	0	000
15004	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	000
15004	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	000
15004	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
15004	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	3	0	000
15004	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	000
15004	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
15004	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
15004	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	18	0	000
15004	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	000
15004	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	000
15004	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
15005	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	ZZZ
15005	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	4	0	ZZZ
15005	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	ZZZ
15005	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	ZZZ
15005	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	18	0	ZZZ
15005	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	ZZZ
15005	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	10	0	ZZZ
15040	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	0	000
15040	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
15040	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	000
15040	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	2	0	000
15040	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	2	0	000
15040	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
15040	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
15040	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
15040	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	8	0	000
15040	CMS	"Cutters, Closures, Cautery"	SF003	"blade, dermatome"	item	28.34	1	0	000
15040	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	000
15040	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
15040	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	6	0	000
15040	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	000
15040	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	2	0	000
15040	CMS	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	2	0	000
15040	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	2	0	000
15040	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	4	0	000
15040	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	000
15040	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	40	0	000
15040	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	1	0	000
15040	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	000
15040	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
15040	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
15050	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
15050	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5	4	090
15050	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
15050	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	090
15050	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
15050	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
15050	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	090
15050	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	3	0	090
15050	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
15050	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
15050	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
15050	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
15050	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
15050	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
15050	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
15050	CMS	"Cutters, Closures, Cautery"	SF048	"suture, monocryl, 3-0 to 6-0, p, ps"	item	15.41	1	0	090
15050	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	2	0	090
15050	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	5	4	090
15050	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03	5	0	090
15050	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	090
15050	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
15050	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	090
15100	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	090
15100	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5	4	090
15100	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	090
15100	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	2	0	090
15100	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	2	0	090
15100	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
15100	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
15100	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
15100	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	8	0	090
15100	CMS	"Cutters, Closures, Cautery"	SF003	"blade, dermatome"	item	28.34	1	0	090
15100	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
15100	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
15100	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	6	0	090
15100	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
15100	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	2	0	090
15100	CMS	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	2	1	090
15100	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	2	2	090
15100	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	4	4	090
15100	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	090
15100	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	40	0	090
15100	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	1	1	090
15100	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	090
15100	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	090
15100	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
15101	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	ZZZ
15101	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	ZZZ
15101	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	4	0	ZZZ
15101	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	ZZZ
15101	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	4	0	ZZZ
15101	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	ZZZ
15101	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	4	2	ZZZ
15101	CMS	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	2	0	ZZZ
15101	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	3	3	ZZZ
15101	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	ZZZ
15101	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	ZZZ
15101	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	1	1	ZZZ
15101	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	ZZZ
15101	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	ZZZ
15101	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	ZZZ
15110	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	090
15110	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
15110	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	090
15110	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	2	0	090
15110	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	2	0	090
15110	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
15110	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
15110	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
15110	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	8	0	090
15110	CMS	"Cutters, Closures, Cautery"	SF003	"blade, dermatome"	item	28.34	1	0	090
15110	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
15110	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
15110	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	6	0	090
15110	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
15110	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	2	0	090
15110	CMS	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	2	1	090
15110	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	2	2	090
15110	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	4	4	090
15110	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	090
15110	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	40	0	090
15110	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	1	1	090
15110	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	090
15110	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	090
15110	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
15115	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	090
15115	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
15115	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	090
15115	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	2	0	090
15115	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	2	0	090
15115	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
15115	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
15115	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
15115	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	8	0	090
15115	CMS	"Cutters, Closures, Cautery"	SF003	"blade, dermatome"	item	28.34	1	0	090
15115	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
15115	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
15115	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	6	0	090
15115	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
15115	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	2	0	090
15115	CMS	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	2	1	090
15115	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	2	2	090
15115	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	4	4	090
15115	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	090
15115	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	40	0	090
15115	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	1	1	090
15115	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	090
15115	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	090
15115	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
15120	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	090
15120	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
15120	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	090
15120	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	2	0	090
15120	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	2	0	090
15120	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
15120	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
15120	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
15120	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	8	0	090
15120	CMS	"Cutters, Closures, Cautery"	SF003	"blade, dermatome"	item	28.34	1	0	090
15120	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
15120	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
15120	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	6	0	090
15120	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
15120	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	2	2	090
15120	CMS	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	2	0	090
15120	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
15120	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	3	3	090
15120	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	090
15120	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	40	0	090
15120	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	1	1	090
15120	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	090
15120	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	090
15120	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
15121	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	ZZZ
15121	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	ZZZ
15121	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	4	0	ZZZ
15121	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	ZZZ
15121	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	4	0	ZZZ
15121	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	ZZZ
15121	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	4	2	ZZZ
15121	CMS	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	2	0	ZZZ
15121	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	3	3	ZZZ
15121	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	4	4	ZZZ
15121	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	ZZZ
15121	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	ZZZ
15121	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	1	1	ZZZ
15121	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	ZZZ
15121	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	ZZZ
15121	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	ZZZ
15130	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	090
15130	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5	4	090
15130	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	090
15130	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	2	0	090
15130	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	2	0	090
15130	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
15130	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
15130	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
15130	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	8	0	090
15130	CMS	"Cutters, Closures, Cautery"	SF003	"blade, dermatome"	item	28.34	1	0	090
15130	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
15130	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
15130	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	6	0	090
15130	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
15130	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	2	0	090
15130	CMS	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	2	1	090
15130	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	2	2	090
15130	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	4	4	090
15130	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	090
15130	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	40	0	090
15130	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	1	1	090
15130	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	090
15130	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	090
15130	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
15135	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	090
15135	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5	4	090
15135	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	090
15135	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	2	0	090
15135	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	2	0	090
15135	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
15135	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
15135	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
15135	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	8	0	090
15135	CMS	"Cutters, Closures, Cautery"	SF003	"blade, dermatome"	item	28.34	1	0	090
15135	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
15135	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
15135	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	6	0	090
15135	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
15135	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	2	0	090
15135	CMS	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	2	1	090
15135	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	2	2	090
15135	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	4	4	090
15135	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	090
15135	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	40	0	090
15135	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	1	1	090
15135	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	090
15135	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	090
15135	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
15150	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	090
15150	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
15150	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	090
15150	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	2	0	090
15150	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	2	0	090
15150	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
15150	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
15150	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
15150	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	2	0	090
15150	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
15150	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
15150	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
15150	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
15150	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	2	0	090
15150	CMS	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	2	1	090
15150	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	2	2	090
15150	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	4	4	090
15150	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	090
15150	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	090
15150	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	1	1	090
15150	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	090
15150	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	090
15150	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
15151	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	ZZZ
15152	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	ZZZ
15155	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	090
15155	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
15155	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	090
15155	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	2	0	090
15155	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	2	0	090
15155	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
15155	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
15155	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
15155	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	2	0	090
15155	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
15155	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
15155	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
15155	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
15155	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	2	0	090
15155	CMS	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	2	1	090
15155	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	2	2	090
15155	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	4	4	090
15155	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	090
15155	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	090
15155	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	1	1	090
15155	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	090
15155	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	090
15155	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
15156	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	ZZZ
15157	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	ZZZ
15200	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
15200	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4.5	3.5	090
15200	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
15200	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	090
15200	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
15200	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
15200	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	090
15200	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	3	0	090
15200	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
15200	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
15200	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
15200	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
15200	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
15200	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	4	0	090
15200	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
15200	CMS	"Cutters, Closures, Cautery"	SF048	"suture, monocryl, 3-0 to 6-0, p, ps"	item	15.41	1	0	090
15200	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	2	0	090
15200	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	4.5	3.5	090
15200	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03	5	0	090
15200	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	090
15200	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
15200	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	090
15201	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	ZZZ
15201	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	ZZZ
15201	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	ZZZ
15201	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	2	0	ZZZ
15201	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	ZZZ
15201	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	1	0	ZZZ
15201	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	1	0	ZZZ
15201	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	ZZZ
15201	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	ZZZ
15201	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	ZZZ
15201	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	ZZZ
15220	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
15220	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5.5	4.5	090
15220	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
15220	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	090
15220	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
15220	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
15220	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	090
15220	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	3	0	090
15220	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
15220	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
15220	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
15220	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
15220	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
15220	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	4	0	090
15220	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
15220	CMS	"Cutters, Closures, Cautery"	SF048	"suture, monocryl, 3-0 to 6-0, p, ps"	item	15.41	1	0	090
15220	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	2	0	090
15220	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	5.5	4.5	090
15220	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03	5	0	090
15220	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	090
15220	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
15220	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	090
15221	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	ZZZ
15221	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	ZZZ
15221	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	ZZZ
15221	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	2	0	ZZZ
15221	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	ZZZ
15221	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	1	0	ZZZ
15221	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	1	0	ZZZ
15221	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	ZZZ
15221	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	ZZZ
15221	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	ZZZ
15221	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	ZZZ
15240	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
15240	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	7	6	090
15240	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
15240	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	090
15240	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
15240	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
15240	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	090
15240	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	3	0	090
15240	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
15240	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
15240	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
15240	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
15240	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
15240	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
15240	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
15240	CMS	"Cutters, Closures, Cautery"	SF048	"suture, monocryl, 3-0 to 6-0, p, ps"	item	15.41	1	0	090
15240	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	2	0	090
15240	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	7	6	090
15240	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03	5	0	090
15240	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	090
15240	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
15240	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	090
15241	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	ZZZ
15241	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	ZZZ
15241	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	ZZZ
15241	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	2	0	ZZZ
15241	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	ZZZ
15241	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	1	0	ZZZ
15241	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	1	0	ZZZ
15241	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	ZZZ
15241	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	ZZZ
15241	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	ZZZ
15241	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	ZZZ
15260	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
15260	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	6	5	090
15260	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
15260	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	090
15260	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
15260	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
15260	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	090
15260	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	3	0	090
15260	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
15260	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
15260	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
15260	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
15260	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
15260	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
15260	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
15260	CMS	"Cutters, Closures, Cautery"	SF048	"suture, monocryl, 3-0 to 6-0, p, ps"	item	15.41	1	0	090
15260	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	2	0	090
15260	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	6	5	090
15260	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03	5	0	090
15260	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	090
15260	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
15260	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	090
15261	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	ZZZ
15261	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	ZZZ
15261	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	ZZZ
15261	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	ZZZ
15261	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	ZZZ
15261	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	ZZZ
15261	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	ZZZ
15261	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	ZZZ
15261	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	2	2	ZZZ
15261	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	ZZZ
15261	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	ZZZ
15261	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	1	1	ZZZ
15261	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	ZZZ
15261	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	ZZZ
15261	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	ZZZ
15271	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	000
15271	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
15271	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
15271	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
15271	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
15271	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
15271	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
15271	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
15271	CMS	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.45	2	0	000
15271	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
15271	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
15271	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	2	0	000
15271	CMS	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.34	1	0	000
15271	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	000
15271	CMS	"Wound Care, Dressings"	SG052	"gauze, self-adherent roll 0.5in to 2in (Fabco, Gauztex)"	inch	0.08	72	0	000
15271	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
15271	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	10	0	000
15271	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
15271	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	000
15271	CMS	Lab	SL033	culture swab system (Culturette)	item	0.96	1	0	000
15272	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	1	0	ZZZ
15272	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	ZZZ
15273	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	000
15273	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
15273	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	0	000
15273	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	000
15273	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
15273	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
15273	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
15273	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
15273	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
15273	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
15273	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	3	0	000
15273	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
15273	CMS	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	11.2	2	0	000
15273	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	2	0	000
15273	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	000
15273	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
15273	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	18	0	000
15273	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03	5	0	000
15273	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	000
15273	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
15273	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
15274	CMS	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	11.2	2	0	ZZZ
15274	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	1	0	ZZZ
15274	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	ZZZ
15274	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	ZZZ
15275	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	000
15275	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
15275	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
15275	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
15275	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
15275	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
15275	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
15275	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
15275	CMS	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.45	2	0	000
15275	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
15275	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
15275	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	2	0	000
15275	CMS	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.34	1	0	000
15275	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	000
15275	CMS	"Wound Care, Dressings"	SG052	"gauze, self-adherent roll 0.5in to 2in (Fabco, Gauztex)"	inch	0.08	72	0	000
15275	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
15275	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	10	0	000
15275	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
15275	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	000
15275	CMS	Lab	SL033	culture swab system (Culturette)	item	0.96	1	0	000
15276	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	1	0	ZZZ
15276	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	ZZZ
15277	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	000
15277	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
15277	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	0	000
15277	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	000
15277	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
15277	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
15277	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
15277	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
15277	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
15277	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
15277	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	3	0	000
15277	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
15277	CMS	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	11.2	2	0	000
15277	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	2	0	000
15277	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	000
15277	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
15277	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	18	0	000
15277	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03	5	0	000
15277	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	000
15277	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
15277	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
15278	CMS	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	11.2	2	0	ZZZ
15278	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	1	0	ZZZ
15278	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	ZZZ
15278	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	ZZZ
15570	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
15570	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
15570	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
15570	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	090
15570	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
15570	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
15570	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	090
15570	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	3	0	090
15570	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
15570	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
15570	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
15570	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
15570	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
15570	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	3	0	090
15570	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	3	0	090
15570	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	2	0	090
15570	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	4	3	090
15570	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	090
15570	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
15570	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	090
15570	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
15572	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
15572	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5	4	090
15572	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
15572	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	090
15572	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
15572	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
15572	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	090
15572	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	3	0	090
15572	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
15572	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
15572	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
15572	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
15572	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
15572	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
15572	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
15572	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	2	0	090
15572	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	4	3	090
15572	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	090
15572	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
15572	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	090
15572	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
15574	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
15574	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5	4	090
15574	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
15574	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	090
15574	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
15574	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
15574	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	090
15574	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	3	0	090
15574	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
15574	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
15574	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
15574	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
15574	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
15574	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
15574	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
15574	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	2	0	090
15574	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	5	4	090
15574	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	090
15574	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
15574	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	090
15574	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
15576	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
15576	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
15576	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
15576	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	090
15576	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
15576	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
15576	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	090
15576	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	3	0	090
15576	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
15576	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
15576	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
15576	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
15576	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
15576	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
15576	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
15576	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	2	0	090
15576	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	4	3	090
15576	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	090
15576	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
15576	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	090
15576	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
15600	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
15600	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3	2	090
15600	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
15600	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	090
15600	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
15600	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
15600	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	090
15600	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	3	0	090
15600	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
15600	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
15600	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
15600	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
15600	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
15600	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
15600	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
15600	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	2	0	090
15600	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	3	2	090
15600	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	090
15600	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
15600	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	090
15600	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
15610	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
15610	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3	2	090
15610	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
15610	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	090
15610	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
15610	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
15610	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	090
15610	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	3	0	090
15610	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
15610	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
15610	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
15610	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
15610	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
15610	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
15610	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
15610	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	2	0	090
15610	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	3	2	090
15610	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	090
15610	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
15610	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	090
15610	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
15620	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
15620	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3.5	2.5	090
15620	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
15620	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	090
15620	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
15620	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
15620	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	090
15620	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	3	0	090
15620	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
15620	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
15620	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
15620	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
15620	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
15620	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
15620	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
15620	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	2	0	090
15620	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	3.5	2.5	090
15620	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	090
15620	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
15620	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	090
15620	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
15630	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
15630	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3.5	2.5	090
15630	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
15630	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	090
15630	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
15630	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
15630	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	090
15630	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	3	0	090
15630	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
15630	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
15630	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
15630	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
15630	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
15630	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
15630	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
15630	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	2	0	090
15630	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	3.5	2.5	090
15630	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	090
15630	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
15630	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	090
15630	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
15650	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
15650	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3.5	2.5	090
15650	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
15650	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	090
15650	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
15650	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
15650	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	090
15650	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	3	0	090
15650	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
15650	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
15650	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
15650	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
15650	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
15650	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
15650	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
15650	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	2	0	090
15650	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	3.5	2.5	090
15650	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	090
15650	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
15650	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	090
15650	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
15730	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	090
15730	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	4	4	090
15730	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
15730	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	090
15730	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
15730	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
15730	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
15730	CMS	"Hypodermic, IV"	SC063	syringe-needle 10ml 26g	item	0.34	2	0	090
15730	CMS	"Accessory, Procedure"	SD189	"plate, surgical, mini-compression, 4 hole"	item	210.83	1	0	090
15730	CMS	"Accessory, Procedure"	SD200	"screw, surgical, self-tapping, 1.5-2.0mm"	item	27	4	0	090
15730	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
15730	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
15730	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
15730	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
15730	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	4	2	090
15730	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	090
15730	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	4	1	090
15730	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	4	2	090
15730	CMS	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	1	1	0	090
15730	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	2	0	090
15730	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	090
15730	CMS	"Pharmacy, Rx"	SH022	bupivacaine 0.5% inj (Marcaine)	ml	0.14	10	0	090
15730	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	090
15730	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	2	1	090
15730	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	090
15730	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	090
15730	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
15731	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
15731	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	6	5	090
15731	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
15731	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
15731	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	090
15731	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
15731	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	090
15731	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
15731	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	3	0	090
15731	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
15731	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
15731	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
15731	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
15731	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	2	0	090
15731	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	090
15731	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	090
15731	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
15731	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	090
15731	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	2	0	090
15731	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	090
15731	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	090
15731	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	1	0	090
15731	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	090
15731	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	090
15731	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	090
15733	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
15733	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
15733	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51		1	090
15733	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63		1	090
15733	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
15733	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43		1	090
15733	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		1	090
15733	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		2	090
15733	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		12	090
15733	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46		1	090
15734	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
15734	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
15734	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		2	090
15734	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05		4	090
15734	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		2	090
15734	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		2	090
15734	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
15736	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		2	090
15736	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
15736	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
15736	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		2	090
15736	CMS	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		6	090
15736	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		4	090
15736	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05		2	090
15736	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7		4	090
15736	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		30	090
15736	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		192	090
15736	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		12	090
15736	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39		2	090
15738	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		2	090
15738	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
15738	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
15738	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		2	090
15738	CMS	"Wound Care, Dressings"	SG012	"bandage, elastic wrap 4in (Ace)"	item	0.52		4	090
15738	CMS	"Wound Care, Dressings"	SG013	"bandage, elastic wrap 6in (Ace)"	item	0.8		4	090
15738	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		8	090
15738	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05		2	090
15738	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7		6	090
15738	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		30	090
15738	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		192	090
15738	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		12	090
15738	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39		2	090
15740	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
15740	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5.5	4.5	090
15740	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
15740	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
15740	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	090
15740	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	090
15740	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	090
15740	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
15740	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	090
15740	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	3	0	090
15740	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
15740	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
15740	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
15740	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
15740	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
15740	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
15740	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	2	0	090
15740	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	090
15740	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	090
15740	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	4	3	090
15740	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
15740	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	1	090
15740	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
15740	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	090
15740	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
15740	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	1	090
15740	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	090
15740	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	090
15740	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	090
15740	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
15740	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
15750	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
15750	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
15750	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		5	090
15750	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05		5	090
15750	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		10	090
15750	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		50	090
15756	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		4	090
15756	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
15756	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		7	090
15756	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05		7	090
15756	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		14	090
15756	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		70	090
15757	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		4	090
15757	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
15757	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		7	090
15757	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05		7	090
15757	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		14	090
15757	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		70	090
15758	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		4	090
15758	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
15758	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		7	090
15758	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05		7	090
15758	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		14	090
15758	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		70	090
15760	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
15760	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4.5	3.5	090
15760	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
15760	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	090
15760	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
15760	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
15760	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	090
15760	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	3	0	090
15760	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
15760	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
15760	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
15760	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
15760	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
15760	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
15760	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
15760	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	2	0	090
15760	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	4.5	3.5	090
15760	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	090
15760	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
15760	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	090
15760	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
15769	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
15769	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
15770	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		2	090
15770	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
15770	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		5	090
15770	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05		5	090
15770	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		10	090
15770	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		50	090
15771	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3	3	090
15771	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
15771	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	090
15771	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	090
15771	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	090
15771	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
15771	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	6	0	090
15771	CMS	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32	1	0	090
15771	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	2	0	090
15771	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	3	0	090
15771	CMS	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	2	0	090
15771	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	8	0	090
15771	CMS	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	4.36	1	0	090
15771	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	3	0	090
15771	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	090
15771	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	090
15772	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	6	0	ZZZ
15772	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	ZZZ
15772	CMS	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	4.36	1	0	ZZZ
15773	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3	3	090
15773	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
15773	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	090
15773	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	090
15773	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	090
15773	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
15773	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	6	0	090
15773	CMS	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32	1	0	090
15773	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	2	0	090
15773	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	3	0	090
15773	CMS	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	2	0	090
15773	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	8	0	090
15773	CMS	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	4.36	1	0	090
15773	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	3	0	090
15773	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	090
15773	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	090
15774	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	6	0	ZZZ
15774	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	ZZZ
15774	CMS	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	4.36	1	0	ZZZ
15775	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	000
15775	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
15775	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	000
15775	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
15775	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	000
15775	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	000
15775	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
15775	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
15775	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
15775	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	1	0	000
15775	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
15775	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	000
15775	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	000
15775	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	000
15775	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	000
15775	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
15775	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	000
15775	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	000
15775	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
15775	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
15775	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
15775	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	000
15775	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	2	0	000
15775	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
15775	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
15775	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1	0	000
15776	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	000
15776	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
15776	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	000
15776	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
15776	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	000
15776	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	000
15776	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
15776	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
15776	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
15776	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	1	0	000
15776	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
15776	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	2	0	000
15776	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	2	0	000
15776	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	000
15776	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	000
15776	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	000
15776	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	2	0	000
15776	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	000
15776	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	000
15776	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
15776	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
15776	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	000
15776	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	3	0	000
15776	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
15776	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
15776	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1	0	000
15780	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5.5	4.5	090
15780	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
15780	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	090
15780	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
15780	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
15780	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
15780	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	6	3	090
15780	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	4	2	090
15780	CMS	"Wound Care, Dressings"	SG038	"dressing, 4in x 4in (Vigilon)"	item	1.27	16	8	090
15780	CMS	"Pharmacy, Rx"	SH089	skin refrigerant-anesthetic spray (Frigiderm)	oz	5.86	16	0	090
15780	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	2	0	090
15780	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	60	0	090
15780	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
15781	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4.5	3.5	090
15781	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
15781	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	090
15781	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
15781	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
15781	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
15781	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	2	1	090
15781	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	2	090
15781	CMS	"Wound Care, Dressings"	SG038	"dressing, 4in x 4in (Vigilon)"	item	1.27	6	3	090
15781	CMS	"Pharmacy, Rx"	SH089	skin refrigerant-anesthetic spray (Frigiderm)	oz	5.86	8	0	090
15781	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	1	0	090
15781	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	30	0	090
15781	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
15782	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3.5	2.5	090
15782	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
15782	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	090
15782	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
15782	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
15782	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
15782	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	2	1	090
15782	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	2	090
15782	CMS	"Wound Care, Dressings"	SG038	"dressing, 4in x 4in (Vigilon)"	item	1.27	24	12	090
15782	CMS	"Pharmacy, Rx"	SH089	skin refrigerant-anesthetic spray (Frigiderm)	oz	5.86	8	0	090
15782	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	2	0	090
15782	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	60	0	090
15782	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
15783	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3.5	2.5	090
15783	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
15783	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	090
15783	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
15783	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
15783	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
15783	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	1	1	090
15783	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	2	090
15783	CMS	"Wound Care, Dressings"	SG038	"dressing, 4in x 4in (Vigilon)"	item	1.27	6	3	090
15783	CMS	"Pharmacy, Rx"	SH089	skin refrigerant-anesthetic spray (Frigiderm)	oz	5.86	8	0	090
15783	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	1	0	090
15783	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	30	0	090
15783	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
15786	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	0	010
15786	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
15786	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
15786	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
15786	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
15786	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
15786	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
15786	CMS	"Wound Care, Dressings"	SG038	"dressing, 4in x 4in (Vigilon)"	item	1.27	4	0	010
15786	CMS	"Pharmacy, Rx"	SH089	skin refrigerant-anesthetic spray (Frigiderm)	oz	5.86	8	0	010
15786	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	1	0	010
15786	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	10	0	010
15786	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
15787	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	ZZZ
15787	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	ZZZ
15787	CMS	"Wound Care, Dressings"	SG038	"dressing, 4in x 4in (Vigilon)"	item	1.27	4	0	ZZZ
15787	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	1	0	ZZZ
15787	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	10	0	ZZZ
15787	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	ZZZ
15788	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3.5	2.5	090
15788	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
15788	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	090
15788	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
15788	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
15788	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
15788	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	4	2	090
15788	CMS	"Wound Care, Dressings"	SG038	"dressing, 4in x 4in (Vigilon)"	item	1.27	16	8	090
15788	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	090
15788	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
15788	CMS	"Pharmacy, Rx"	SH083	Jessner's soln	ml	0.29	1	0	090
15788	CMS	"Pharmacy, Rx"	SH089	skin refrigerant-anesthetic spray (Frigiderm)	oz	5.86	16	0	090
15788	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	2	0	090
15788	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	60	0	090
15788	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	6	0	090
15788	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
15789	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5.5	4.5	090
15789	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
15789	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	090
15789	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
15789	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
15789	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
15789	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	2	090
15789	CMS	"Wound Care, Dressings"	SG038	"dressing, 4in x 4in (Vigilon)"	item	1.27	6	3	090
15789	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	090
15789	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
15789	CMS	"Pharmacy, Rx"	SH088	"phenol, liquified, USP"	ml	0.48	1	0	090
15789	CMS	"Pharmacy, Rx"	SH089	skin refrigerant-anesthetic spray (Frigiderm)	oz	5.86	8	0	090
15789	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	1	0	090
15789	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	30	0	090
15789	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	6	0	090
15789	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
15792	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3.5	2.5	090
15792	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
15792	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	090
15792	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
15792	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
15792	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
15792	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	2	090
15792	CMS	"Wound Care, Dressings"	SG038	"dressing, 4in x 4in (Vigilon)"	item	1.27	24	12	090
15792	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	090
15792	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
15792	CMS	"Pharmacy, Rx"	SH083	Jessner's soln	ml	0.29	1	0	090
15792	CMS	"Pharmacy, Rx"	SH089	skin refrigerant-anesthetic spray (Frigiderm)	oz	5.86	8	0	090
15792	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	2	0	090
15792	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	60	0	090
15792	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	6	0	090
15792	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
15793	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5.5	4.5	090
15793	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
15793	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	090
15793	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
15793	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
15793	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
15793	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	2	090
15793	CMS	"Wound Care, Dressings"	SG038	"dressing, 4in x 4in (Vigilon)"	item	1.27	6	3	090
15793	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	090
15793	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
15793	CMS	"Pharmacy, Rx"	SH088	"phenol, liquified, USP"	ml	0.48	1	0	090
15793	CMS	"Pharmacy, Rx"	SH089	skin refrigerant-anesthetic spray (Frigiderm)	oz	5.86	8	0	090
15793	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	1	0	090
15793	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	30	0	090
15793	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	6	0	090
15793	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
15820	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12	4.5	3.5	090
15820	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
15820	CMS	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38	1	0	090
15820	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	22	6	090
15820	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	3	1	090
15820	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	12	090
15820	CMS	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07	1	0	090
15820	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	30	0	090
15820	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	090
15820	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	20	090
15820	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	30	20	090
15821	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12	4.5	3.5	090
15821	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
15821	CMS	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38	1	0	090
15821	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	22	6	090
15821	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	3	1	090
15821	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	12	090
15821	CMS	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07	1	0	090
15821	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	30	0	090
15821	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	090
15821	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	20	090
15821	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	30	20	090
15822	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12	4.5	3.5	090
15822	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
15822	CMS	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38	1	0	090
15822	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	22	6	090
15822	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	3	1	090
15822	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	12	090
15822	CMS	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07	1	0	090
15822	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	30	0	090
15822	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	090
15822	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	20	090
15822	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	30	20	090
15823	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12	5	4	090
15823	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
15823	CMS	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38	1	0	090
15823	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	22	6	090
15823	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	3	1	090
15823	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	12	090
15823	CMS	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07	1	0	090
15823	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	30	0	090
15823	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	090
15823	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	20	090
15823	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	30	20	090
15830	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
15830	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
15832	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		2	090
15832	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
15832	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		4	090
15832	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05		4	090
15832	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		8	090
15832	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		40	090
15833	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		2	090
15833	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
15833	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		4	090
15833	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05		4	090
15833	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		8	090
15833	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		40	090
15834	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		2	090
15834	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
15834	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		4	090
15834	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05		4	090
15834	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		8	090
15834	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		40	090
15835	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
15835	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
15836	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		2	090
15836	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
15836	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		4	090
15836	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05		4	090
15836	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		8	090
15836	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		40	090
15837	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
15837	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4.5	3.5	090
15837	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
15837	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	090
15837	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
15837	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
15837	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	090
15837	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	3	0	090
15837	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
15837	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
15837	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
15837	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
15837	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
15837	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
15837	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
15837	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	2	0	090
15837	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	4.5	3.5	090
15837	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	090
15837	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
15837	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	090
15837	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
15838	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		2	090
15838	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
15838	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		4	090
15838	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05		4	090
15838	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		8	090
15838	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		40	090
15839	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
15839	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4.5	3.5	090
15839	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
15839	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	090
15839	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
15839	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
15839	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	090
15839	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	3	0	090
15839	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
15839	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
15839	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
15839	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
15839	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
15839	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
15839	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
15839	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	2	0	090
15839	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	4.5	3.5	090
15839	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	090
15839	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
15839	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	090
15839	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
15840	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		4	090
15840	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
15840	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		6	090
15840	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05		6	090
15840	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		12	090
15840	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		60	090
15841	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		4	090
15841	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
15841	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		6	090
15841	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05		6	090
15841	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		12	090
15841	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		60	090
15842	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		5	090
15842	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		7	090
15842	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		7	090
15842	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05		7	090
15842	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		14	090
15842	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		70	090
15845	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
15845	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
15845	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		3	090
15845	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05		3	090
15845	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		6	090
15845	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		30	090
15853	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1		ZZZ
15854	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49	1		ZZZ
15920	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		5	090
15920	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
15920	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		5	090
15920	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05		5	090
15920	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		10	090
15920	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		5	090
15920	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		50	090
15922	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		4	090
15922	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
15922	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		6	090
15922	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05		6	090
15922	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		12	090
15922	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		60	090
15931	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		4	090
15931	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
15931	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		4	090
15931	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05		4	090
15931	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		8	090
15931	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		4	090
15931	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		40	090
15933	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		6	090
15933	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
15933	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		6	090
15933	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05		6	090
15933	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		12	090
15933	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		6	090
15933	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		60	090
15934	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		4	090
15934	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
15934	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		6	090
15934	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05		6	090
15934	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		12	090
15934	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		60	090
15935	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		4	090
15935	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		7	090
15935	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		6	090
15935	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05		6	090
15935	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		12	090
15935	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		60	090
15936	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		4	090
15936	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
15936	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		6	090
15936	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05		6	090
15936	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		12	090
15936	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		60	090
15937	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		4	090
15937	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
15937	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		6	090
15937	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05		6	090
15937	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		12	090
15937	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		60	090
15940	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		3	090
15940	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
15940	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		3	090
15940	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05		3	090
15940	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		6	090
15940	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		3	090
15940	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		30	090
15941	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		6	090
15941	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
15941	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		6	090
15941	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05		6	090
15941	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		12	090
15941	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		6	090
15941	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		60	090
15944	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		4	090
15944	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
15944	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		6	090
15944	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05		6	090
15944	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		12	090
15944	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		60	090
15945	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		4	090
15945	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
15945	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		6	090
15945	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05		6	090
15945	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		12	090
15945	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		60	090
15946	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		4	090
15946	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
15946	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		6	090
15946	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05		6	090
15946	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		12	090
15946	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		60	090
15950	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		4	090
15950	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
15950	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		4	090
15950	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05		4	090
15950	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		8	090
15950	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		4	090
15950	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		40	090
15951	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		6	090
15951	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
15951	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		6	090
15951	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05		6	090
15951	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		12	090
15951	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		6	090
15951	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		60	090
15952	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		2	090
15952	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
15952	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		4	090
15952	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05		4	090
15952	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		8	090
15952	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		40	090
15953	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		4	090
15953	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
15953	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		6	090
15953	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05		6	090
15953	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		12	090
15953	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		60	090
15956	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		4	090
15956	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		7	090
15956	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		6	090
15956	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05		6	090
15956	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		12	090
15956	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		60	090
15958	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		4	090
15958	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		7	090
15958	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		6	090
15958	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05		6	090
15958	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		12	090
15958	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		60	090
16000	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
16000	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
16000	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	000
16000	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
16000	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
16000	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	000
16000	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	000
16000	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	000
16000	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
16000	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	2	0	000
16000	CMS	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.14	6	0	000
16000	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
16000	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	000
16000	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	10	0	000
16000	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
16000	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	000
16000	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
16020	CMS	"Kit, Pack, Tray"	SA029	"kit, sharp debridement"	kit	7.32	1	0	000
16020	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
16020	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
16020	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1	0	000
16020	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	1	0	000
16020	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	000
16020	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	000
16020	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	18	0	000
16020	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	000
16020	CMS	"Pharmacy, Rx"	SH064	silver sulfadiazene cream (Silvadene)	gm	0.26	1	0	000
16020	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	10	0	000
16025	CMS	"Kit, Pack, Tray"	SA029	"kit, sharp debridement"	kit	7.32	1	0	000
16025	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
16025	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
16025	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
16025	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1	0	000
16025	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	2	0	000
16025	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	4	0	000
16025	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	000
16025	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	000
16025	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	000
16025	CMS	"Pharmacy, Rx"	SH064	silver sulfadiazene cream (Silvadene)	gm	0.26	1	0	000
16025	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
16025	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	10	0	000
16030	CMS	"Kit, Pack, Tray"	SA029	"kit, sharp debridement"	kit	7.32	1	0	000
16030	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
16030	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
16030	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
16030	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
16030	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	4	0	000
16030	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	8	0	000
16030	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	8	0	000
16030	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	48	0	000
16030	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	40	0	000
16030	CMS	"Pharmacy, Rx"	SH064	silver sulfadiazene cream (Silvadene)	gm	0.26	1	0	000
16030	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	2	0	000
16030	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	000
17000	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	1	010
17000	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	010
17000	CMS	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.06	8	0	010
17000	CMS	"Pharmacy, Rx"	SH092	LMX 4% anesthetic cream	gm	3.01	1	0	010
17000	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	1	0	010
17000	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
17003	CMS	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.06	8	0	ZZZ
17003	CMS	"Pharmacy, Rx"	SH092	LMX 4% anesthetic cream	gm	3.01	1	0	ZZZ
17003	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	ZZZ
17004	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	1	010
17004	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	010
17004	CMS	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.06	90	0	010
17004	CMS	"Pharmacy, Rx"	SH092	LMX 4% anesthetic cream	gm	3.01	15	0	010
17004	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	1	0	010
17004	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	6	0	010
17106	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3	2	090
17106	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
17106	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	090
17106	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
17106	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
17106	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
17106	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	090
17106	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
17106	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	090
17106	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
17106	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
17106	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	090
17106	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	1	0	090
17106	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	090
17106	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	090
17106	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
17107	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
17107	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
17107	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	090
17107	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
17107	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
17107	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
17107	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	090
17107	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
17107	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	090
17107	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	090
17107	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
17107	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
17107	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	090
17107	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	1	0	090
17107	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	090
17107	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	090
17107	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
17108	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5	4	090
17108	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
17108	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	090
17108	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
17108	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
17108	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
17108	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	2	0	090
17108	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
17108	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
17108	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	090
17108	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	090
17108	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
17108	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	090
17108	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	090
17108	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	2	0	090
17108	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	090
17108	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	090
17108	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
17110	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	010
17110	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
17110	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
17110	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
17110	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
17110	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
17110	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	3	0	010
17110	CMS	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.06	27	0	010
17110	CMS	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	2.78	1	0	010
17110	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
17110	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	010
17110	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
17110	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	010
17110	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	010
17110	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
17110	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	2	0	010
17110	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
17110	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
17110	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	010
17110	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
17111	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	010
17111	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
17111	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
17111	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
17111	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
17111	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
17111	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	4	0	010
17111	CMS	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.06	40	0	010
17111	CMS	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	2.78	1	0	010
17111	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
17111	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	010
17111	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	010
17111	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	010
17111	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	36	0	010
17111	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
17111	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	3	0	010
17111	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
17111	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
17111	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	010
17111	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
17250	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
17250	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
17250	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
17250	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	000
17250	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
17250	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
17250	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	5	0	000
17250	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	000
17250	CMS	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	2.78	1	0	000
17250	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
17250	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	000
17250	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	000
17250	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	3	0	000
17250	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	36	0	000
17250	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	000
17250	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	3	0	000
17250	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	000
17250	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
17250	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	5	0	000
17250	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
17260	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	1	010
17260	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
17260	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
17260	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
17260	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
17260	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
17260	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	010
17260	CMS	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.06	20	0	010
17260	CMS	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	2.78	1	0	010
17260	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
17260	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
17260	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
17260	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
17260	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	010
17260	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	1	0	010
17260	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
17260	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
17260	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	010
17260	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
17261	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	0	010
17261	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
17261	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
17261	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
17261	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
17261	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
17261	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	010
17261	CMS	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.06	20	0	010
17261	CMS	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	2.78	1	0	010
17261	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
17261	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	010
17261	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
17261	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
17261	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
17261	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
17261	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	1	0	010
17261	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
17261	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
17261	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	010
17261	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
17262	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	0	010
17262	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
17262	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
17262	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
17262	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
17262	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
17262	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	2	0	010
17262	CMS	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.06	27	0	010
17262	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
17262	CMS	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	2.78	1	0	010
17262	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
17262	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	010
17262	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
17262	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
17262	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	010
17262	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
17262	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	2	0	010
17262	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
17262	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
17262	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	010
17262	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
17263	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	0	010
17263	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
17263	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
17263	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
17263	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
17263	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
17263	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	3	0	010
17263	CMS	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.06	27	0	010
17263	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
17263	CMS	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	2.78	1	0	010
17263	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
17263	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	010
17263	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	010
17263	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
17263	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	010
17263	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
17263	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	2	0	010
17263	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
17263	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
17263	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	010
17263	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
17264	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	0	010
17264	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
17264	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
17264	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
17264	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
17264	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
17264	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	4	0	010
17264	CMS	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.06	40	0	010
17264	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
17264	CMS	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	2.78	1	0	010
17264	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
17264	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	010
17264	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	010
17264	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
17264	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	36	0	010
17264	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
17264	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	3	0	010
17264	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
17264	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
17264	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	010
17264	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
17266	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	0	010
17266	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
17266	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
17266	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
17266	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
17266	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
17266	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	5	0	010
17266	CMS	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.06	80	0	010
17266	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
17266	CMS	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	2.78	1	0	010
17266	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
17266	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	010
17266	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	010
17266	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	3	0	010
17266	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	36	0	010
17266	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
17266	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	3	0	010
17266	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
17266	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
17266	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	010
17266	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
17270	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	010
17270	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
17270	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
17270	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
17270	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
17270	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
17270	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	010
17270	CMS	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.06	20	0	010
17270	CMS	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	2.78	1	0	010
17270	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
17270	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	010
17270	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
17270	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
17270	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
17270	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	010
17270	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	1	0	010
17270	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
17270	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
17270	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	010
17270	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
17271	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	0	010
17271	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
17271	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
17271	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
17271	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
17271	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
17271	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	010
17271	CMS	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.06	20	0	010
17271	CMS	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	2.78	1	0	010
17271	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
17271	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	010
17271	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
17271	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
17271	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
17271	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
17271	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	1	0	010
17271	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
17271	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
17271	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	010
17271	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
17272	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	0	010
17272	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
17272	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
17272	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
17272	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
17272	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
17272	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	2	0	010
17272	CMS	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.06	27	0	010
17272	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
17272	CMS	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	2.78	1	0	010
17272	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
17272	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	010
17272	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
17272	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
17272	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	010
17272	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
17272	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	2	0	010
17272	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
17272	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
17272	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	010
17272	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
17273	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	0	010
17273	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
17273	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
17273	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
17273	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
17273	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
17273	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	3	0	010
17273	CMS	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.06	27	0	010
17273	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
17273	CMS	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	2.78	1	0	010
17273	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
17273	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	010
17273	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
17273	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	010
17273	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	010
17273	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
17273	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	2	0	010
17273	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
17273	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
17273	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	010
17273	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
17274	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	0	010
17274	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
17274	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
17274	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
17274	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
17274	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
17274	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	4	0	010
17274	CMS	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.06	40	0	010
17274	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
17274	CMS	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	2.78	1	0	010
17274	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
17274	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	010
17274	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	010
17274	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	010
17274	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	36	0	010
17274	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
17274	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	3	0	010
17274	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
17274	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
17274	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	010
17274	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
17276	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	0	010
17276	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
17276	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
17276	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
17276	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
17276	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
17276	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	5	0	010
17276	CMS	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.06	80	0	010
17276	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
17276	CMS	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	2.78	1	0	010
17276	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
17276	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	010
17276	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	010
17276	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	3	0	010
17276	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	36	0	010
17276	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
17276	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	3	0	010
17276	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
17276	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
17276	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	010
17276	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
17280	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	010
17280	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
17280	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
17280	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
17280	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
17280	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
17280	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	010
17280	CMS	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.06	20	0	010
17280	CMS	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	2.78	1	0	010
17280	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
17280	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	010
17280	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
17280	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
17280	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
17280	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	010
17280	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	1	0	010
17280	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
17280	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
17280	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	010
17280	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
17281	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	0	010
17281	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
17281	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
17281	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
17281	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
17281	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
17281	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	010
17281	CMS	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.06	20	0	010
17281	CMS	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	2.78	1	0	010
17281	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
17281	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	010
17281	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
17281	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
17281	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
17281	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
17281	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	1	0	010
17281	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
17281	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
17281	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	010
17281	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
17282	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	0	010
17282	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
17282	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
17282	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
17282	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
17282	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
17282	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	2	0	010
17282	CMS	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.06	27	0	010
17282	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
17282	CMS	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	2.78	1	0	010
17282	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
17282	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	010
17282	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
17282	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
17282	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	010
17282	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
17282	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	2	0	010
17282	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
17282	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
17282	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	010
17282	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
17283	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	0	010
17283	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
17283	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
17283	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
17283	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
17283	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
17283	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	3	0	010
17283	CMS	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.06	27	0	010
17283	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
17283	CMS	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	2.78	1	0	010
17283	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
17283	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	010
17283	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	010
17283	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	010
17283	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	010
17283	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
17283	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	2	0	010
17283	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
17283	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
17283	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	010
17283	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
17284	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	0	010
17284	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
17284	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
17284	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
17284	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
17284	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
17284	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	4	0	010
17284	CMS	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.06	40	0	010
17284	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
17284	CMS	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	2.78	1	0	010
17284	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
17284	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	010
17284	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	010
17284	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	010
17284	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	36	0	010
17284	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
17284	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	3	0	010
17284	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
17284	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
17284	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	010
17284	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
17286	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	0	010
17286	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
17286	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
17286	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
17286	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
17286	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
17286	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	5	0	010
17286	CMS	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.06	80	0	010
17286	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
17286	CMS	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	2.78	1	0	010
17286	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
17286	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	010
17286	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	010
17286	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	3	0	010
17286	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	36	0	010
17286	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
17286	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	3	0	010
17286	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
17286	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
17286	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	010
17286	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
17311	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	000
17311	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
17311	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	000
17311	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
17311	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
17311	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	1	0	000
17311	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
17311	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
17311	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	0	000
17311	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
17311	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
17311	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
17311	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	2	0	000
17311	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
17311	CMS	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.06	20	0	000
17311	CMS	"Accessory, Procedure"	SD133	"tubing, suction, non-latex (6ft) with Poole tip (1)"	item	1.98	1	0	000
17311	CMS	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	2.61	1	0	000
17311	CMS	"Cutters, Closures, Cautery"	SF010	"blade, surgical hair clipper"	item	8.29	1	0	000
17311	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	000
17311	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	000
17311	CMS	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	2.78	1	0	000
17311	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	000
17311	CMS	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	4.97	3	0	000
17311	CMS	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.4	1	0	000
17311	CMS	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.4	1	0	000
17311	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	30	0	000
17311	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	1	0	000
17311	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	000
17311	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
17311	CMS	"Wound Care, Dressings"	SG043	"dressing, eye pad (Opticlude)"	item	0.34	2	0	000
17311	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	3	0	000
17311	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	3	0	000
17311	CMS	"Wound Care, Dressings"	SG078	"tape, surgical occlusive 1in (Blenderm)"	inch	0.007	60	0	000
17311	CMS	"Wound Care, Dressings"	SG088	"tape, foam, elastic, 2in (Microfoam)"	inch	0.01	8	0	000
17311	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	000
17311	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	0.4	0	000
17311	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	1	0	000
17311	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	000
17311	CMS	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.02	10	0	000
17311	CMS	"Office Supply, Grocery"	SK002	anatomical drawings (for treatment recording)	item	3.5	1	0	000
17311	CMS	"Office Supply, Grocery"	SK047	"map, Moh's surgery (per sheet)"	item	0.04	1	0	000
17311	CMS	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.09	1	0	000
17311	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1	0	000
17311	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
17311	CMS	Lab	SL030	"cover slip, glass"	item	0.114	10	0	000
17311	CMS	Lab	SL078	histology freezing spray (Freeze-It)	oz	1.32	1	0	000
17311	CMS	Lab	SL095	mounting media (Histomount)	ml	0.5	1	0	000
17311	CMS	Lab	SL097	OCT Tissue-Tek	ml	0.14	8	0	000
17311	CMS	Lab	SL120	slide container (for 20 microscope slides)	item	3.78	1	0	000
17311	CMS	Lab	SL134	"stain, frozen section, H&E (1ml per slide)"	ml	0.68	10	0	000
17311	CMS	Lab	SL470	Marking Dyes	ml	0.47	12	0	000
17311	CMS	Lab	SL473	"Slide, charged"	item	0.39	10	0	000
17311	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	000
17312	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	ZZZ
17312	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	ZZZ
17312	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	ZZZ
17312	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	ZZZ
17312	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	ZZZ
17312	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	1	0	ZZZ
17312	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	ZZZ
17312	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	ZZZ
17312	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	ZZZ
17312	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	ZZZ
17312	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	ZZZ
17312	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	ZZZ
17312	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	2	0	ZZZ
17312	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	ZZZ
17312	CMS	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.06	20	0	ZZZ
17312	CMS	"Accessory, Procedure"	SD133	"tubing, suction, non-latex (6ft) with Poole tip (1)"	item	1.98	1	0	ZZZ
17312	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	ZZZ
17312	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	ZZZ
17312	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	ZZZ
17312	CMS	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	4.97	2	0	ZZZ
17312	CMS	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.4	1	0	ZZZ
17312	CMS	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.4	1	0	ZZZ
17312	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	20	0	ZZZ
17312	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	1	0	ZZZ
17312	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	ZZZ
17312	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	ZZZ
17312	CMS	"Wound Care, Dressings"	SG043	"dressing, eye pad (Opticlude)"	item	0.34	2	0	ZZZ
17312	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	ZZZ
17312	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	ZZZ
17312	CMS	"Wound Care, Dressings"	SG078	"tape, surgical occlusive 1in (Blenderm)"	inch	0.007	60	0	ZZZ
17312	CMS	"Wound Care, Dressings"	SG088	"tape, foam, elastic, 2in (Microfoam)"	inch	0.01	8	0	ZZZ
17312	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	ZZZ
17312	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	0.4	0	ZZZ
17312	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	1	0	ZZZ
17312	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	ZZZ
17312	CMS	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.02	10	0	ZZZ
17312	CMS	"Office Supply, Grocery"	SK002	anatomical drawings (for treatment recording)	item	3.5	1	0	ZZZ
17312	CMS	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.09	1	0	ZZZ
17312	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	ZZZ
17312	CMS	Lab	SL030	"cover slip, glass"	item	0.114	6	0	ZZZ
17312	CMS	Lab	SL078	histology freezing spray (Freeze-It)	oz	1.32	0.6	0	ZZZ
17312	CMS	Lab	SL095	mounting media (Histomount)	ml	0.5	1	0	ZZZ
17312	CMS	Lab	SL097	OCT Tissue-Tek	ml	0.14	6	0	ZZZ
17312	CMS	Lab	SL134	"stain, frozen section, H&E (1ml per slide)"	ml	0.68	6	0	ZZZ
17312	CMS	Lab	SL470	Marking Dyes	ml	0.47	9	0	ZZZ
17312	CMS	Lab	SL473	"Slide, charged"	item	0.39	6	0	ZZZ
17312	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	ZZZ
17313	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	000
17313	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
17313	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	000
17313	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
17313	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
17313	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	1	0	000
17313	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
17313	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
17313	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	0	000
17313	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
17313	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
17313	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
17313	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	2	0	000
17313	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
17313	CMS	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.06	20	0	000
17313	CMS	"Accessory, Procedure"	SD133	"tubing, suction, non-latex (6ft) with Poole tip (1)"	item	1.98	1	0	000
17313	CMS	"Cutters, Closures, Cautery"	SF010	"blade, surgical hair clipper"	item	8.29	1	0	000
17313	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	000
17313	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	000
17313	CMS	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	2.78	1	0	000
17313	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	000
17313	CMS	"Cutters, Closures, Cautery"	SF044	"blade, surgical, super-sharp"	item	4.59	1	0	000
17313	CMS	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	4.97	3	0	000
17313	CMS	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.4	1	0	000
17313	CMS	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.4	1	0	000
17313	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	30	0	000
17313	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	1	0	000
17313	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	000
17313	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
17313	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	3	0	000
17313	CMS	"Wound Care, Dressings"	SG078	"tape, surgical occlusive 1in (Blenderm)"	inch	0.007	60	0	000
17313	CMS	"Wound Care, Dressings"	SG088	"tape, foam, elastic, 2in (Microfoam)"	inch	0.01	10	0	000
17313	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	000
17313	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	0.4	0	000
17313	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	1	0	000
17313	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	000
17313	CMS	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.02	10	0	000
17313	CMS	"Office Supply, Grocery"	SK002	anatomical drawings (for treatment recording)	item	3.5	1	0	000
17313	CMS	"Office Supply, Grocery"	SK047	"map, Moh's surgery (per sheet)"	item	0.04	1	0	000
17313	CMS	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.09	1	0	000
17313	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1	0	000
17313	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
17313	CMS	Lab	SL030	"cover slip, glass"	item	0.114	10	0	000
17313	CMS	Lab	SL078	histology freezing spray (Freeze-It)	oz	1.32	1	0	000
17313	CMS	Lab	SL095	mounting media (Histomount)	ml	0.5	1	0	000
17313	CMS	Lab	SL097	OCT Tissue-Tek	ml	0.14	8	0	000
17313	CMS	Lab	SL120	slide container (for 20 microscope slides)	item	3.78	1	0	000
17313	CMS	Lab	SL134	"stain, frozen section, H&E (1ml per slide)"	ml	0.68	10	0	000
17313	CMS	Lab	SL470	Marking Dyes	ml	0.47	12	0	000
17313	CMS	Lab	SL473	"Slide, charged"	item	0.39	10	0	000
17313	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	000
17314	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	ZZZ
17314	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	ZZZ
17314	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	ZZZ
17314	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	ZZZ
17314	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	ZZZ
17314	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	1	0	ZZZ
17314	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	ZZZ
17314	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	ZZZ
17314	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	ZZZ
17314	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	ZZZ
17314	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	ZZZ
17314	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	ZZZ
17314	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	2	0	ZZZ
17314	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	ZZZ
17314	CMS	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.06	20	0	ZZZ
17314	CMS	"Accessory, Procedure"	SD133	"tubing, suction, non-latex (6ft) with Poole tip (1)"	item	1.98	1	0	ZZZ
17314	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	ZZZ
17314	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	ZZZ
17314	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	ZZZ
17314	CMS	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	4.97	2	0	ZZZ
17314	CMS	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.4	1	0	ZZZ
17314	CMS	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.4	1	0	ZZZ
17314	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	20	0	ZZZ
17314	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	1	0	ZZZ
17314	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	ZZZ
17314	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	ZZZ
17314	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	ZZZ
17314	CMS	"Wound Care, Dressings"	SG078	"tape, surgical occlusive 1in (Blenderm)"	inch	0.007	60	0	ZZZ
17314	CMS	"Wound Care, Dressings"	SG088	"tape, foam, elastic, 2in (Microfoam)"	inch	0.01	8	0	ZZZ
17314	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	ZZZ
17314	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	0.4	0	ZZZ
17314	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	1	0	ZZZ
17314	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	ZZZ
17314	CMS	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.02	10	0	ZZZ
17314	CMS	"Office Supply, Grocery"	SK002	anatomical drawings (for treatment recording)	item	3.5	1	0	ZZZ
17314	CMS	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.09	1	0	ZZZ
17314	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	ZZZ
17314	CMS	Lab	SL030	"cover slip, glass"	item	0.114	6	0	ZZZ
17314	CMS	Lab	SL078	histology freezing spray (Freeze-It)	oz	1.32	0.6	0	ZZZ
17314	CMS	Lab	SL095	mounting media (Histomount)	ml	0.5	1	0	ZZZ
17314	CMS	Lab	SL097	OCT Tissue-Tek	ml	0.14	6	0	ZZZ
17314	CMS	Lab	SL134	"stain, frozen section, H&E (1ml per slide)"	ml	0.68	6	0	ZZZ
17314	CMS	Lab	SL470	Marking Dyes	ml	0.47	9	0	ZZZ
17314	CMS	Lab	SL473	"Slide, charged"	item	0.39	6	0	ZZZ
17314	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	ZZZ
17315	CMS	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.06	20	0	ZZZ
17315	CMS	Lab	SL030	"cover slip, glass"	item	0.114	2	0	ZZZ
17315	CMS	Lab	SL078	histology freezing spray (Freeze-It)	oz	1.32	0.2	0	ZZZ
17315	CMS	Lab	SL095	mounting media (Histomount)	ml	0.5	1	0	ZZZ
17315	CMS	Lab	SL097	OCT Tissue-Tek	ml	0.14	1	0	ZZZ
17315	CMS	Lab	SL134	"stain, frozen section, H&E (1ml per slide)"	ml	0.68	2	0	ZZZ
17315	CMS	Lab	SL470	Marking Dyes	ml	0.47	3	0	ZZZ
17315	CMS	Lab	SL473	"Slide, charged"	item	0.39	2	0	ZZZ
17360	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
17360	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
17360	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
17360	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
17360	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	010
17360	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	3	0	010
17360	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
17360	CMS	"Pharmacy, NonRx"	SJ026	Eucerin cream	oz	1.38	1	0	010
17360	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
17360	CMS	"Pharmacy, NonRx"	SJ072	"brush, disposable applicator"	item	0.42	1	0	010
17360	CMS	"Office Supply, Grocery"	SK041	ice (per cup)	item	0.03	1	0	010
17360	CMS	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	1	0	010
17360	CMS	Lab	SL193	"glycolic acid, 20-50%"	ml	0.34	1	0	010
17360	CMS	Lab	SL200	"sodium bicarbonate spray, 8 oz"	item	13.25	1	0	010
17360	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1	0	010
19000	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
19000	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
19000	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	000
19000	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
19000	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	4	0	000
19000	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
19000	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	000
19000	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
19000	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	000
19000	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	000
19000	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	4	0	000
19000	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
19000	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
19000	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	000
19000	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	000
19001	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	ZZZ
19001	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	ZZZ
19001	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	ZZZ
19001	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	ZZZ
19001	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	ZZZ
19020	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3	2	090
19020	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
19020	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
19020	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	1	090
19020	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	090
19020	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
19020	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
19020	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	5	0	090
19020	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	5	1	090
19020	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
19020	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
19020	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
19020	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
19020	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	2	1	090
19020	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
19020	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
19020	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
19020	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
19020	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
19020	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
19020	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
19020	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
19020	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
19020	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
19020	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
19020	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	090
19020	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
19020	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
19020	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	090
19020	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	2	1	090
19020	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	2	1	090
19020	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
19020	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
19020	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
19020	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	090
19020	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	090
19030	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
19030	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
19030	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
19030	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
19030	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
19030	CMS	"Hypodermic, IV"	SC047	sialography infusion unit	item	37.71	1	0	000
19030	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1	0	000
19030	CMS	"Accessory, Procedure"	SD042	"dilator, ductal, galactography"	item	10.28	1	0	000
19030	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	000
19030	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	000
19030	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	1	0	000
19030	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
19081	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2	0	000
19081	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	000
19081	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
19081	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
19081	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
19081	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
19081	CMS	"Hypodermic, IV"	SC022	Mammotome probe guide	item	6.75	1	0	000
19081	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
19081	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
19081	CMS	"Accessory, Procedure"	SD010	"canister, vacuum"	item	9.1	1	0	000
19081	CMS	"Accessory, Procedure"	SD037	"clip, tissue marker"	item	71.11	1	0	000
19081	CMS	"Accessory, Procedure"	SD094	Mammotome probe	item	135	1	0	000
19081	CMS	"Accessory, Procedure"	SD135	"tubing, vacuum (for Mammotome device)"	item	16.09	1	0	000
19081	CMS	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	4.97	1	0	000
19081	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
19081	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	000
19081	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
19081	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	000
19081	CMS	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	4.01	1	0	000
19081	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	000
19081	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
19081	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	000
19081	CMS	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	1.13	1	0	000
19081	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	1	0	000
19081	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	000
19081	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
19081	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	000
19081	CMS	Lab	SL064	"filter paper, qualitative, <15.0cm"	item	0.14	1	0	000
19081	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	0.5	0	000
19081	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.34	0	000
19081	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1	0	000
19082	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2	0	ZZZ
19082	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	ZZZ
19082	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	ZZZ
19082	CMS	"Hypodermic, IV"	SC022	Mammotome probe guide	item	6.75	1	0	ZZZ
19082	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	ZZZ
19082	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	ZZZ
19082	CMS	"Accessory, Procedure"	SD010	"canister, vacuum"	item	9.1	1	0	ZZZ
19082	CMS	"Accessory, Procedure"	SD037	"clip, tissue marker"	item	71.11	1	0	ZZZ
19082	CMS	"Accessory, Procedure"	SD094	Mammotome probe	item	135	1	0	ZZZ
19082	CMS	"Accessory, Procedure"	SD135	"tubing, vacuum (for Mammotome device)"	item	16.09	1	0	ZZZ
19082	CMS	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	4.97	1	0	ZZZ
19082	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	ZZZ
19082	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	ZZZ
19082	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	ZZZ
19082	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	ZZZ
19082	CMS	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	4.01	1	0	ZZZ
19082	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	ZZZ
19082	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	ZZZ
19082	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	ZZZ
19082	CMS	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	1.13	1	0	ZZZ
19082	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	1	0	ZZZ
19082	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	ZZZ
19082	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	ZZZ
19082	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	ZZZ
19082	CMS	Lab	SL064	"filter paper, qualitative, <15.0cm"	item	0.14	1	0	ZZZ
19082	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	0.5	0	ZZZ
19082	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.34	0	ZZZ
19082	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1	0	ZZZ
19083	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	000
19083	CMS	"Gown, Drape"	SB018	"drape-sleeve, sterile, for handpiece"	item	0.14	1	0	000
19083	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2	0	000
19083	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	000
19083	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
19083	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
19083	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
19083	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	5	0	000
19083	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1	0	000
19083	CMS	"Hypodermic, IV"	SC022	Mammotome probe guide	item	6.75	1	0	000
19083	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
19083	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
19083	CMS	"Accessory, Procedure"	SD010	"canister, vacuum"	item	9.1	1	0	000
19083	CMS	"Accessory, Procedure"	SD037	"clip, tissue marker"	item	71.11	1	0	000
19083	CMS	"Accessory, Procedure"	SD094	Mammotome probe	item	135	1	0	000
19083	CMS	"Accessory, Procedure"	SD135	"tubing, vacuum (for Mammotome device)"	item	16.09	1	0	000
19083	CMS	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	4.97	1	0	000
19083	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
19083	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
19083	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	000
19083	CMS	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	4.01	1	0	000
19083	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	000
19083	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
19083	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	000
19083	CMS	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	1.13	1	0	000
19083	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	1	0	000
19083	CMS	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.57	4	0	000
19083	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	000
19083	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
19083	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	2	0	000
19083	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	000
19083	CMS	Lab	SL064	"filter paper, qualitative, <15.0cm"	item	0.14	1	0	000
19083	CMS	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	10	0	000
19083	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.34	0	000
19083	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2	0	000
19084	CMS	"Gown, Drape"	SB018	"drape-sleeve, sterile, for handpiece"	item	0.14	1	0	ZZZ
19084	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2	0	ZZZ
19084	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	ZZZ
19084	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	ZZZ
19084	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	5	0	ZZZ
19084	CMS	"Hypodermic, IV"	SC022	Mammotome probe guide	item	6.75	1	0	ZZZ
19084	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	ZZZ
19084	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	ZZZ
19084	CMS	"Accessory, Procedure"	SD010	"canister, vacuum"	item	9.1	1	0	ZZZ
19084	CMS	"Accessory, Procedure"	SD037	"clip, tissue marker"	item	71.11	1	0	ZZZ
19084	CMS	"Accessory, Procedure"	SD094	Mammotome probe	item	135	1	0	ZZZ
19084	CMS	"Accessory, Procedure"	SD135	"tubing, vacuum (for Mammotome device)"	item	16.09	1	0	ZZZ
19084	CMS	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	4.97	1	0	ZZZ
19084	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	ZZZ
19084	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	ZZZ
19084	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	ZZZ
19084	CMS	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	4.01	1	0	ZZZ
19084	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	ZZZ
19084	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	ZZZ
19084	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	ZZZ
19084	CMS	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	1.13	1	0	ZZZ
19084	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	1	0	ZZZ
19084	CMS	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.57	4	0	ZZZ
19084	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	ZZZ
19084	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	ZZZ
19084	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	2	0	ZZZ
19084	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	ZZZ
19084	CMS	Lab	SL064	"filter paper, qualitative, <15.0cm"	item	0.14	1	0	ZZZ
19084	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.34	0	ZZZ
19084	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2	0	ZZZ
19085	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2	0	000
19085	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	000
19085	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
19085	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
19085	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
19085	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
19085	CMS	"Hypodermic, IV"	SC022	Mammotome probe guide	item	6.75	1	0	000
19085	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
19085	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
19085	CMS	"Accessory, Procedure"	SD010	"canister, vacuum"	item	9.1	1	0	000
19085	CMS	"Accessory, Procedure"	SD037	"clip, tissue marker"	item	71.11	1	0	000
19085	CMS	"Accessory, Procedure"	SD094	Mammotome probe	item	135	1	0	000
19085	CMS	"Accessory, Procedure"	SD135	"tubing, vacuum (for Mammotome device)"	item	16.09	1	0	000
19085	CMS	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	4.97	1	0	000
19085	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
19085	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
19085	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	000
19085	CMS	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	4.01	1	0	000
19085	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	000
19085	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
19085	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	000
19085	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	1	0	000
19085	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	000
19085	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
19085	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	000
19085	CMS	Lab	SL064	"filter paper, qualitative, <15.0cm"	item	0.14	1	0	000
19085	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.34	0	000
19086	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2	0	ZZZ
19086	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	ZZZ
19086	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	ZZZ
19086	CMS	"Hypodermic, IV"	SC022	Mammotome probe guide	item	6.75	1	0	ZZZ
19086	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	ZZZ
19086	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	ZZZ
19086	CMS	"Accessory, Procedure"	SD010	"canister, vacuum"	item	9.1	1	0	ZZZ
19086	CMS	"Accessory, Procedure"	SD037	"clip, tissue marker"	item	71.11	1	0	ZZZ
19086	CMS	"Accessory, Procedure"	SD094	Mammotome probe	item	135	1	0	ZZZ
19086	CMS	"Accessory, Procedure"	SD135	"tubing, vacuum (for Mammotome device)"	item	16.09	1	0	ZZZ
19086	CMS	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	4.97	1	0	ZZZ
19086	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	ZZZ
19086	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	ZZZ
19086	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	ZZZ
19086	CMS	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	4.01	1	0	ZZZ
19086	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	ZZZ
19086	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	ZZZ
19086	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	ZZZ
19086	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	1	0	ZZZ
19086	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	ZZZ
19086	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	ZZZ
19086	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	ZZZ
19086	CMS	Lab	SL064	"filter paper, qualitative, <15.0cm"	item	0.14	1	0	ZZZ
19086	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.34	0	ZZZ
19100	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
19100	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
19100	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
19100	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
19100	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	000
19100	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
19100	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
19100	CMS	"Hypodermic, IV"	SC025	"needle, 14-20g, biopsy"	item	11.13	1	0	000
19100	CMS	"Hypodermic, IV"	SC032	"needle, biopsy for breast-prostate core sample"	item	33.2	1	0	000
19100	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	000
19100	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
19100	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	90	0	000
19100	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	000
19101	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
19101	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5	1	1	010
19101	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	010
19101	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	010
19101	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
19101	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	3	1	010
19101	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
19101	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	010
19101	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	010
19101	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
19101	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	010
19101	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	010
19101	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
19101	CMS	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32	1	0	010
19101	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	010
19101	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
19101	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
19101	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
19101	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
19101	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
19101	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	4	4	010
19101	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22	7	0	010
19101	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
19101	CMS	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	4.01	1	0	010
19101	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	186	60	010
19101	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	30	0	010
19101	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	15	15	010
19105	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
19105	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	000
19105	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
19105	CMS	"Gown, Drape"	SB017	"drape-sleeve, sterile (4in x 8ft)"	item	0.2	2	0	000
19105	CMS	"Gown, Drape"	SB018	"drape-sleeve, sterile, for handpiece"	item	0.14	1	0	000
19105	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
19105	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
19105	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
19105	CMS	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.54	1	0	000
19105	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
19105	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	000
19105	CMS	"Accessory, Procedure"	SD079	"gas, helium"	cu ft	1.02	55	0	000
19105	CMS	"Accessory, Procedure"	SD227	"gas, argon"	cu ft	0.53	144	0	000
19105	CMS	"Accessory, Procedure"	SD232	"probe, cryoablation (Visica ICE 30 or 40)"	item	1372.12	1	0	000
19105	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
19105	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2	0	000
19105	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
19105	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	000
19105	CMS	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	4.01	1	0	000
19105	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	000
19105	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	000
19105	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	000
19105	CMS	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.02	50	0	000
19105	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4	0	000
19105	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60	0	000
19105	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
19105	CMS	Lab	SL157	"cup, sterile, 8 oz"	item	0.58	1	0	000
19105	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2	0	000
19110	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
19110	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
19110	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
19110	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	1	090
19110	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	090
19110	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
19110	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
19110	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	5	0	090
19110	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	5	1	090
19110	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
19110	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
19110	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
19110	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
19110	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
19110	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
19110	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
19110	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
19110	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
19110	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
19110	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
19110	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	090
19110	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
19110	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
19110	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	090
19110	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	090
19110	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
19110	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
19110	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
19110	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	090
19110	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	090
19112	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
19112	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
19112	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
19112	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	1	090
19112	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	090
19112	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
19112	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
19112	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	5	0	090
19112	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	5	1	090
19112	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
19112	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
19112	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
19112	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
19112	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
19112	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
19112	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
19112	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
19112	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
19112	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
19112	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
19112	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	090
19112	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
19112	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
19112	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	090
19112	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	090
19112	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
19112	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
19112	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
19112	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	090
19112	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	090
19120	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3	2	090
19120	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5	1	1	090
19120	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
19120	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
19120	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	090
19120	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
19120	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
19120	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
19120	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
19120	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
19120	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
19120	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
19120	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	4	0	090
19120	CMS	"Wound Care, Dressings"	SG013	"bandage, elastic wrap 6in (Ace)"	item	0.8	2	0	090
19120	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	3	0	090
19120	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	60	0	090
19120	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	15	0	090
19120	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	090
19120	CMS	Lab	SL072	formalin	ml	0.009	10	0	090
19120	CMS	Infection Control	SM011	"cleaning brush, instruments"	item	5.6	1	0	090
19125	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3	2	090
19125	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5	1	1	090
19125	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
19125	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
19125	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	090
19125	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
19125	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
19125	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
19125	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
19125	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
19125	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
19125	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
19125	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	4	0	090
19125	CMS	"Wound Care, Dressings"	SG013	"bandage, elastic wrap 6in (Ace)"	item	0.8	2	0	090
19125	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	3	0	090
19125	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	60	0	090
19125	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	15	0	090
19125	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	090
19125	CMS	Lab	SL072	formalin	ml	0.009	10	0	090
19125	CMS	Infection Control	SM011	"cleaning brush, instruments"	item	5.6	1	0	090
19281	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2	0	000
19281	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
19281	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
19281	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
19281	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
19281	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
19281	CMS	"Hypodermic, IV"	SC045	needle-wire for localization	item	15	2	0	000
19281	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
19281	CMS	"Accessory, Procedure"	SD087	"guide, needle, for localization"	item	21.29	2	0	000
19281	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
19281	CMS	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	4.01	1	0	000
19281	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	5	0	000
19281	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	000
19281	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	000
19281	CMS	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	1.13	1	0	000
19281	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	000
19281	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
19282	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2	0	ZZZ
19282	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	ZZZ
19282	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	ZZZ
19282	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	ZZZ
19282	CMS	"Hypodermic, IV"	SC045	needle-wire for localization	item	15	2	0	ZZZ
19282	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	ZZZ
19282	CMS	"Accessory, Procedure"	SD087	"guide, needle, for localization"	item	21.29	2	0	ZZZ
19282	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	ZZZ
19282	CMS	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	4.01	1	0	ZZZ
19282	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	5	0	ZZZ
19282	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	ZZZ
19282	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	ZZZ
19282	CMS	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	1.13	1	0	ZZZ
19282	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	ZZZ
19282	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	ZZZ
19283	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2	0	000
19283	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
19283	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
19283	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
19283	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
19283	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
19283	CMS	"Hypodermic, IV"	SC022	Mammotome probe guide	item	6.75	1	0	000
19283	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
19283	CMS	"Hypodermic, IV"	SC045	needle-wire for localization	item	15	2	0	000
19283	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
19283	CMS	"Accessory, Procedure"	SD087	"guide, needle, for localization"	item	21.29	2	0	000
19283	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
19283	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
19283	CMS	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	4.01	1	0	000
19283	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	5	0	000
19283	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	000
19283	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	000
19283	CMS	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	1.13	1	0	000
19283	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	1	0	000
19283	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	000
19283	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
19283	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	0.5	0	000
19283	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.34	0	000
19283	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1	0	000
19284	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2	0	ZZZ
19284	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	ZZZ
19284	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	ZZZ
19284	CMS	"Hypodermic, IV"	SC022	Mammotome probe guide	item	6.75	1	0	ZZZ
19284	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	ZZZ
19284	CMS	"Hypodermic, IV"	SC045	needle-wire for localization	item	15	2	0	ZZZ
19284	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	ZZZ
19284	CMS	"Accessory, Procedure"	SD087	"guide, needle, for localization"	item	21.29	2	0	ZZZ
19284	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	ZZZ
19284	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	ZZZ
19284	CMS	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	4.01	1	0	ZZZ
19284	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	5	0	ZZZ
19284	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	ZZZ
19284	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	ZZZ
19284	CMS	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	1.13	1	0	ZZZ
19284	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	1	0	ZZZ
19284	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	ZZZ
19284	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	ZZZ
19284	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	0.5	0	ZZZ
19284	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.34	0	ZZZ
19284	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1	0	ZZZ
19285	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	000
19285	CMS	"Gown, Drape"	SB018	"drape-sleeve, sterile, for handpiece"	item	0.14	1	0	000
19285	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2	0	000
19285	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
19285	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
19285	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
19285	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
19285	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	5	0	000
19285	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1	0	000
19285	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
19285	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
19285	CMS	"Accessory, Procedure"	SD037	"clip, tissue marker"	item	71.11	3	0	000
19285	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
19285	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
19285	CMS	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	4.01	1	0	000
19285	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	5	0	000
19285	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	000
19285	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	000
19285	CMS	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	1.13	1	0	000
19285	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	1	0	000
19285	CMS	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.57	4	0	000
19285	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	000
19285	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
19285	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	2	0	000
19285	CMS	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	10	0	000
19285	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.34	0	000
19285	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2	0	000
19286	CMS	"Gown, Drape"	SB018	"drape-sleeve, sterile, for handpiece"	item	0.14	1	0	ZZZ
19286	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2	0	ZZZ
19286	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	ZZZ
19286	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	ZZZ
19286	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	5	0	ZZZ
19286	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	ZZZ
19286	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	ZZZ
19286	CMS	"Accessory, Procedure"	SD037	"clip, tissue marker"	item	71.11	3	0	ZZZ
19286	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	ZZZ
19286	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	ZZZ
19286	CMS	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	4.01	1	0	ZZZ
19286	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	5	0	ZZZ
19286	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	ZZZ
19286	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	ZZZ
19286	CMS	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	1.13	1	0	ZZZ
19286	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	1	0	ZZZ
19286	CMS	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.57	4	0	ZZZ
19286	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	ZZZ
19286	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	ZZZ
19286	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	2	0	ZZZ
19286	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.34	0	ZZZ
19286	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2	0	ZZZ
19287	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2	0	000
19287	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
19287	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
19287	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
19287	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
19287	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
19287	CMS	"Hypodermic, IV"	SC022	Mammotome probe guide	item	6.75	1	0	000
19287	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
19287	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
19287	CMS	"Accessory, Procedure"	SD037	"clip, tissue marker"	item	71.11	1	0	000
19287	CMS	"Accessory, Procedure"	SD094	Mammotome probe	item	135	1	0	000
19287	CMS	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	4.97	1	0	000
19287	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
19287	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
19287	CMS	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	4.01	1	0	000
19287	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	5	0	000
19287	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	000
19287	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	000
19287	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	1	0	000
19287	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	000
19287	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
19287	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.34	0	000
19288	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2	0	ZZZ
19288	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	ZZZ
19288	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	ZZZ
19288	CMS	"Hypodermic, IV"	SC022	Mammotome probe guide	item	6.75	1	0	ZZZ
19288	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	ZZZ
19288	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	ZZZ
19288	CMS	"Accessory, Procedure"	SD037	"clip, tissue marker"	item	71.11	1	0	ZZZ
19288	CMS	"Accessory, Procedure"	SD094	Mammotome probe	item	135	1	0	ZZZ
19288	CMS	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	4.97	1	0	ZZZ
19288	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	ZZZ
19288	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	ZZZ
19288	CMS	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	4.01	1	0	ZZZ
19288	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	5	0	ZZZ
19288	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	ZZZ
19288	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	ZZZ
19288	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	1	0	ZZZ
19288	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	ZZZ
19288	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	ZZZ
19288	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.34	0	ZZZ
19296	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
19296	CMS	"Kit, Pack, Tray"	SA087	"tray, RTS applicator (MammoSite)"	item	2827.86	1	0	000
19296	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
19296	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	000
19296	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
19296	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2	0	000
19296	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
19296	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
19296	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
19296	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
19296	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1	0	000
19296	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	000
19296	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
19296	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
19296	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	000
19296	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	000
19296	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	000
19296	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	000
19296	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	000
19296	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
19296	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	240	0	000
19296	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	5	0	000
19296	CMS	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	10	0	000
19296	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2	0	000
19298	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
19298	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
19298	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	000
19298	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
19298	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2	0	000
19298	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
19298	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
19298	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
19298	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
19298	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1	0	000
19298	CMS	"Hypodermic, IV"	SC073	"implant catheter, button-end, single leader"	item	19.57	30	0	000
19298	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	000
19298	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
19298	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
19298	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	000
19298	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	000
19298	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	000
19298	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	000
19298	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	000
19298	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
19298	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	240	0	000
19298	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	5	0	000
19298	CMS	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	10	0	000
19298	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2	0	000
19300	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5	4	090
19300	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5	1	1	090
19300	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	090
19300	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	090
19300	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	3.5	3.5	090
19300	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
19300	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	6	0	090
19300	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	0	090
19300	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	090
19300	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1	0	090
19300	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	1	090
19300	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	1	090
19300	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	3	1	090
19300	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	2	1	090
19300	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
19300	CMS	"Accessory, Procedure"	SD100	nasal cannula	item	1.66	1	0	090
19300	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
19300	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
19300	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	2	0	090
19300	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
19300	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
19300	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
19300	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
19300	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	4	0	090
19300	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	1	090
19300	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22	7	0	090
19300	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	14	4	090
19300	CMS	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	4.01	1	0	090
19300	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	18	0	090
19300	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	52	2	090
19300	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	2	1	090
19300	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	15	0	090
19300	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	10	090
19300	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4	1	090
19300	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	3	0	090
19301	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
19301	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
19301	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2.5	090
19301	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04		1	090
19301	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04		1	090
19301	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
19301	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		1	090
19301	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		1	090
19301	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
19301	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06		2	090
19301	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		1	090
19301	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		10	090
19301	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		1	090
19302	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
19302	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
19302	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
19302	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04		2	090
19302	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04		2	090
19302	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		2	090
19302	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
19302	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
19302	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		7	090
19302	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06		3	090
19302	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		2	090
19302	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		17	090
19302	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		2	090
19303	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
19303	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		2	090
19303	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04		1	090
19303	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		1	090
19303	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		1	090
19305	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
19305	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
19305	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		4.5	090
19305	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04		2	090
19305	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04		2	090
19305	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		2	090
19305	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
19305	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04		1	090
19305	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21		1	090
19305	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		16	090
19305	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		24	090
19305	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06		8	090
19305	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		2	090
19305	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		20	090
19305	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
19306	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
19306	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
19306	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		5.5	090
19306	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04		2	090
19306	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04		2	090
19306	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		2	090
19306	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
19306	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04		1	090
19306	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21		1	090
19306	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		16	090
19306	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		24	090
19306	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06		8	090
19306	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		2	090
19306	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		20	090
19306	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
19307	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		2	090
19307	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
19307	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		4	090
19307	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		3	090
19307	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		8	090
19307	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13		2	090
19307	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04		6	090
19307	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		2	090
19307	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13		2	090
19307	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		30	090
19307	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		96	090
19307	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06		10	090
19307	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		2	090
19307	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48		2	090
19307	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		2	090
19316	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
19316	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
19318	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
19318	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
19325	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
19325	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
19328	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
19328	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
19330	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
19330	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
19340	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
19340	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
19342	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
19342	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
19350	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
19350	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5	4	090
19350	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
19350	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	090
19350	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
19350	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
19350	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	090
19350	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	3	0	090
19350	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
19350	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
19350	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
19350	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
19350	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
19350	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
19350	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
19350	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	2	0	090
19350	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	5	0	090
19350	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	090
19350	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
19350	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	090
19350	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
19355	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
19355	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
19355	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
19355	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	090
19355	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
19355	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
19355	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	090
19355	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	3	0	090
19355	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
19355	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
19355	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
19355	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
19355	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
19355	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
19355	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
19355	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	2	0	090
19355	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	4	0	090
19355	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	090
19355	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
19355	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	090
19355	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
19357	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		7	090
19357	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
19357	CMS	"Kit, Pack, Tray"	SA108	"kit, tissue expansion"	kit	8.313		5	090
19361	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
19361	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
19364	CMS	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		2	090
19364	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		5	090
19364	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
19364	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		2	090
19364	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		2	090
19364	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		24	090
19364	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		5	090
19364	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		2	090
19367	CMS	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		2	090
19367	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		4	090
19367	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
19367	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		2	090
19367	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		2	090
19367	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		24	090
19367	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
19367	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		2	090
19368	CMS	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		2	090
19368	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		5	090
19368	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
19368	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		2	090
19368	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		2	090
19368	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		12	090
19368	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		8	090
19368	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		2	090
19369	CMS	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		2	090
19369	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		5	090
19369	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
19369	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		2	090
19369	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		2	090
19369	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		12	090
19369	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		8	090
19369	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		2	090
19370	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
19370	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
19371	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
19371	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
19380	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
19380	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
19396	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
19396	CMS	"Kit, Pack, Tray"	SA090	"kit, moulage (implantech)"	kit	75	1	0	000
19396	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	000
19396	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
19396	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	000
19396	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
19396	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
19396	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	14	0	000
19396	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	4	0	000
19396	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	2	0	000
20100	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	010
20100	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	010
20101	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
20101	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
20101	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	010
20101	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
20101	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
20101	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
20101	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
20101	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2	0	010
20101	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
20101	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	4	0	010
20101	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	30	0	010
20101	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
20101	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	010
20101	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1	0	010
20101	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
20101	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	010
20101	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
20101	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	010
20101	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	010
20101	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
20101	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
20101	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
20101	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	010
20101	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	010
20101	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	010
20101	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
20101	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
20101	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	2	0	010
20101	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	010
20101	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	010
20101	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
20101	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	010
20101	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	120	0	010
20101	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
20101	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	010
20102	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
20102	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
20102	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	010
20102	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
20102	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
20102	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
20102	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
20102	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2	0	010
20102	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
20102	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	4	0	010
20102	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	30	0	010
20102	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
20102	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	010
20102	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1	0	010
20102	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
20102	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	010
20102	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
20102	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	010
20102	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	010
20102	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
20102	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
20102	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
20102	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	010
20102	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	010
20102	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	010
20102	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
20102	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
20102	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	2	0	010
20102	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	010
20102	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	010
20102	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
20102	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	010
20102	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	120	0	010
20102	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
20102	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	010
20103	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
20103	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
20103	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	010
20103	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	010
20103	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	010
20103	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	010
20103	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
20103	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
20103	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
20103	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
20103	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
20103	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	010
20103	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	010
20103	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
20103	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7	5	0	010
20103	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	010
20103	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
20103	CMS	"Wound Care, Dressings"	SG068	plaster bandage (4in x 5yd uou)	item	0.78	3	0	010
20103	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	108	0	010
20103	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	010
20103	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	010
20103	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	010
20103	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
20103	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	010
20150	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
20150	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
20200	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
20200	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
20200	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	2	0	000
20200	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	000
20200	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	000
20200	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	5	0	000
20200	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	4	0	000
20200	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
20200	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
20200	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
20200	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
20200	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
20200	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	000
20200	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	000
20200	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	000
20200	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	000
20200	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	000
20200	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	000
20200	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
20200	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
20200	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
20200	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
20200	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
20200	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
20200	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	000
20205	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
20205	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
20205	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
20205	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	2	0	000
20205	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	000
20205	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	000
20205	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	5	0	000
20205	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	4	0	000
20205	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
20205	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
20205	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
20205	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
20205	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
20205	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	000
20205	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	000
20205	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	000
20205	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	000
20205	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	000
20205	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	000
20205	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
20205	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
20205	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	000
20205	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
20205	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
20205	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
20205	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	000
20206	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
20206	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	000
20206	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	000
20206	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
20206	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	000
20206	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
20206	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
20206	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
20206	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	1	0	000
20206	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
20206	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
20206	CMS	"Hypodermic, IV"	SC033	"needle, biopsy, spring-loaded"	item	25.53	1	0	000
20206	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
20206	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
20206	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	000
20206	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	000
20206	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	000
20206	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	000
20206	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
20220	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
20220	CMS	"Kit, Pack, Tray"	SA062	"tray, bone marrow biopsy-aspiration"	tray	44.06	1	0	000
20220	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	000
20220	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	000
20220	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
20220	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	000
20220	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
20220	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
20220	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
20220	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
20220	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	1	0	000
20220	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
20220	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
20220	CMS	"Hypodermic, IV"	SC077	"needle, bone biopsy"	item	72	1	0	000
20220	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	000
20220	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	5	0	000
20220	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
20225	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
20225	CMS	"Kit, Pack, Tray"	SA062	"tray, bone marrow biopsy-aspiration"	tray	44.06	1	0	000
20225	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
20225	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
20225	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	000
20225	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
20225	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	1	0	000
20225	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
20225	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
20225	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
20225	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
20225	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	000
20225	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
20225	CMS	"Hypodermic, IV"	SC077	"needle, bone biopsy"	item	72	1	0	000
20225	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	000
20225	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
20250	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	010
20250	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	010
20251	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	010
20251	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	010
20500	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
20500	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
20500	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
20500	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
20500	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	010
20500	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
20500	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	010
20500	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	010
20500	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	10	0	010
20500	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	20	0	010
20500	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
20501	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
20501	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	3	0	000
20501	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
20501	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
20501	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1	0	000
20501	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	000
20501	CMS	"Accessory, Procedure"	SD029	"catheter, red rubber"	item	0.87	1	0	000
20501	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	000
20501	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
20501	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
20520	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
20520	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	1	010
20520	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	010
20520	CMS	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	1.88	1	0	010
20520	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
20520	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	010
20520	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
20520	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
20520	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
20520	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	010
20520	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
20520	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
20520	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	010
20520	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	010
20520	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	010
20520	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	010
20520	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
20525	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
20525	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
20525	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	010
20525	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	010
20525	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	010
20525	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	010
20525	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
20525	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
20525	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
20525	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
20525	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
20525	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	010
20525	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	010
20525	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
20525	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7	5	0	010
20525	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	010
20525	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
20525	CMS	"Wound Care, Dressings"	SG068	plaster bandage (4in x 5yd uou)	item	0.78	3	0	010
20525	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	108	0	010
20525	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	010
20525	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	010
20525	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	010
20525	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
20525	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	010
20526	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
20526	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
20526	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
20526	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
20526	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	000
20526	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
20526	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	2	0	000
20526	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
20527	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
20527	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
20527	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
20527	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	2	0	000
20527	CMS	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.34	1	0	000
20527	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
20527	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	000
20527	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
20550	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
20550	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
20550	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
20550	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
20550	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	000
20550	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
20550	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	2	0	000
20550	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
20551	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
20551	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
20551	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
20551	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
20551	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	000
20551	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
20551	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	2	0	000
20551	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
20551	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
20552	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
20552	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
20552	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
20552	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
20552	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	2	0	000
20552	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	2	0	000
20552	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
20552	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	2	0	000
20552	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
20553	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
20553	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
20553	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
20553	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	000
20553	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	3	0	000
20553	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	4	0	000
20553	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
20553	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	2	0	000
20553	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
20560	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	XXX
20560	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	XXX
20560	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	XXX
20560	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1	0	XXX
20560	CMS	"Hypodermic, IV"	SC107	"needle, dry needling"	item	0.2495	10	0	XXX
20560	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03	2	0	XXX
20560	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	5	0	XXX
20561	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	XXX
20561	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	XXX
20561	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	XXX
20561	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1	0	XXX
20561	CMS	"Hypodermic, IV"	SC107	"needle, dry needling"	item	0.2495	20	0	XXX
20561	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03	5	0	XXX
20561	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	10	0	XXX
20600	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
20600	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
20600	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
20600	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1	0	000
20600	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	000
20600	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
20600	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	1	0	000
20600	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
20600	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
20604	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	000
20604	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
20604	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
20604	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
20604	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1	0	000
20604	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	000
20604	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
20604	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	1	0	000
20604	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
20604	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
20604	CMS	"Pharmacy, NonRx"	SJ089	"ultrasound transmission gel, sterile (single use)"	item	2.28	1	0	000
20604	CMS	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	10	0	000
20604	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2	0	000
20605	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
20605	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
20605	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
20605	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1	0	000
20605	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	000
20605	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
20605	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	3	0	000
20605	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
20605	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
20606	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	000
20606	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
20606	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
20606	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
20606	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1	0	000
20606	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	000
20606	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
20606	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	3	0	000
20606	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
20606	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
20606	CMS	"Pharmacy, NonRx"	SJ089	"ultrasound transmission gel, sterile (single use)"	item	2.28	1	0	000
20606	CMS	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	10	0	000
20606	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2	0	000
20610	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
20610	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
20610	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
20610	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	000
20610	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	000
20610	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
20610	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	000
20610	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
20610	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
20611	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	000
20611	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
20611	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
20611	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
20611	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	000
20611	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	000
20611	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
20611	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	000
20611	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
20611	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
20611	CMS	"Pharmacy, NonRx"	SJ089	"ultrasound transmission gel, sterile (single use)"	item	2.28	1	0	000
20611	CMS	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	10	0	000
20611	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2	0	000
20612	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
20612	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
20612	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	000
20612	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	3	0	000
20612	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	000
20612	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
20612	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	2	0	000
20612	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
20612	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
20615	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
20615	CMS	"Kit, Pack, Tray"	SA062	"tray, bone marrow biopsy-aspiration"	tray	44.06	1	0	010
20615	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
20615	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
20615	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
20650	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
20650	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	1	0	010
20650	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
20650	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	010
20650	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	010
20650	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
20650	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
20650	CMS	"Cutters, Closures, Cautery"	SF042	"wire, Kirschner 7.5in"	item	6.73	1	0	010
20650	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
20650	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	010
20650	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
20661	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
20661	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
20662	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
20663	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
20664	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
20664	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
20665	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
20665	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
20665	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
20665	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	010
20665	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2	0	010
20665	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	2	0	010
20665	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	4	0	010
20665	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	2	0	010
20665	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	5	0	010
20670	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
20670	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
20670	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	010
20670	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	010
20670	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	010
20670	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
20670	CMS	"Gown, Drape"	SB013	"drape, sterile, hand-upper extremity"	item	8.38	1	0	010
20670	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	2	0	010
20670	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	010
20670	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
20670	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	1	0	010
20670	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	010
20670	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	4	0	010
20670	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
20670	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	010
20670	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	010
20670	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
20670	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
20670	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	3	0	010
20670	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	010
20670	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	010
20670	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
20670	CMS	"Wound Care, Dressings"	SG015	"bandage, Esmarch-Martin, sterile 3in x 9ft"	item	6.08	1	0	010
20670	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7	5	0	010
20670	CMS	"Wound Care, Dressings"	SG028	"cast, stockinette 6in"	yd	1.14	3	0	010
20670	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	010
20670	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
20670	CMS	"Wound Care, Dressings"	SG068	plaster bandage (4in x 5yd uou)	item	0.78	3	0	010
20670	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	18	0	010
20670	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	1	0	010
20670	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	010
20670	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	010
20670	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
20670	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	010
20680	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
20680	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3	2	090
20680	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
20680	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
20680	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
20680	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
20680	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
20680	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
20680	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
20680	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
20680	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
20680	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
20680	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
20680	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
20680	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
20680	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
20680	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
20680	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
20680	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
20680	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
20680	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
20680	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
20680	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
20690	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
20692	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		7	090
20693	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
20693	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
20694	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
20694	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3.5	2.5	090
20694	CMS	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	1.88	1	0	090
20694	CMS	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	6.71	1	0	090
20694	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
20694	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
20694	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
20694	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
20694	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	2	0	090
20694	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
20694	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	090
20694	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
20694	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
20694	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
20694	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
20694	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
20694	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
20696	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
20697	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1		000
20697	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		000
20697	CMS	"Accessory, Procedure"	SD240	"strut, replacement, dynamic external fixation"	item	1185.78	1		000
20802	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		7	090
20802	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
20805	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		7	090
20805	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
20808	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		7	090
20808	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
20816	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
20816	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
20822	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
20822	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
20824	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
20824	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
20827	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
20827	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
20838	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		7	090
20838	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
20838	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		6	090
20838	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		6	090
20838	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		12	090
20900	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	000
20900	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
20900	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	0	000
20900	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	000
20900	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	000
20900	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	000
20900	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	000
20900	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
20900	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
20900	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	000
20900	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	000
20900	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	000
20900	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	000
20900	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	000
20900	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	000
20900	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	000
20900	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
20900	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	000
20900	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
20900	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
20900	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	000
20900	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
20900	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	000
20910	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
20910	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
20912	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
20912	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
20920	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
20920	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
20922	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
20922	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
20922	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
20922	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	090
20922	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
20922	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
20922	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	090
20922	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	3	0	090
20922	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
20922	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
20922	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
20922	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
20922	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
20922	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
20922	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
20922	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	2	0	090
20922	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
20922	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	090
20922	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
20922	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	090
20922	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
20924	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
20924	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
20950	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
20950	CMS	"Kit, Pack, Tray"	SA078	"kit, slit catheter (for compartment pressure monitor)"	kit	99.71	1	0	000
20950	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
20950	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
20950	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	000
20950	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
20955	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
20955	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
20956	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		7	090
20956	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
20957	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		8	090
20957	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
20962	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		8	090
20962	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
20969	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
20969	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
20970	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
20970	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
20972	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
20972	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
20973	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
20973	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
20974	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
20979	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
20982	CMS	"Kit, Pack, Tray"	SA026	"kit, radiofrequency introducer"	kit	28.575	1	0	000
20982	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
20982	CMS	"Kit, Pack, Tray"	SA061	"tray, biopsy procedure"	tray	21.58	1	0	000
20982	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
20982	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
20982	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	000
20982	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	000
20982	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
20982	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
20982	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
20982	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
20982	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
20982	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
20982	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
20982	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	000
20982	CMS	"Accessory, Procedure"	SD109	"probe, radiofrequency, 3 array (StarBurstSDE)"	item	2289	1	0	000
20982	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	000
20982	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
20982	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
20982	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	3	0	000
20982	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	000
20982	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
20982	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
20982	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
20982	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
20982	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	000
20982	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33	1	0	000
20982	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	000
20982	CMS	Lab	SL038	"cup-container, sterile, graduated 1000ml"	item	1.15	1	0	000
20983	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
20983	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
20983	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
20983	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	000
20983	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	000
20983	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
20983	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
20983	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	0	000
20983	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
20983	CMS	"Hypodermic, IV"	SC039	"needle, Huber point"	item	3.97	4	0	000
20983	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
20983	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	000
20983	CMS	"Accessory, Procedure"	SD079	"gas, helium"	cu ft	1.02	455	0	000
20983	CMS	"Accessory, Procedure"	SD227	"gas, argon"	cu ft	0.53	575	0	000
20983	CMS	"Accessory, Procedure"	SD233	"probe, cryoablation, renal"	item	1170.22	3	0	000
20983	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
20983	CMS	"Wound Care, Dressings"	SG057	"gauze, x-ray detectable, sterile 4in x 4in (10 pack uou)"	item	2.64	1	0	000
20983	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	000
20983	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
20983	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
20983	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
20983	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
20983	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33	1	0	000
20983	CMS	Lab	SL038	"cup-container, sterile, graduated 1000ml"	item	1.15	1	0	000
20983	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	3	0	000
21010	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
21010	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		4	090
21011	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
21011	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3	2	090
21011	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
21011	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
21011	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
21011	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2	0	090
21011	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
21011	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
21011	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
21011	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
21011	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
21011	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	090
21011	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
21011	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
21011	CMS	"Cutters, Closures, Cautery"	SF010	"blade, surgical hair clipper"	item	8.29	0.5	0	090
21011	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
21011	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
21011	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
21011	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
21011	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
21011	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
21011	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
21011	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	090
21011	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
21011	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	2	0	090
21011	CMS	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.02	10	0	090
21011	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	090
21011	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
21011	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	090
21011	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	090
21012	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
21012	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
21013	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
21013	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3	2	090
21013	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
21013	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
21013	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
21013	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	090
21013	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2	0	090
21013	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
21013	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
21013	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
21013	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
21013	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
21013	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	090
21013	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
21013	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
21013	CMS	"Cutters, Closures, Cautery"	SF010	"blade, surgical hair clipper"	item	8.29	0.5	0	090
21013	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
21013	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
21013	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
21013	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
21013	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
21013	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
21013	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
21013	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
21013	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	090
21013	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
21013	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	2	0	090
21013	CMS	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.02	10	0	090
21013	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	090
21013	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
21013	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	090
21013	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	090
21014	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
21014	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
21015	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
21015	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
21016	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
21016	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
21025	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
21025	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5	4	090
21025	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
21025	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
21025	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	2	0	090
21025	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
21025	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
21025	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
21025	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
21025	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
21025	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
21025	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	090
21025	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
21025	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	5	4	090
21025	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	5	4	090
21025	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	5	4	090
21025	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
21025	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
21025	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	090
21025	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	090
21025	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	090
21025	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	090
21025	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
21025	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	090
21025	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
21025	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	30	0	090
21025	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
21025	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	090
21026	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
21026	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5	4	090
21026	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
21026	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
21026	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	2	0	090
21026	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
21026	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
21026	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
21026	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
21026	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
21026	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
21026	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	090
21026	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
21026	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	5	4	090
21026	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	5	4	090
21026	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	5	4	090
21026	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
21026	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
21026	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	090
21026	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	090
21026	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	090
21026	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	090
21026	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
21026	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	090
21026	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
21026	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	30	0	090
21026	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
21026	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	090
21029	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
21029	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
21029	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
21029	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
21029	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	2	0	090
21029	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
21029	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
21029	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
21029	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
21029	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
21029	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
21029	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	090
21029	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
21029	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	4	3	090
21029	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	4	3	090
21029	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	4	3	090
21029	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
21029	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
21029	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	090
21029	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	090
21029	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	090
21029	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	090
21029	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
21029	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	090
21029	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
21029	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	30	0	090
21029	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
21029	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	090
21030	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
21030	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
21030	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
21030	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
21030	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	2	0	090
21030	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
21030	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
21030	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
21030	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
21030	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
21030	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
21030	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	090
21030	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
21030	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	4	3	090
21030	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	4	3	090
21030	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	4	3	090
21030	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
21030	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
21030	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	090
21030	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	090
21030	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	090
21030	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	090
21030	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
21030	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	090
21030	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
21030	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	30	0	090
21030	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
21030	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	090
21031	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
21031	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3	2	090
21031	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
21031	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
21031	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	2	0	090
21031	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
21031	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
21031	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
21031	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
21031	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
21031	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
21031	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	090
21031	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
21031	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	3	2	090
21031	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	3	2	090
21031	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	3	2	090
21031	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
21031	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
21031	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	090
21031	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	090
21031	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	090
21031	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	090
21031	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
21031	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	090
21031	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
21031	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	30	0	090
21031	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
21031	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	090
21032	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
21032	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3	2	090
21032	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
21032	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
21032	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	2	0	090
21032	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
21032	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
21032	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
21032	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
21032	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
21032	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
21032	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	090
21032	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
21032	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	3	2	090
21032	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	3	2	090
21032	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	3	2	090
21032	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
21032	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
21032	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	090
21032	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	090
21032	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	090
21032	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	090
21032	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
21032	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	090
21032	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
21032	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	30	0	090
21032	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
21032	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	090
21034	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
21034	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5	4	090
21034	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
21034	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
21034	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	2	0	090
21034	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
21034	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
21034	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
21034	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
21034	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
21034	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
21034	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	090
21034	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
21034	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	5	4	090
21034	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	5	4	090
21034	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	5	4	090
21034	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
21034	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
21034	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	090
21034	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	090
21034	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	090
21034	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	090
21034	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
21034	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	090
21034	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
21034	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	30	0	090
21034	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
21034	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	090
21040	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
21040	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
21040	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
21040	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
21040	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	2	0	090
21040	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
21040	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
21040	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
21040	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
21040	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
21040	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
21040	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	090
21040	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
21040	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	4	3	090
21040	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	4	3	090
21040	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	4	3	090
21040	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
21040	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
21040	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	090
21040	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	090
21040	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	090
21040	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	090
21040	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
21040	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	090
21040	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
21040	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	30	0	090
21040	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
21040	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	090
21044	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
21044	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
21044	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
21044	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		3	090
21044	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		3	090
21045	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
21045	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
21045	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
21045	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
21045	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		4	090
21046	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
21046	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
21046	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51		6	090
21046	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		6	090
21046	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
21046	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43		6	090
21046	CMS	"Gown, Drape"	SB038	safety glasses	item	1.92		6	090
21046	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54		6	090
21046	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		3	090
21046	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13		3	090
21046	CMS	"Accessory, Procedure"	SD006	bite block	item	2.6		2	090
21046	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
21046	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		3	090
21046	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15		3	090
21046	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56		24	090
21046	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		24	090
21046	CMS	"Wound Care, Dressings"	SG065	"packing, gauze w-iodoform 1in (5 yd uou)"	item	5.215		4.5	090
21046	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		18	090
21046	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		18	090
21047	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
21047	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
21048	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
21048	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
21048	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51		6	090
21048	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		6	090
21048	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
21048	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43		6	090
21048	CMS	"Gown, Drape"	SB038	safety glasses	item	1.92		6	090
21048	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54		6	090
21048	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		3	090
21048	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13		3	090
21048	CMS	"Accessory, Procedure"	SD006	bite block	item	2.6		2	090
21048	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
21048	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		3	090
21048	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15		3	090
21048	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56		24	090
21048	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		24	090
21048	CMS	"Wound Care, Dressings"	SG065	"packing, gauze w-iodoform 1in (5 yd uou)"	item	5.215		4.5	090
21048	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		18	090
21048	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		18	090
21049	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
21049	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
21050	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
21050	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
21050	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
21050	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
21050	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		4	090
21060	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
21060	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
21060	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
21060	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		3	090
21060	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		3	090
21070	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
21070	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
21070	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
21070	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		3	090
21070	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		3	090
21073	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5	4	090
21073	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	090
21073	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	5	4	090
21073	CMS	"Accessory, Procedure"	SD006	bite block	item	2.6	2	0	090
21073	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	5	4	090
21073	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	5	4	090
21073	CMS	"Accessory, Procedure"	SD142	"bur, surgical, sterile (drill)"	item	5.13	1	0	090
21073	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	6	0	090
21073	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	090
21073	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	090
21073	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	090
21073	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
21073	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	54	0	090
21073	CMS	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.09	5	4	090
21076	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	010
21076	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	010
21076	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	14	0	010
21076	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	6	0	010
21076	CMS	"Cutters, Closures, Cautery"	SF054	"wire, orthodontic"	item		1	0	010
21076	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	14	0	010
21076	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	010
21076	CMS	"Pharmacy, NonRx"	SJ038	petroleum jelly	oz	0.37	1	0	010
21076	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	2	0	010
21076	CMS	"Pharmacy, NonRx"	SJ081	"swab, patient prep, 1.5 ml  (chloraprep)"	item	1.09	24	0	010
21076	CMS	"Pharmacy, NonRx"	SJ082	"paste, registration"	gm		16	0	010
21076	CMS	"Pharmacy, NonRx"	SJ085	triad tray material	item		2	0	010
21076	CMS	"Pharmacy, NonRx"	SJ087	"wax, boxing"	gm		45	0	010
21076	CMS	"Office Supply, Grocery"	SK024	"film, dental"	item	1.73	1	0	010
21076	CMS	"Office Supply, Grocery"	SK109	"paper, articulating"	item	0.06	3	0	010
21076	CMS	Lab	SL046	dental impression tray	item	0.48	1	0	010
21076	CMS	Lab	SL047	dental stone powder	lb	3.78	1	0	010
21076	CMS	Lab	SL081	"impression material, alginate (dental)"	lb	8.96	0.18	0	010
21076	CMS	Lab	SL150	"wax, bite registration wafer"	item	0.37	1	0	010
21076	CMS	Lab	SL208	"alloy framework, laboratory processing"	item		1	0	010
21076	CMS	Lab	SL236	"reline material, Trusoft"	gm		45	0	010
21077	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	090
21077	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	090
21077	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	14	0	090
21077	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	6	0	090
21077	CMS	"Hypodermic, IV"	SC092	"catheter, needle (for CPT 31626)"	item	40.23	1	0	090
21077	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	14	0	090
21077	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	090
21077	CMS	"Pharmacy, NonRx"	SJ038	petroleum jelly	oz	0.37	1	0	090
21077	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	2	0	090
21077	CMS	"Pharmacy, NonRx"	SJ079	"basin, sterile 500cc"	item	3.51	30	0	090
21077	CMS	"Pharmacy, NonRx"	SJ080	"lens cleaner, daily (Allergan)"	ounce	0.62	1	0	090
21077	CMS	"Pharmacy, NonRx"	SJ083	polyurethane sheets (quantity as rolls)	roll		0.05	0	090
21077	CMS	"Pharmacy, NonRx"	SJ086	"wax, baseplate"	gm		45	0	090
21077	CMS	"Pharmacy, NonRx"	SJ087	"wax, boxing"	gm		45	0	090
21077	CMS	Lab	SL046	dental impression tray	item	0.48	1	0	090
21077	CMS	Lab	SL047	dental stone powder	lb	3.78	1	0	090
21077	CMS	Lab	SL081	"impression material, alginate (dental)"	lb	8.96	0.18	0	090
21077	CMS	Lab	SL150	"wax, bite registration wafer"	item	0.37	1	0	090
21077	CMS	Lab	SL205	"acylic, dental"	gm		45	0	090
21077	CMS	Lab	SL230	"impression material, final"	ml		6	0	090
21077	CMS	Lab	SL237	silicone	gm		57	0	090
21079	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3	0	090
21079	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	090
21079	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	14	0	090
21079	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	6	0	090
21079	CMS	"Hypodermic, IV"	SC092	"catheter, needle (for CPT 31626)"	item	40.23	1	0	090
21079	CMS	"Cutters, Closures, Cautery"	SF053	"blade, sharp pointed surgical"	item	1.2	2	0	090
21079	CMS	"Cutters, Closures, Cautery"	SF054	"wire, orthodontic"	item		1	0	090
21079	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	14	0	090
21079	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	090
21079	CMS	"Pharmacy, NonRx"	SJ038	petroleum jelly	oz	0.37	1	0	090
21079	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	2	0	090
21079	CMS	"Pharmacy, NonRx"	SJ081	"swab, patient prep, 1.5 ml  (chloraprep)"	item	1.09	24	0	090
21079	CMS	"Pharmacy, NonRx"	SJ082	"paste, registration"	gm		8	0	090
21079	CMS	"Pharmacy, NonRx"	SJ084	teeth set	item		1	0	090
21079	CMS	"Pharmacy, NonRx"	SJ086	"wax, baseplate"	gm		45	0	090
21079	CMS	"Pharmacy, NonRx"	SJ087	"wax, boxing"	gm		45	0	090
21079	CMS	"Office Supply, Grocery"	SK024	"film, dental"	item	1.73	1	0	090
21079	CMS	"Office Supply, Grocery"	SK109	"paper, articulating"	item	0.06	6	0	090
21079	CMS	Lab	SL046	dental impression tray	item	0.48	1	0	090
21079	CMS	Lab	SL047	dental stone powder	lb	3.78	0.75	0	090
21079	CMS	Lab	SL081	"impression material, alginate (dental)"	lb	8.96	0.18	0	090
21079	CMS	Lab	SL150	"wax, bite registration wafer"	item	0.37	1	0	090
21079	CMS	Lab	SL205	"acylic, dental"	gm		45	0	090
21079	CMS	Lab	SL208	"alloy framework, laboratory processing"	item		1	0	090
21079	CMS	Lab	SL236	"reline material, Trusoft"	gm		45	0	090
21080	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3	0	090
21080	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	090
21080	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	14	0	090
21080	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	6	0	090
21080	CMS	"Hypodermic, IV"	SC092	"catheter, needle (for CPT 31626)"	item	40.23	1	0	090
21080	CMS	"Cutters, Closures, Cautery"	SF053	"blade, sharp pointed surgical"	item	1.2	2	0	090
21080	CMS	"Cutters, Closures, Cautery"	SF054	"wire, orthodontic"	item		1	0	090
21080	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	14	0	090
21080	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	090
21080	CMS	"Pharmacy, NonRx"	SJ038	petroleum jelly	oz	0.37	1	0	090
21080	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	2	0	090
21080	CMS	"Pharmacy, NonRx"	SJ081	"swab, patient prep, 1.5 ml  (chloraprep)"	item	1.09	24	0	090
21080	CMS	"Pharmacy, NonRx"	SJ082	"paste, registration"	gm		8	0	090
21080	CMS	"Pharmacy, NonRx"	SJ084	teeth set	item		1	0	090
21080	CMS	"Pharmacy, NonRx"	SJ086	"wax, baseplate"	gm		45	0	090
21080	CMS	"Pharmacy, NonRx"	SJ087	"wax, boxing"	gm		45	0	090
21080	CMS	"Office Supply, Grocery"	SK024	"film, dental"	item	1.73	1	0	090
21080	CMS	"Office Supply, Grocery"	SK109	"paper, articulating"	item	0.06	6	0	090
21080	CMS	Lab	SL046	dental impression tray	item	0.48	1	0	090
21080	CMS	Lab	SL047	dental stone powder	lb	3.78	0.75	0	090
21080	CMS	Lab	SL081	"impression material, alginate (dental)"	lb	8.96	0.18	0	090
21080	CMS	Lab	SL150	"wax, bite registration wafer"	item	0.37	1	0	090
21080	CMS	Lab	SL205	"acylic, dental"	gm		45	0	090
21080	CMS	Lab	SL208	"alloy framework, laboratory processing"	item		1	0	090
21080	CMS	Lab	SL228	Greenstick compound	item		5	0	090
21080	CMS	Lab	SL230	"impression material, final"	ml		6	0	090
21081	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3	0	090
21081	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	090
21081	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	14	0	090
21081	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	6	0	090
21081	CMS	"Hypodermic, IV"	SC092	"catheter, needle (for CPT 31626)"	item	40.23	1	0	090
21081	CMS	"Cutters, Closures, Cautery"	SF053	"blade, sharp pointed surgical"	item	1.2	2	0	090
21081	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	14	0	090
21081	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	090
21081	CMS	"Pharmacy, NonRx"	SJ038	petroleum jelly	oz	0.37	1	0	090
21081	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	2	0	090
21081	CMS	"Pharmacy, NonRx"	SJ081	"swab, patient prep, 1.5 ml  (chloraprep)"	item	1.09	24	0	090
21081	CMS	"Pharmacy, NonRx"	SJ082	"paste, registration"	gm		8	0	090
21081	CMS	"Pharmacy, NonRx"	SJ084	teeth set	item		1	0	090
21081	CMS	"Pharmacy, NonRx"	SJ086	"wax, baseplate"	gm		45	0	090
21081	CMS	"Pharmacy, NonRx"	SJ087	"wax, boxing"	gm		45	0	090
21081	CMS	"Office Supply, Grocery"	SK024	"film, dental"	item	1.73	2	0	090
21081	CMS	"Office Supply, Grocery"	SK109	"paper, articulating"	item	0.06	6	0	090
21081	CMS	Lab	SL046	dental impression tray	item	0.48	1	0	090
21081	CMS	Lab	SL047	dental stone powder	lb	3.78	0.75	0	090
21081	CMS	Lab	SL081	"impression material, alginate (dental)"	lb	8.96	0.18	0	090
21081	CMS	Lab	SL150	"wax, bite registration wafer"	item	0.37	1	0	090
21081	CMS	Lab	SL205	"acylic, dental"	gm		45	0	090
21081	CMS	Lab	SL208	"alloy framework, laboratory processing"	item		1	0	090
21081	CMS	Lab	SL228	Greenstick compound	item		5	0	090
21081	CMS	Lab	SL230	"impression material, final"	ml		6	0	090
21081	CMS	Lab	SL236	"reline material, Trusoft"	gm		45	0	090
21082	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	0	090
21082	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	090
21082	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	14	0	090
21082	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	6	0	090
21082	CMS	"Hypodermic, IV"	SC092	"catheter, needle (for CPT 31626)"	item	40.23	1	0	090
21082	CMS	"Cutters, Closures, Cautery"	SF053	"blade, sharp pointed surgical"	item	1.2	2	0	090
21082	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	14	0	090
21082	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	090
21082	CMS	"Pharmacy, NonRx"	SJ038	petroleum jelly	oz	0.37	1	0	090
21082	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	2	0	090
21082	CMS	"Pharmacy, NonRx"	SJ081	"swab, patient prep, 1.5 ml  (chloraprep)"	item	1.09	24	0	090
21082	CMS	"Pharmacy, NonRx"	SJ082	"paste, registration"	gm		8	0	090
21082	CMS	"Pharmacy, NonRx"	SJ085	triad tray material	item		3	0	090
21082	CMS	"Pharmacy, NonRx"	SJ086	"wax, baseplate"	gm		45	0	090
21082	CMS	"Pharmacy, NonRx"	SJ087	"wax, boxing"	gm		45	0	090
21082	CMS	"Office Supply, Grocery"	SK024	"film, dental"	item	1.73	1	0	090
21082	CMS	"Office Supply, Grocery"	SK109	"paper, articulating"	item	0.06	6	0	090
21082	CMS	Lab	SL046	dental impression tray	item	0.48	1	0	090
21082	CMS	Lab	SL047	dental stone powder	lb	3.78	0.75	0	090
21082	CMS	Lab	SL081	"impression material, alginate (dental)"	lb	8.96	0.18	0	090
21082	CMS	Lab	SL150	"wax, bite registration wafer"	item	0.37	1	0	090
21082	CMS	Lab	SL205	"acylic, dental"	gm		45	0	090
21082	CMS	Lab	SL208	"alloy framework, laboratory processing"	item		1	0	090
21082	CMS	Lab	SL228	Greenstick compound	item		1	0	090
21082	CMS	Lab	SL230	"impression material, final"	ml		6	0	090
21082	CMS	Lab	SL236	"reline material, Trusoft"	gm		45	0	090
21083	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	0	090
21083	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	090
21083	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	14	0	090
21083	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	6	0	090
21083	CMS	"Hypodermic, IV"	SC092	"catheter, needle (for CPT 31626)"	item	40.23	1	0	090
21083	CMS	"Cutters, Closures, Cautery"	SF053	"blade, sharp pointed surgical"	item	1.2	2	0	090
21083	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	14	0	090
21083	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	090
21083	CMS	"Pharmacy, NonRx"	SJ038	petroleum jelly	oz	0.37	1	0	090
21083	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	2	0	090
21083	CMS	"Pharmacy, NonRx"	SJ081	"swab, patient prep, 1.5 ml  (chloraprep)"	item	1.09	24	0	090
21083	CMS	"Pharmacy, NonRx"	SJ082	"paste, registration"	gm		8	0	090
21083	CMS	"Pharmacy, NonRx"	SJ085	triad tray material	item		2	0	090
21083	CMS	"Pharmacy, NonRx"	SJ086	"wax, baseplate"	gm		45	0	090
21083	CMS	"Pharmacy, NonRx"	SJ087	"wax, boxing"	gm		45	0	090
21083	CMS	"Office Supply, Grocery"	SK024	"film, dental"	item	1.73	1	0	090
21083	CMS	"Office Supply, Grocery"	SK109	"paper, articulating"	item	0.06	6	0	090
21083	CMS	Lab	SL046	dental impression tray	item	0.48	1	0	090
21083	CMS	Lab	SL047	dental stone powder	lb	3.78	0.75	0	090
21083	CMS	Lab	SL081	"impression material, alginate (dental)"	lb	8.96	0.18	0	090
21083	CMS	Lab	SL150	"wax, bite registration wafer"	item	0.37	1	0	090
21083	CMS	Lab	SL205	"acylic, dental"	gm		45	0	090
21083	CMS	Lab	SL208	"alloy framework, laboratory processing"	item		1	0	090
21083	CMS	Lab	SL228	Greenstick compound	item		1	0	090
21083	CMS	Lab	SL230	"impression material, final"	ml		6	0	090
21083	CMS	Lab	SL236	"reline material, Trusoft"	gm		45	0	090
21084	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	0	090
21084	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	090
21084	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	14	0	090
21084	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	6	0	090
21084	CMS	"Hypodermic, IV"	SC092	"catheter, needle (for CPT 31626)"	item	40.23	1	0	090
21084	CMS	"Cutters, Closures, Cautery"	SF053	"blade, sharp pointed surgical"	item	1.2	2	0	090
21084	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	14	0	090
21084	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	090
21084	CMS	"Pharmacy, NonRx"	SJ038	petroleum jelly	oz	0.37	1	0	090
21084	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	2	0	090
21084	CMS	"Pharmacy, NonRx"	SJ081	"swab, patient prep, 1.5 ml  (chloraprep)"	item	1.09	24	0	090
21084	CMS	"Pharmacy, NonRx"	SJ082	"paste, registration"	gm		8	0	090
21084	CMS	"Pharmacy, NonRx"	SJ085	triad tray material	item		2	0	090
21084	CMS	"Pharmacy, NonRx"	SJ086	"wax, baseplate"	gm		45	0	090
21084	CMS	"Pharmacy, NonRx"	SJ087	"wax, boxing"	gm		45	0	090
21084	CMS	"Office Supply, Grocery"	SK024	"film, dental"	item	1.73	1	0	090
21084	CMS	"Office Supply, Grocery"	SK109	"paper, articulating"	item	0.06	3	0	090
21084	CMS	Lab	SL046	dental impression tray	item	0.48	1	0	090
21084	CMS	Lab	SL047	dental stone powder	lb	3.78	0.75	0	090
21084	CMS	Lab	SL081	"impression material, alginate (dental)"	lb	8.96	0.18	0	090
21084	CMS	Lab	SL150	"wax, bite registration wafer"	item	0.37	1	0	090
21084	CMS	Lab	SL205	"acylic, dental"	gm		45	0	090
21084	CMS	Lab	SL208	"alloy framework, laboratory processing"	item		1	0	090
21084	CMS	Lab	SL228	Greenstick compound	item		1	0	090
21084	CMS	Lab	SL230	"impression material, final"	ml		6	0	090
21084	CMS	Lab	SL236	"reline material, Trusoft"	gm		45	0	090
21085	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	010
21085	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	010
21085	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	14	0	010
21085	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	6	0	010
21085	CMS	"Hypodermic, IV"	SC092	"catheter, needle (for CPT 31626)"	item	40.23	1	0	010
21085	CMS	"Cutters, Closures, Cautery"	SF053	"blade, sharp pointed surgical"	item	1.2	2	0	010
21085	CMS	"Cutters, Closures, Cautery"	SF054	"wire, orthodontic"	item		1	0	010
21085	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	14	0	010
21085	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	010
21085	CMS	"Pharmacy, NonRx"	SJ038	petroleum jelly	oz	0.37	1	0	010
21085	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	2	0	010
21085	CMS	"Pharmacy, NonRx"	SJ081	"swab, patient prep, 1.5 ml  (chloraprep)"	item	1.09	24	0	010
21085	CMS	"Pharmacy, NonRx"	SJ082	"paste, registration"	gm		8	0	010
21085	CMS	"Pharmacy, NonRx"	SJ086	"wax, baseplate"	gm		45	0	010
21085	CMS	"Pharmacy, NonRx"	SJ087	"wax, boxing"	gm		45	0	010
21085	CMS	"Office Supply, Grocery"	SK024	"film, dental"	item	1.73	1	0	010
21085	CMS	"Office Supply, Grocery"	SK109	"paper, articulating"	item	0.06	3	0	010
21085	CMS	Lab	SL046	dental impression tray	item	0.48	1	0	010
21085	CMS	Lab	SL047	dental stone powder	lb	3.78	0.75	0	010
21085	CMS	Lab	SL081	"impression material, alginate (dental)"	lb	8.96	0.18	0	010
21085	CMS	Lab	SL150	"wax, bite registration wafer"	item	0.37	1	0	010
21085	CMS	Lab	SL205	"acylic, dental"	gm		45	0	010
21085	CMS	Lab	SL208	"alloy framework, laboratory processing"	item		1	0	010
21085	CMS	Lab	SL228	Greenstick compound	item		1	0	010
21085	CMS	Lab	SL230	"impression material, final"	ml		6	0	010
21086	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	090
21086	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	090
21086	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	14	0	090
21086	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	6	0	090
21086	CMS	"Hypodermic, IV"	SC092	"catheter, needle (for CPT 31626)"	item	40.23	1	0	090
21086	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	14	0	090
21086	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	090
21086	CMS	"Pharmacy, NonRx"	SJ038	petroleum jelly	oz	0.37	1	0	090
21086	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	2	0	090
21086	CMS	"Pharmacy, NonRx"	SJ079	"basin, sterile 500cc"	item	3.51	30	0	090
21086	CMS	"Pharmacy, NonRx"	SJ083	polyurethane sheets (quantity as rolls)	roll		0.5	0	090
21086	CMS	"Pharmacy, NonRx"	SJ086	"wax, baseplate"	gm		45	0	090
21086	CMS	"Pharmacy, NonRx"	SJ087	"wax, boxing"	gm		45	0	090
21086	CMS	Lab	SL046	dental impression tray	item	0.48	1	0	090
21086	CMS	Lab	SL047	dental stone powder	lb	3.78	0.75	0	090
21086	CMS	Lab	SL081	"impression material, alginate (dental)"	lb	8.96	0.18	0	090
21086	CMS	Lab	SL150	"wax, bite registration wafer"	item	0.37	1	0	090
21086	CMS	Lab	SL205	"acylic, dental"	gm		45	0	090
21086	CMS	Lab	SL230	"impression material, final"	ml		6	0	090
21086	CMS	Lab	SL237	silicone	gm		57	0	090
21087	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	090
21087	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	090
21087	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	14	0	090
21087	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	6	0	090
21087	CMS	"Hypodermic, IV"	SC092	"catheter, needle (for CPT 31626)"	item	40.23	1	0	090
21087	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	14	0	090
21087	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	090
21087	CMS	"Pharmacy, NonRx"	SJ038	petroleum jelly	oz	0.37	1	0	090
21087	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	2	0	090
21087	CMS	"Pharmacy, NonRx"	SJ079	"basin, sterile 500cc"	item	3.51	30	0	090
21087	CMS	"Pharmacy, NonRx"	SJ083	polyurethane sheets (quantity as rolls)	roll		0.5	0	090
21087	CMS	"Pharmacy, NonRx"	SJ086	"wax, baseplate"	gm		45	0	090
21087	CMS	"Pharmacy, NonRx"	SJ087	"wax, boxing"	gm		45	0	090
21087	CMS	Lab	SL046	dental impression tray	item	0.48	1	0	090
21087	CMS	Lab	SL047	dental stone powder	lb	3.78	0.75	0	090
21087	CMS	Lab	SL081	"impression material, alginate (dental)"	lb	8.96	0.18	0	090
21087	CMS	Lab	SL150	"wax, bite registration wafer"	item	0.37	1	0	090
21087	CMS	Lab	SL205	"acylic, dental"	gm		45	0	090
21087	CMS	Lab	SL230	"impression material, final"	ml		6	0	090
21087	CMS	Lab	SL237	silicone	gm		57	0	090
21100	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
21100	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	6	5	090
21100	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
21100	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
21100	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	6	5	090
21100	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	090
21100	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
21100	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
21100	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
21100	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
21100	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
21100	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
21100	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
21100	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
21100	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
21100	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
21100	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
21100	CMS	"Accessory, Procedure"	SD200	"screw, surgical, self-tapping, 1.5-2.0mm"	item	27	6	0	090
21100	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	090
21100	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
21100	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
21100	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	3	0	090
21100	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
21100	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	090
21100	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
21100	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	12	10	090
21100	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	6	5	090
21100	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	50	50	090
21100	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	15	0	090
21100	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	090
21100	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	090
21110	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
21110	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	6	5	090
21110	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
21110	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	6	5	090
21110	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	5	5	090
21110	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	090
21110	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
21110	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	12	10	090
21110	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	12	10	090
21110	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
21110	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
21110	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	6	5	090
21110	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	2	1	090
21110	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	1	090
21110	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	6	5	090
21110	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	6	5	090
21110	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	6	5	090
21110	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	6	5	090
21110	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	6	5	090
21110	CMS	"Cutters, Closures, Cautery"	SF001	arch bar	inch	0.8	12	0	090
21110	CMS	"Cutters, Closures, Cautery"	SF025	dental elastics	item	0.07	120	90	090
21110	CMS	"Cutters, Closures, Cautery"	SF043	"wire, surgical steel"	foot	0.17	12	0	090
21110	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	12	6	090
21110	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
21110	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	12	10	090
21110	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	20	10	090
21110	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	4	2	090
21110	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	6	5	090
21110	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	6	5	090
21116	CMS	"Kit, Pack, Tray"	SA060	"tray, arthrogram"	tray	29.39	1	0	000
21116	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
21116	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
21116	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	30	0	000
21120	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
21120	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4.5	3.5	090
21120	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
21120	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	090
21120	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	4.5	2.5	090
21120	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	5.5	3.5	090
21120	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	5.5	3.5	090
21120	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	4.5	3.5	090
21120	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
21120	CMS	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.78	2	0	090
21120	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	4.5	3.5	090
21120	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	4.5	3.5	090
21120	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	4.5	3.5	090
21120	CMS	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	11.95	1	0	090
21120	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
21120	CMS	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	11.2	1	0	090
21120	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	090
21120	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	1	090
21120	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	10	3	090
21120	CMS	"Wound Care, Dressings"	SG088	"tape, foam, elastic, 2in (Microfoam)"	inch	0.01	24	12	090
21120	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	090
21120	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	4	2	090
21120	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
21120	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	10	090
21120	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	090
21120	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
21120	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33	1	0	090
21121	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
21121	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4.5	3.5	090
21121	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
21121	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	090
21121	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	4.5	2.5	090
21121	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	5.5	3.5	090
21121	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	5.5	3.5	090
21121	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	4.5	3.5	090
21121	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
21121	CMS	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.78	2	0	090
21121	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	4.5	3.5	090
21121	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	4.5	3.5	090
21121	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	4.5	3.5	090
21121	CMS	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	11.95	1	0	090
21121	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
21121	CMS	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	11.2	1	0	090
21121	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	090
21121	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	1	090
21121	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	10	3	090
21121	CMS	"Wound Care, Dressings"	SG088	"tape, foam, elastic, 2in (Microfoam)"	inch	0.01	24	12	090
21121	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	090
21121	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	4	2	090
21121	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
21121	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	10	090
21121	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	090
21121	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
21121	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33	1	0	090
21122	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
21122	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
21122	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
21122	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
21122	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
21122	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		4	090
21122	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
21122	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
21122	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		4	090
21122	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05		1	090
21122	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		3	090
21122	CMS	"Wound Care, Dressings"	SG088	"tape, foam, elastic, 2in (Microfoam)"	inch	0.01		12	090
21122	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
21122	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
21123	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
21123	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
21123	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
21123	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
21123	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
21123	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		4	090
21123	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
21123	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
21123	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		4	090
21123	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05		1	090
21123	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		3	090
21123	CMS	"Wound Care, Dressings"	SG088	"tape, foam, elastic, 2in (Microfoam)"	inch	0.01		12	090
21123	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
21123	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
21125	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
21125	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5	4	090
21125	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
21125	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
21125	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
21125	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	2	090
21125	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
21125	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	10	8	090
21125	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	10	8	090
21125	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
21125	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
21125	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
21125	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
21125	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	10	0	090
21125	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
21125	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	6	0	090
21125	CMS	"Accessory, Procedure"	SD110	"reservoir, drain (Jackson-Pratt)"	item	6.99	1	0	090
21125	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
21125	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
21125	CMS	"Accessory, Procedure"	SD191	"plate, surgical, reconstruction, left, 5 x 16 hole"	item	846.45	1	0	090
21125	CMS	"Accessory, Procedure"	SD192	"plate, surgical, reconstruction, template, 5 x 16 hole"	item	188.62	1	0	090
21125	CMS	"Accessory, Procedure"	SD201	"screw, surgical, standard, 2.4mm x 14mm"	item	49.79	16	0	090
21125	CMS	"Accessory, Procedure"	SD202	"screw, surgical, standard, 2.7mm x 12mm"	item	73.66	4	0	090
21125	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	090
21125	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
21125	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
21125	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
21125	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	090
21125	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2	0	090
21125	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
21125	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	20	0	090
21125	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	1	0	090
21125	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	1	0	090
21125	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
21125	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	5	4	090
21125	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	1	0	090
21125	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
21127	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
21127	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5	4	090
21127	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49	1	1	090
21127	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
21127	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
21127	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	8	2	090
21127	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	4	0	090
21127	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	10	8	090
21127	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	10	8	090
21127	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
21127	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
21127	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
21127	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	2	0	090
21127	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	20	0	090
21127	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
21127	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	2	0	090
21127	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	6	0	090
21127	CMS	"Accessory, Procedure"	SD110	"reservoir, drain (Jackson-Pratt)"	item	6.99	1	0	090
21127	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
21127	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
21127	CMS	"Accessory, Procedure"	SD191	"plate, surgical, reconstruction, left, 5 x 16 hole"	item	846.45	1	0	090
21127	CMS	"Accessory, Procedure"	SD192	"plate, surgical, reconstruction, template, 5 x 16 hole"	item	188.62	1	0	090
21127	CMS	"Accessory, Procedure"	SD199	"screw, surgical, locking, 2.4mm x 16mm"	item	140	16	0	090
21127	CMS	"Accessory, Procedure"	SD202	"screw, surgical, standard, 2.7mm x 12mm"	item	73.66	4	0	090
21127	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	090
21127	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	2	0	090
21127	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
21127	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
21127	CMS	"Cutters, Closures, Cautery"	SF034	"stapler, surgical"	item	13	1	0	090
21127	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
21127	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	090
21127	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2	0	090
21127	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
21127	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	090
21127	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	18	0	090
21127	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	40	0	090
21127	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	1	0	090
21127	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
21127	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	2	0	090
21127	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	4	0	090
21127	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	5	4	090
21127	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	2	0	090
21127	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
21137	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
21137	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
21137	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
21137	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		1	090
21137	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
21137	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
21138	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
21138	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
21138	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
21138	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		1	090
21138	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		10	090
21138	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		20	090
21139	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
21139	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
21139	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		4	090
21139	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
21139	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
21139	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		2	090
21139	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		2	090
21139	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		2	090
21139	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
21139	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
21139	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		1	090
21139	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		8	090
21139	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		4	090
21139	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
21139	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
21139	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		2	090
21141	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
21141	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
21141	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		6	090
21141	CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		12	090
21141	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		24	090
21141	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02		2	090
21141	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		18	090
21141	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		1	090
21141	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		360	090
21141	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		12	090
21141	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
21141	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		6	090
21142	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
21142	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
21142	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		6	090
21142	CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		12	090
21142	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		24	090
21142	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02		2	090
21142	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		18	090
21142	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		1	090
21142	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		360	090
21142	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		12	090
21142	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		6	090
21143	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		7	090
21143	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
21143	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		2	090
21143	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1	090
21143	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		1	090
21143	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		1	090
21143	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		1	090
21143	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		2	090
21143	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
21143	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
21145	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
21145	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
21145	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		6	090
21145	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		360	090
21145	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		6	090
21146	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		7	090
21146	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
21146	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		7	090
21146	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		360	090
21146	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		7	090
21147	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		7	090
21147	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
21147	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		7	090
21147	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		360	090
21147	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		7	090
21150	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
21150	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
21150	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		8	090
21150	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
21150	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
21150	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
21150	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		4	090
21150	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
21150	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		8	090
21150	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
21150	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
21151	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
21151	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
21151	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		8	090
21151	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
21151	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
21151	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
21151	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		4	090
21151	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
21151	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		8	090
21151	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		10	090
21151	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		20	090
21154	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
21154	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
21154	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		8	090
21154	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
21154	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
21154	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
21154	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		4	090
21154	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
21154	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		8	090
21154	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		10	090
21154	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		20	090
21155	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
21155	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
21155	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		8	090
21155	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
21155	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
21155	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
21155	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		4	090
21155	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
21155	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		8	090
21155	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		10	090
21155	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		20	090
21159	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
21159	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
21159	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		8	090
21159	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
21159	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
21159	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
21159	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		4	090
21159	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
21159	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		8	090
21159	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		10	090
21159	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		20	090
21160	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
21160	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
21160	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		8	090
21160	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
21160	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
21160	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
21160	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		4	090
21160	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
21160	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		8	090
21160	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		10	090
21160	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		20	090
21172	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
21172	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
21172	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		5	090
21172	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		7	090
21172	CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		14	090
21172	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		28	090
21172	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02		2	090
21172	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		21	090
21172	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		1	090
21172	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		420	090
21172	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		7	090
21175	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
21175	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
21175	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		5	090
21175	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		7	090
21175	CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		14	090
21175	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		28	090
21175	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02		2	090
21175	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		21	090
21175	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		1	090
21175	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		420	090
21175	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		7	090
21179	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
21179	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
21179	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		7	090
21179	CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		14	090
21179	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		28	090
21179	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02		2	090
21179	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		21	090
21179	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		1	090
21179	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		420	090
21179	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		14	090
21179	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		7	090
21180	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
21180	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
21180	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		7	090
21180	CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		14	090
21180	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		28	090
21180	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02		2	090
21180	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		21	090
21180	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		1	090
21180	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		420	090
21180	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		14	090
21180	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		7	090
21181	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
21181	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
21181	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4	090
21181	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		40	090
21181	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		4	090
21182	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
21182	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
21182	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		1	090
21182	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		5	090
21182	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		360	090
21183	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
21183	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
21183	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		1	090
21183	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		5	090
21183	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		360	090
21184	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
21184	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
21184	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		1	090
21184	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		5	090
21184	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		360	090
21188	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
21188	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
21188	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		8	090
21188	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
21188	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
21188	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
21188	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		4	090
21188	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
21188	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		8	090
21188	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		10	090
21188	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		20	090
21193	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
21193	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
21193	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		1	090
21193	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		5	090
21193	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		50	090
21193	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		5	090
21194	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
21194	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
21194	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		1	090
21194	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		6	090
21194	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		360	090
21194	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		6	090
21195	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5.5	090
21195	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
21195	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		8	090
21195	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
21195	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
21195	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
21195	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		4	090
21195	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
21195	CMS	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.78		2	090
21195	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
21195	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		8	090
21195	CMS	"Cutters, Closures, Cautery"	SF025	dental elastics	item	0.07		1	090
21195	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08		10	090
21195	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
21195	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
21195	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		2	090
21196	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5.5	090
21196	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
21196	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		8	090
21196	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
21196	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
21196	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
21196	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		4	090
21196	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
21196	CMS	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.78		2	090
21196	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
21196	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		8	090
21196	CMS	"Cutters, Closures, Cautery"	SF025	dental elastics	item	0.07		1	090
21196	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08		10	090
21196	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
21196	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
21196	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		2	090
21198	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4.5	090
21198	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
21198	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		8	090
21198	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
21198	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
21198	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
21198	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		4	090
21198	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
21198	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		8	090
21198	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
21198	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
21199	CMS	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22		3	090
21199	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3		3	090
21199	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		3	090
21206	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4.5	090
21206	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
21206	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		8	090
21206	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
21206	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
21206	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
21206	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		4	090
21206	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
21206	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		8	090
21206	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
21206	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
21208	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
21208	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	7	6	090
21208	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
21208	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
21208	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
21208	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	2	090
21208	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
21208	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	12	10	090
21208	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	12	10	090
21208	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
21208	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
21208	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
21208	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
21208	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	10	0	090
21208	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
21208	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	6	0	090
21208	CMS	"Accessory, Procedure"	SD110	"reservoir, drain (Jackson-Pratt)"	item	6.99	1	0	090
21208	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
21208	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
21208	CMS	"Accessory, Procedure"	SD189	"plate, surgical, mini-compression, 4 hole"	item	210.83	1	0	090
21208	CMS	"Accessory, Procedure"	SD199	"screw, surgical, locking, 2.4mm x 16mm"	item	140	4	0	090
21208	CMS	"Accessory, Procedure"	SD202	"screw, surgical, standard, 2.7mm x 12mm"	item	73.66	1	0	090
21208	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	090
21208	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
21208	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
21208	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
21208	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	090
21208	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2	0	090
21208	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
21208	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	20	0	090
21208	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	1	0	090
21208	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	1	0	090
21208	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
21208	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	6	5	090
21208	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	1	0	090
21208	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
21209	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
21209	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	7	6	090
21209	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
21209	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
21209	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
21209	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	2	090
21209	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
21209	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	14	12	090
21209	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	14	12	090
21209	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
21209	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
21209	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
21209	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
21209	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	10	0	090
21209	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
21209	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	6	0	090
21209	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
21209	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
21209	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	090
21209	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
21209	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
21209	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
21209	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	090
21209	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2	0	090
21209	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
21209	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	20	0	090
21209	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	1	0	090
21209	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	1	0	090
21209	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
21209	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	7	6	090
21209	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	1	0	090
21209	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
21210	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
21210	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	7	6	090
21210	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49	1	1	090
21210	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
21210	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
21210	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	8	2	090
21210	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	4	0	090
21210	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	12	10	090
21210	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	12	10	090
21210	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
21210	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
21210	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
21210	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	2	0	090
21210	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	20	0	090
21210	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
21210	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	2	0	090
21210	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	6	0	090
21210	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
21210	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
21210	CMS	"Accessory, Procedure"	SD190	"plate, surgical, mini-i, 16mm"	item	129.28	2	0	090
21210	CMS	"Accessory, Procedure"	SD196	"screw, surgical, auto-drive, 2.0mm x 4mm"	item	38.76	16	0	090
21210	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	090
21210	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	2	0	090
21210	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
21210	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
21210	CMS	"Cutters, Closures, Cautery"	SF034	"stapler, surgical"	item	13	1	0	090
21210	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
21210	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	090
21210	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2	0	090
21210	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
21210	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	090
21210	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	18	0	090
21210	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	40	0	090
21210	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	1	0	090
21210	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
21210	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	2	0	090
21210	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	4	0	090
21210	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	6	5	090
21210	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	2	0	090
21210	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
21215	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
21215	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	6	6	090
21215	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49	1	1	090
21215	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
21215	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
21215	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	8	2	090
21215	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	4	0	090
21215	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	12	10	090
21215	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	12	10	090
21215	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
21215	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
21215	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
21215	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	2	0	090
21215	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	20	0	090
21215	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
21215	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	2	0	090
21215	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	6	0	090
21215	CMS	"Accessory, Procedure"	SD110	"reservoir, drain (Jackson-Pratt)"	item	6.99	1	0	090
21215	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
21215	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
21215	CMS	"Accessory, Procedure"	SD191	"plate, surgical, reconstruction, left, 5 x 16 hole"	item	846.45	1	0	090
21215	CMS	"Accessory, Procedure"	SD192	"plate, surgical, reconstruction, template, 5 x 16 hole"	item	188.62	1	0	090
21215	CMS	"Accessory, Procedure"	SD199	"screw, surgical, locking, 2.4mm x 16mm"	item	140	16	0	090
21215	CMS	"Accessory, Procedure"	SD202	"screw, surgical, standard, 2.7mm x 12mm"	item	73.66	4	0	090
21215	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	090
21215	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	2	0	090
21215	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
21215	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
21215	CMS	"Cutters, Closures, Cautery"	SF034	"stapler, surgical"	item	13	1	0	090
21215	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
21215	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	090
21215	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2	0	090
21215	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
21215	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	090
21215	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	18	0	090
21215	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	40	0	090
21215	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	1	0	090
21215	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
21215	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	2	0	090
21215	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	4	0	090
21215	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	6	5	090
21215	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	2	0	090
21215	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
21230	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
21230	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
21230	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		1	090
21230	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3	090
21230	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		240	090
21230	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		3	090
21235	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
21235	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	6	5	090
21235	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
21235	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	090
21235	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
21235	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
21235	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	090
21235	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	3	0	090
21235	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
21235	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
21235	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
21235	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
21235	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
21235	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
21235	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	3	0	090
21235	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	2	0	090
21235	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
21235	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	090
21235	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
21235	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	090
21235	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
21240	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
21240	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
21240	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		2	090
21240	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		6	090
21242	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
21242	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
21242	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		1	090
21242	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		6	090
21243	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		10	090
21243	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
21243	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		1	090
21243	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		10	090
21244	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
21244	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
21244	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		8	090
21244	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
21244	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
21244	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
21244	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		4	090
21244	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
21244	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		8	090
21244	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
21244	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
21245	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
21245	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	6	5	090
21245	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
21245	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
21245	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
21245	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	2	090
21245	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
21245	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	12	10	090
21245	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	12	10	090
21245	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
21245	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
21245	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
21245	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
21245	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	10	0	090
21245	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
21245	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	6	0	090
21245	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
21245	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
21245	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	090
21245	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
21245	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
21245	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
21245	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	4	0	090
21245	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2	0	090
21245	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
21245	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	20	0	090
21245	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	1	0	090
21245	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	1	0	090
21245	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
21245	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	6	5	090
21245	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	1	0	090
21245	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
21246	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
21246	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
21247	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		7	090
21247	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
21247	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		2	090
21247	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		7	090
21248	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
21248	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5	4	090
21248	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
21248	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
21248	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
21248	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	2	090
21248	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
21248	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	10	8	090
21248	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	10	8	090
21248	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
21248	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
21248	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
21248	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
21248	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	10	0	090
21248	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
21248	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	6	0	090
21248	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
21248	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
21248	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	090
21248	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
21248	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
21248	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
21248	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	4	0	090
21248	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2	0	090
21248	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
21248	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	20	0	090
21248	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	1	0	090
21248	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	1	0	090
21248	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
21248	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	5	4	090
21248	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	1	0	090
21248	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
21249	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
21249	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5	4	090
21249	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
21249	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
21249	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
21249	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	2	090
21249	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
21249	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	10	8	090
21249	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	10	8	090
21249	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
21249	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
21249	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
21249	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
21249	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	10	0	090
21249	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
21249	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	6	0	090
21249	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
21249	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
21249	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	090
21249	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
21249	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
21249	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
21249	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	4	0	090
21249	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2	0	090
21249	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
21249	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	20	0	090
21249	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	1	0	090
21249	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	1	0	090
21249	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
21249	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	5	4	090
21249	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	1	0	090
21249	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
21255	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		7	090
21255	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
21255	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		8	090
21255	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
21255	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
21255	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
21255	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		4	090
21255	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
21255	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		8	090
21255	CMS	"Wound Care, Dressings"	SG013	"bandage, elastic wrap 6in (Ace)"	item	0.8		1	090
21255	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
21255	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		10	090
21255	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		20	090
21256	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
21256	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
21256	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		2	090
21260	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		1	090
21260	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09		1	090
21260	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
21260	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
21260	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		1	090
21260	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		8	090
21260	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
21260	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090
21260	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		3	090
21260	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		3	090
21260	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
21260	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		6	090
21260	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
21260	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		1	090
21260	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		8	090
21260	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		4	090
21260	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		10	090
21260	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		20	090
21260	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		2	090
21261	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		1	090
21261	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09		1	090
21261	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
21261	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
21261	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		1	090
21261	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		8	090
21261	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
21261	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
21261	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
21261	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		4	090
21261	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
21261	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		8	090
21261	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
21261	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		1	090
21261	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		8	090
21261	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		4	090
21261	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		10	090
21261	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		20	090
21261	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		2	090
21263	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		1	090
21263	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09		1	090
21263	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
21263	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
21263	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		1	090
21263	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		8	090
21263	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
21263	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
21263	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
21263	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		4	090
21263	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
21263	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		8	090
21263	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
21263	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		1	090
21263	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		8	090
21263	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		4	090
21263	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		10	090
21263	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		20	090
21263	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		2	090
21267	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		1	090
21267	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09		1	090
21267	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
21267	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
21267	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		1	090
21267	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		8	090
21267	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
21267	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
21267	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
21267	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		4	090
21267	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
21267	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		8	090
21267	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
21267	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		1	090
21267	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		8	090
21267	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		4	090
21267	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		10	090
21267	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		20	090
21267	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		2	090
21268	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		1	090
21268	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09		1	090
21268	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
21268	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
21268	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		1	090
21268	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		8	090
21268	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
21268	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
21268	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
21268	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		4	090
21268	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
21268	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		8	090
21268	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
21268	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		1	090
21268	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		8	090
21268	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		4	090
21268	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		10	090
21268	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		20	090
21268	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		2	090
21270	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
21270	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
21270	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
21270	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	090
21270	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
21270	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
21270	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	090
21270	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	3	0	090
21270	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
21270	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
21270	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
21270	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
21270	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
21270	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
21270	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	3	0	090
21270	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	2	0	090
21270	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
21270	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	090
21270	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
21270	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	090
21270	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
21275	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
21275	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
21275	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		5	090
21275	CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		10	090
21275	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		20	090
21275	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02		2	090
21275	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		15	090
21275	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		1	090
21275	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		300	090
21275	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		10	090
21275	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		5	090
21280	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
21280	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
21280	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		4	090
21280	CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		8	090
21280	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		16	090
21280	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02		2	090
21280	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		12	090
21280	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		1	090
21280	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		240	090
21280	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		8	090
21280	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		4	090
21282	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
21282	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
21282	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		4	090
21282	CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		8	090
21282	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		16	090
21282	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02		2	090
21282	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		12	090
21282	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		1	090
21282	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		240	090
21282	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		8	090
21282	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		4	090
21295	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
21295	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
21295	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
21295	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		1	090
21295	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		10	090
21295	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		20	090
21296	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
21296	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
21296	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		4	090
21296	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
21296	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		2	090
21296	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		2	090
21296	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		2	090
21296	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
21296	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
21296	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		1	090
21296	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		10	090
21296	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		20	090
21315	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	000
21315	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	000
21315	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
21315	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
21315	CMS	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.78	1	0	000
21315	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
21315	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
21315	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
21315	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8	4	0	000
21315	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
21315	CMS	"Wound Care, Dressings"	SG088	"tape, foam, elastic, 2in (Microfoam)"	inch	0.01	6	0	000
21315	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	000
21315	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	4	0	000
21315	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
21315	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	1	0	000
21315	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
21315	CMS	Lab	SL464	Atomizer tips (disposable)	item	2.66	1	0	000
21315	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02	1	0	000
21320	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	000
21320	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	000
21320	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
21320	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
21320	CMS	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.78	1	0	000
21320	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
21320	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
21320	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
21320	CMS	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.4	1	0	000
21320	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8	4	0	000
21320	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
21320	CMS	"Wound Care, Dressings"	SG073	"splint, adhesive nasal (Denver)"	item	23.67	1	0	000
21320	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	000
21320	CMS	"Wound Care, Dressings"	SG088	"tape, foam, elastic, 2in (Microfoam)"	inch	0.01	6	0	000
21320	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	000
21320	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	4	0	000
21320	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
21320	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	1	0	000
21320	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
21320	CMS	Lab	SL464	Atomizer tips (disposable)	item	2.66	1	0	000
21320	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02	1	0	000
21325	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		1	090
21325	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09		1	090
21325	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
21325	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
21325	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		1	090
21325	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		4	090
21325	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
21325	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
21325	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		2	090
21325	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		2	090
21325	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		2	090
21325	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
21325	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		8	090
21325	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		4	090
21325	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
21325	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
21325	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		2	090
21330	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		1	090
21330	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09		1	090
21330	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
21330	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
21330	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		1	090
21330	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		4	090
21330	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
21330	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
21330	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		2	090
21330	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		2	090
21330	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		2	090
21330	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
21330	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		8	090
21330	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		4	090
21330	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
21330	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
21330	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		2	090
21335	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		1	090
21335	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09		1	090
21335	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
21335	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
21335	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		1	090
21335	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		4	090
21335	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
21335	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
21335	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		2	090
21335	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		2	090
21335	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		2	090
21335	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
21335	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		8	090
21335	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		4	090
21335	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
21335	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
21335	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		2	090
21336	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		1	090
21336	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09		1	090
21336	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
21336	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
21336	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		1	090
21336	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		4	090
21336	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
21336	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
21336	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		2	090
21336	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		2	090
21336	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		2	090
21336	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
21336	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		8	090
21336	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		4	090
21336	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
21336	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
21336	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		2	090
21337	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
21337	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
21337	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
21337	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	090
21337	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
21337	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
21337	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	090
21337	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	3	0	090
21337	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
21337	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
21337	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
21337	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
21337	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
21337	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
21337	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	3	0	090
21337	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	2	0	090
21337	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
21337	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	090
21337	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
21337	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	090
21337	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
21338	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		3	090
21338	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09		1	090
21338	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
21338	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
21338	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		1	090
21338	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		4	090
21338	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
21338	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
21338	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		2	090
21338	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		2	090
21338	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		2	090
21338	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
21338	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		8	090
21338	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		4	090
21338	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
21338	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
21338	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		2	090
21339	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		3	090
21339	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09		1	090
21339	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
21339	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
21339	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		1	090
21339	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		4	090
21339	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
21339	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
21339	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		2	090
21339	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		2	090
21339	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		2	090
21339	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
21339	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		8	090
21339	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		4	090
21339	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
21339	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
21339	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		2	090
21340	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
21340	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
21343	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		2	090
21343	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09		1	090
21343	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
21343	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
21343	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		1	090
21343	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		4	090
21343	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
21343	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
21343	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		2	090
21343	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		2	090
21343	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		2	090
21343	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
21343	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		8	090
21343	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		4	090
21343	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
21343	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
21343	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		2	090
21344	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		2	090
21344	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09		1	090
21344	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
21344	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
21344	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		1	090
21344	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		2	090
21344	CMS	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.78		4	090
21344	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		2	090
21344	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
21344	CMS	"Cutters, Closures, Cautery"	SF025	dental elastics	item	0.07		4	090
21344	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08		20	090
21344	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		10	090
21344	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		20	090
21344	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
21345	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
21345	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	6	5	090
21345	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
21345	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	090
21345	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
21345	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
21345	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	090
21345	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	3	0	090
21345	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
21345	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
21345	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
21345	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
21345	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
21345	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
21345	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	3	0	090
21345	CMS	"Cutters, Closures, Cautery"	SF043	"wire, surgical steel"	foot	0.17	3	0	090
21345	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	2	0	090
21345	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
21345	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	090
21345	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
21345	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	090
21345	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
21346	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
21346	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
21346	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46		4	090
21346	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090
21346	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		8	090
21346	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67		4	090
21346	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11		1	090
21346	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
21346	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13		4	090
21346	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
21346	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
21346	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		4	090
21346	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25		4	090
21346	CMS	"Cutters, Closures, Cautery"	SF025	dental elastics	item	0.07		75	090
21346	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		6	090
21346	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7		8	090
21346	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		10	090
21346	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		2	090
21346	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34		4	090
21346	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4	090
21346	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		1	090
21347	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		4	090
21347	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09		1	090
21347	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
21347	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
21347	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		1	090
21347	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		2	090
21347	CMS	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.78		4	090
21347	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		2	090
21347	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
21347	CMS	"Cutters, Closures, Cautery"	SF025	dental elastics	item	0.07		4	090
21347	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08		20	090
21347	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		10	090
21347	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		20	090
21347	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
21348	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
21348	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
21348	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		2	090
21348	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4	090
21348	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		240	090
21348	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		4	090
21355	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
21355	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	010
21355	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	010
21355	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	010
21355	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
21355	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
21355	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	4	0	010
21355	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	010
21355	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
21355	CMS	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.78	2	0	010
21355	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
21355	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	010
21355	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	010
21355	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
21355	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	010
21355	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
21355	CMS	"Wound Care, Dressings"	SG088	"tape, foam, elastic, 2in (Microfoam)"	inch	0.01	12	0	010
21355	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	010
21355	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	010
21355	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
21355	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	1	0	010
21355	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
21355	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
21356	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
21356	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	010
21356	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	010
21356	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	010
21356	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	1	010
21356	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	1	010
21356	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	4	0	010
21356	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	010
21356	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
21356	CMS	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.78	2	0	010
21356	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	2	1	010
21356	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	1	010
21356	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	2	1	010
21356	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
21356	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	010
21356	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
21356	CMS	"Wound Care, Dressings"	SG088	"tape, foam, elastic, 2in (Microfoam)"	inch	0.01	12	0	010
21356	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	010
21356	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	010
21356	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
21356	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	1	0	010
21356	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
21356	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
21360	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
21360	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
21365	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
21365	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
21365	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		10	090
21365	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		20	090
21366	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
21366	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
21366	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		2	090
21366	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4	090
21366	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		300	090
21366	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		4	090
21385	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
21385	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
21385	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		4	090
21385	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
21385	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
21385	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		2	090
21385	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		2	090
21385	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		2	090
21385	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
21386	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
21386	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
21386	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
21386	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
21387	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
21387	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
21387	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		4	090
21387	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
21387	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
21387	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		2	090
21387	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		2	090
21387	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		2	090
21387	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
21387	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
21387	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
21390	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
21390	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
21390	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		3	090
21390	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		4	090
21390	CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		8	090
21390	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		16	090
21390	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02		2	090
21390	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		12	090
21390	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		1	090
21390	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		240	090
21390	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		4	090
21395	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
21395	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
21395	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		3	090
21395	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		4	090
21395	CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		8	090
21395	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		16	090
21395	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02		2	090
21395	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		12	090
21395	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		1	090
21395	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		240	090
21395	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		4	090
21400	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
21400	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3	2	090
21401	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
21401	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
21401	CMS	"Accessory, Procedure"	SD197	"screw, surgical, Carroll-Girard, 9cm x 3.75in"	item	92	1	0	090
21406	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
21406	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
21406	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		4	090
21406	CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		8	090
21406	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		16	090
21406	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02		2	090
21406	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		12	090
21406	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		1	090
21406	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		240	090
21406	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		8	090
21406	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		4	090
21407	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
21407	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
21407	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		4	090
21407	CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		8	090
21407	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		16	090
21407	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02		2	090
21407	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		12	090
21407	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		1	090
21407	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		240	090
21407	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		8	090
21407	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		4	090
21408	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
21408	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
21408	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		4	090
21408	CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		8	090
21408	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		16	090
21408	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02		2	090
21408	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		12	090
21408	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		1	090
21408	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		240	090
21408	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		8	090
21408	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		4	090
21421	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
21421	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	6	5	090
21421	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
21421	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
21421	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
21421	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	6	5	090
21421	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	090
21421	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
21421	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	12	10	090
21421	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	12	10	090
21421	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
21421	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
21421	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	6	5	090
21421	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	2	1	090
21421	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	1	090
21421	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	6	5	090
21421	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	6	5	090
21421	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	6	5	090
21421	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	6	5	090
21421	CMS	"Cutters, Closures, Cautery"	SF001	arch bar	inch	0.8	12	0	090
21421	CMS	"Cutters, Closures, Cautery"	SF025	dental elastics	item	0.07	120	90	090
21421	CMS	"Cutters, Closures, Cautery"	SF043	"wire, surgical steel"	foot	0.17	13	0	090
21421	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	12	6	090
21421	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
21421	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	14	12	090
21421	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	20	10	090
21421	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	4	2	090
21421	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	6	5	090
21421	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	7	6	090
21421	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	1	0	090
21421	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	1	090
21421	CMS	Lab	SL152	acrylic tray-base material	oz	1.99	1	0	090
21422	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
21422	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
21422	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		4	090
21422	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
21422	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
21422	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		2	090
21422	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		2	090
21422	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		2	090
21422	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
21422	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
21422	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
21423	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
21423	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
21423	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		4	090
21423	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
21423	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
21423	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		2	090
21423	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		2	090
21423	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		2	090
21423	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
21423	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
21423	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
21431	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
21431	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46		4	090
21431	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090
21431	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		8	090
21431	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67		4	090
21431	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11		1	090
21431	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
21431	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13		4	090
21431	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
21431	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
21431	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		4	090
21431	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25		4	090
21431	CMS	"Cutters, Closures, Cautery"	SF025	dental elastics	item	0.07		75	090
21431	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		6	090
21431	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7		8	090
21431	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		10	090
21431	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		2	090
21431	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34		4	090
21431	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4	090
21431	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		1	090
21432	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		2	090
21432	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09		1	090
21432	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
21432	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
21432	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		1	090
21432	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
21432	CMS	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.78		2	090
21432	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		2	090
21432	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
21432	CMS	"Cutters, Closures, Cautery"	SF025	dental elastics	item	0.07		1	090
21432	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08		10	090
21432	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		10	090
21432	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		20	090
21432	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		2	090
21433	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
21433	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
21433	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4	090
21433	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		360	090
21433	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		4	090
21435	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
21435	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
21435	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4	090
21435	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		360	090
21435	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		4	090
21436	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
21436	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
21436	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		1	090
21436	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		5	090
21436	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		360	090
21436	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		5	090
21440	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
21440	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5	4	090
21440	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
21440	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
21440	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	4	4	090
21440	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	090
21440	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
21440	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	10	8	090
21440	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	10	8	090
21440	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
21440	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
21440	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	5	4	090
21440	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	090
21440	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
21440	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	5	4	090
21440	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	5	4	090
21440	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	5	4	090
21440	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	5	4	090
21440	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	5	4	090
21440	CMS	"Cutters, Closures, Cautery"	SF001	arch bar	inch	0.8	6	0	090
21440	CMS	"Cutters, Closures, Cautery"	SF043	"wire, surgical steel"	foot	0.17	2	0	090
21440	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	6	0	090
21440	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
21440	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	10	8	090
21440	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	090
21440	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
21440	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	5	4	090
21440	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	5	4	090
21440	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	1	0	090
21440	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	090
21445	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
21445	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5	4	090
21445	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
21445	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
21445	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
21445	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	4	4	090
21445	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	090
21445	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
21445	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	10	8	090
21445	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	10	8	090
21445	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
21445	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
21445	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	5	4	090
21445	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	090
21445	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
21445	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	5	4	090
21445	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	5	4	090
21445	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	5	4	090
21445	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	5	4	090
21445	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	5	4	090
21445	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
21445	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
21445	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	090
21445	CMS	"Cutters, Closures, Cautery"	SF043	"wire, surgical steel"	foot	0.17	2	0	090
21445	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	6	0	090
21445	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
21445	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	10	8	090
21445	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	090
21445	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
21445	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	5	4	090
21445	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	5	4	090
21445	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	1	0	090
21445	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	090
21450	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
21450	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5	4	090
21450	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
21450	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
21450	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	4	4	090
21450	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	090
21450	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
21450	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	10	8	090
21450	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	10	8	090
21450	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
21450	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
21450	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	5	4	090
21450	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	2	1	090
21450	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	1	090
21450	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	5	4	090
21450	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	5	4	090
21450	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	5	4	090
21450	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	5	4	090
21450	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	5	4	090
21450	CMS	"Cutters, Closures, Cautery"	SF001	arch bar	inch	0.8	12	0	090
21450	CMS	"Cutters, Closures, Cautery"	SF025	dental elastics	item	0.07	120	90	090
21450	CMS	"Cutters, Closures, Cautery"	SF043	"wire, surgical steel"	foot	0.17	12	0	090
21450	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	12	6	090
21450	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
21450	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	10	8	090
21450	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	20	10	090
21450	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	4	2	090
21450	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	5	4	090
21450	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	5	4	090
21450	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	1	0	090
21450	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	1	090
21451	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
21451	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	6	5	090
21451	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
21451	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
21451	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	5	5	090
21451	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	090
21451	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
21451	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	12	10	090
21451	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	12	10	090
21451	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
21451	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
21451	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	6	5	090
21451	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	2	1	090
21451	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	1	090
21451	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	6	5	090
21451	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	6	5	090
21451	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	6	5	090
21451	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	6	5	090
21451	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	6	5	090
21451	CMS	"Cutters, Closures, Cautery"	SF001	arch bar	inch	0.8	12	0	090
21451	CMS	"Cutters, Closures, Cautery"	SF025	dental elastics	item	0.07	120	90	090
21451	CMS	"Cutters, Closures, Cautery"	SF043	"wire, surgical steel"	foot	0.17	12	0	090
21451	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	12	6	090
21451	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
21451	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	12	10	090
21451	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	20	10	090
21451	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	4	2	090
21451	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	6	5	090
21451	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	6	5	090
21451	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	1	0	090
21451	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	1	090
21452	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
21452	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
21452	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
21452	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
21452	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
21452	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	3	3	090
21452	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	090
21452	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
21452	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	8	6	090
21452	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	8	6	090
21452	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
21452	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
21452	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	4	3	090
21452	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	090
21452	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
21452	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	4	3	090
21452	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	4	3	090
21452	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	4	3	090
21452	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	4	3	090
21452	CMS	"Accessory, Procedure"	SD200	"screw, surgical, self-tapping, 1.5-2.0mm"	item	27	3	0	090
21452	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	4	3	090
21452	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
21452	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
21452	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
21452	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	6	0	090
21452	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
21452	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	8	6	090
21452	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	090
21452	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
21452	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	4	3	090
21452	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	4	3	090
21452	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	1	0	090
21452	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	090
21452	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	090
21452	CMS	Lab	SL152	acrylic tray-base material	oz	1.99	5	0	090
21453	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
21453	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	7	6	090
21453	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
21453	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
21453	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	6	6	090
21453	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	090
21453	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
21453	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	14	12	090
21453	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	14	12	090
21453	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
21453	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
21453	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	7	6	090
21453	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	2	1	090
21453	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	1	090
21453	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	7	6	090
21453	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	7	6	090
21453	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	7	6	090
21453	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	7	6	090
21453	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	7	6	090
21453	CMS	"Cutters, Closures, Cautery"	SF001	arch bar	inch	0.8	12	0	090
21453	CMS	"Cutters, Closures, Cautery"	SF025	dental elastics	item	0.07	120	90	090
21453	CMS	"Cutters, Closures, Cautery"	SF043	"wire, surgical steel"	foot	0.17	12	0	090
21453	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	12	6	090
21453	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
21453	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	14	12	090
21453	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	20	10	090
21453	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	4	2	090
21453	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	7	6	090
21453	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	7	6	090
21453	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	1	0	090
21453	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	1	090
21454	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
21454	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
21454	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		5	090
21454	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		60	090
21454	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		5	090
21461	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
21461	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	7	6	090
21461	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
21461	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
21461	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
21461	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	6	6	090
21461	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	090
21461	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
21461	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	14	12	090
21461	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	14	12	090
21461	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
21461	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
21461	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	7	6	090
21461	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	090
21461	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
21461	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	7	6	090
21461	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	7	6	090
21461	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	7	6	090
21461	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	7	6	090
21461	CMS	"Accessory, Procedure"	SD193	"plate, surgical, rigid comminuted fracture"	item	269.45	1	0	090
21461	CMS	"Accessory, Procedure"	SD194	"plate, surgical, rigid comminuted fracture, template"	item	96.49	1	0	090
21461	CMS	"Accessory, Procedure"	SD198	"screw, surgical, lag, 2.4mm x 26mm"	item	21.18	4	0	090
21461	CMS	"Accessory, Procedure"	SD202	"screw, surgical, standard, 2.7mm x 12mm"	item	73.66	1	0	090
21461	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	7	6	090
21461	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
21461	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
21461	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
21461	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
21461	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	090
21461	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	6	0	090
21461	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
21461	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	14	12	090
21461	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	090
21461	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
21461	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	7	6	090
21461	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	7	6	090
21461	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	1	0	090
21461	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	090
21461	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	090
21462	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
21462	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	7	6	090
21462	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
21462	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
21462	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
21462	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	6	6	090
21462	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	090
21462	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
21462	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	14	12	090
21462	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	14	12	090
21462	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
21462	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
21462	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	7	6	090
21462	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	2	1	090
21462	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	1	090
21462	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	7	6	090
21462	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	7	6	090
21462	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	7	6	090
21462	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	7	6	090
21462	CMS	"Accessory, Procedure"	SD193	"plate, surgical, rigid comminuted fracture"	item	269.45	1	0	090
21462	CMS	"Accessory, Procedure"	SD194	"plate, surgical, rigid comminuted fracture, template"	item	96.49	1	0	090
21462	CMS	"Accessory, Procedure"	SD198	"screw, surgical, lag, 2.4mm x 26mm"	item	21.18	4	0	090
21462	CMS	"Accessory, Procedure"	SD202	"screw, surgical, standard, 2.7mm x 12mm"	item	73.66	1	0	090
21462	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	7	6	090
21462	CMS	"Cutters, Closures, Cautery"	SF001	arch bar	inch	0.8	12	0	090
21462	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
21462	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
21462	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
21462	CMS	"Cutters, Closures, Cautery"	SF025	dental elastics	item	0.07	90	90	090
21462	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
21462	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	090
21462	CMS	"Cutters, Closures, Cautery"	SF043	"wire, surgical steel"	foot	0.17	12	0	090
21462	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	12	6	090
21462	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
21462	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	14	12	090
21462	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	20	10	090
21462	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	4	2	090
21462	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	7	6	090
21462	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	7	6	090
21462	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	1	0	090
21462	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	090
21462	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	1	090
21465	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
21465	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
21465	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		6	090
21465	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		60	090
21465	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		6	090
21470	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
21470	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
21470	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		6	090
21470	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		60	090
21470	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		6	090
21480	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
21480	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
21480	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
21480	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	000
21480	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
21480	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
21480	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
21480	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	000
21480	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	6	0	000
21480	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
21480	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	2	0	000
21480	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	000
21480	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
21480	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	1	0	000
21485	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
21485	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	6	5	090
21485	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
21485	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
21485	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	5	5	090
21485	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	090
21485	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
21485	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	12	10	090
21485	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	12	10	090
21485	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
21485	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
21485	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	6	5	090
21485	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	2	1	090
21485	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	1	090
21485	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	6	5	090
21485	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	6	5	090
21485	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	6	5	090
21485	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	6	5	090
21485	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	6	5	090
21485	CMS	"Cutters, Closures, Cautery"	SF001	arch bar	inch	0.8	12	0	090
21485	CMS	"Cutters, Closures, Cautery"	SF025	dental elastics	item	0.07	120	90	090
21485	CMS	"Cutters, Closures, Cautery"	SF043	"wire, surgical steel"	foot	0.17	12	0	090
21485	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	12	6	090
21485	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
21485	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	12	10	090
21485	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	20	10	090
21485	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	4	2	090
21485	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	6	5	090
21485	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	6	5	090
21485	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	1	0	090
21485	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	1	090
21490	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
21490	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
21490	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		6	090
21497	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
21497	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	6	5	090
21497	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
21497	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
21497	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	6	5	090
21497	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	090
21497	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
21497	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	12	10	090
21497	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	12	10	090
21497	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
21497	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	6	5	090
21497	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	2	1	090
21497	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	1	090
21497	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	6	5	090
21497	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	6	5	090
21497	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	6	5	090
21497	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	6	5	090
21497	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	6	5	090
21497	CMS	"Cutters, Closures, Cautery"	SF001	arch bar	inch	0.8	12	0	090
21497	CMS	"Cutters, Closures, Cautery"	SF025	dental elastics	item	0.07	120	90	090
21497	CMS	"Cutters, Closures, Cautery"	SF043	"wire, surgical steel"	foot	0.17	12	0	090
21497	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	12	6	090
21497	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	6	5	090
21497	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	20	10	090
21497	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	4	2	090
21497	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	6	5	090
21497	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	6	5	090
21497	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	1	090
21501	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
21501	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4.5	3.5	090
21501	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
21501	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
21501	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
21501	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	090
21501	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	5	0	090
21501	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	4	0	090
21501	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
21501	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
21501	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
21501	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1	0	090
21501	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	090
21501	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
21501	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	090
21501	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
21501	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
21501	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
21501	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
21501	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
21501	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	3	0	090
21501	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	090
21501	CMS	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	1	1	0	090
21501	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	18	0	090
21501	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	090
21501	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	090
21501	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
21501	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
21501	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
21501	CMS	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.02	40	0	090
21501	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
21501	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	090
21501	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	090
21502	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
21502	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
21510	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
21510	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
21550	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	1	010
21550	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5	1	1	010
21550	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
21550	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	1	010
21550	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
21550	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	2	0	010
21550	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	010
21550	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
21550	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	5	0	010
21550	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	5	1	010
21550	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
21550	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
21550	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
21550	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
21550	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
21550	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
21550	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
21550	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	010
21550	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
21550	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
21550	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	3	0	010
21550	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
21550	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	18	0	010
21550	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	010
21550	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
21550	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
21550	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	010
21550	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	010
21552	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
21552	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
21554	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
21554	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
21555	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
21555	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3	2	090
21555	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
21555	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
21555	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
21555	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	090
21555	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2	0	090
21555	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
21555	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
21555	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
21555	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
21555	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
21555	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	090
21555	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	090
21555	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
21555	CMS	"Cutters, Closures, Cautery"	SF010	"blade, surgical hair clipper"	item	8.29	0.5	0	090
21555	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
21555	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
21555	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
21555	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
21555	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
21555	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
21555	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
21555	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	090
21555	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
21555	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	2	0	090
21555	CMS	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.02	10	0	090
21555	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	090
21555	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
21555	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	090
21555	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	090
21556	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
21556	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
21557	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
21557	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
21558	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
21558	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
21600	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
21600	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
21601	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
21601	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
21601	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3.5	090
21601	CMS	"Accessory, Procedure"	SD110	"reservoir, drain (Jackson-Pratt)"	item	6.99		3	090
21601	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7		3	090
21601	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		12	090
21601	CMS	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	4.01		3	090
21601	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		480	090
21602	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		7	090
21602	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
21602	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6.5	090
21602	CMS	"Accessory, Procedure"	SD110	"reservoir, drain (Jackson-Pratt)"	item	6.99		5	090
21602	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7		5	090
21602	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		20	090
21602	CMS	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	4.01		5	090
21602	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		600	090
21603	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		7	090
21603	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
21603	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		7	090
21603	CMS	"Accessory, Procedure"	SD110	"reservoir, drain (Jackson-Pratt)"	item	6.99		5	090
21603	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7		5	090
21603	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		20	090
21603	CMS	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	4.01		5	090
21603	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		600	090
21610	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
21610	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
21615	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
21615	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
21616	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
21616	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
21620	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
21620	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
21627	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
21627	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
21630	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
21630	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
21685	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
21685	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		6	090
21685	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
21685	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59		3	090
21685	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
21685	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		3	090
21685	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		1	090
21685	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
21685	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		3	090
21685	CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
21685	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		6	090
21685	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		12	090
21685	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		6	090
21685	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		4	090
21685	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
21700	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2.5	090
21700	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
21705	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
21705	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
21720	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2.5	090
21720	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
21725	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
21725	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
21740	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
21740	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
21750	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
21750	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
21820	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2.5	1.5	090
21825	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
21825	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
21920	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	1	010
21920	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5	1	1	010
21920	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
21920	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	1	010
21920	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
21920	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	2	0	010
21920	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	010
21920	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
21920	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	5	0	010
21920	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	5	1	010
21920	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
21920	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
21920	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
21920	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
21920	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
21920	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
21920	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
21920	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	010
21920	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
21920	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
21920	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	3	0	010
21920	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
21920	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	18	0	010
21920	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	010
21920	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
21920	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
21920	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	010
21920	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	010
21925	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
21925	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
21925	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
21925	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	090
21925	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
21925	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
21925	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	090
21925	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	3	0	090
21925	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
21925	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
21925	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
21925	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
21925	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
21925	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
21925	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
21925	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	1	0	090
21925	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
21925	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	090
21925	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
21925	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	090
21925	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
21930	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
21930	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3	2	090
21930	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
21930	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
21930	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
21930	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2	0	090
21930	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
21930	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
21930	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
21930	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2	0	090
21930	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
21930	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	2	0	090
21930	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	090
21930	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
21930	CMS	"Cutters, Closures, Cautery"	SF010	"blade, surgical hair clipper"	item	8.29	0.5	0	090
21930	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
21930	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
21930	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
21930	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
21930	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
21930	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	090
21930	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	090
21930	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
21930	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	10	0	090
21930	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	090
21930	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
21930	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	2	0	090
21930	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
21930	CMS	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.02	10	0	090
21930	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
21930	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
21930	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	090
21930	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	090
21931	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
21931	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
21932	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
21932	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
21933	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
21933	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
21935	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
21935	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
21936	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
21936	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
22010	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
22010	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
22015	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
22015	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
22100	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
22100	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
22101	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
22101	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
22102	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
22102	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
22110	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
22110	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
22112	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
22112	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
22114	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
22114	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
22206	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
22206	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
22207	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
22207	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
22210	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
22210	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
22212	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
22212	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
22214	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
22214	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
22220	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
22220	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
22222	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
22222	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
22224	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
22224	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
22310	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
22315	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5	4	090
22315	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	1	090
22315	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	6	0	090
22315	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	0	090
22315	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7	5	0	090
22318	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
22318	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
22319	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
22319	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
22325	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
22325	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
22325	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
22326	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
22326	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
22326	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
22327	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
22327	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
22327	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
22510	CMS	"Kit, Pack, Tray"	SA039	"kit, vertebroplasty (LP2, CDO)"	kit	970.48	1	0	010
22510	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
22510	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	010
22510	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	010
22510	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
22510	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	010
22510	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
22510	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	010
22510	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	010
22510	CMS	"Gown, Drape"	SB056	Abdominal Drape Laparotomy Drape Sterile (100 in x 72 in x 124 in)	item	8.049	1	0	010
22510	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	2	0	010
22510	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
22510	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
22510	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
22510	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	010
22510	CMS	"Pharmacy, Rx"	SH015	"barium sulfate, sterile (Biotrace) (6gm uou)"	item	80.86	1	0	010
22510	CMS	"Pharmacy, Rx"	SH020	"bone cement (full dose pack uou) (Osteobond, Simplex)"	item	85.27	1	0	010
22510	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	010
22510	CMS	"Pharmacy, NonRx"	SJ017	DuraPrep surgical soln (26ml uou)	item	7.96	1	0	010
22510	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	010
22511	CMS	"Kit, Pack, Tray"	SA039	"kit, vertebroplasty (LP2, CDO)"	kit	970.48	1	0	010
22511	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
22511	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	010
22511	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	010
22511	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
22511	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	010
22511	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
22511	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	010
22511	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	010
22511	CMS	"Gown, Drape"	SB056	Abdominal Drape Laparotomy Drape Sterile (100 in x 72 in x 124 in)	item	8.049	1	0	010
22511	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	2	0	010
22511	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
22511	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
22511	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
22511	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	010
22511	CMS	"Pharmacy, Rx"	SH015	"barium sulfate, sterile (Biotrace) (6gm uou)"	item	80.86	1	0	010
22511	CMS	"Pharmacy, Rx"	SH020	"bone cement (full dose pack uou) (Osteobond, Simplex)"	item	85.27	1	0	010
22511	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	010
22511	CMS	"Pharmacy, NonRx"	SJ017	DuraPrep surgical soln (26ml uou)	item	7.96	1	0	010
22511	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	010
22512	CMS	"Accessory, Procedure"	SD292	10g IVAS drill	item	84.17	1	0	ZZZ
22512	CMS	"Accessory, Procedure"	SD293	10g cannulae	item	29.95	2	0	ZZZ
22512	CMS	"Pharmacy, Rx"	SH100	Bone cement with mixer	item	246.28	1	0	ZZZ
22513	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
22513	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	0	010
22513	CMS	"Kit, Pack, Tray"	SA111	"Kyphoplasty kit, first fracture"	kit	3720.8	1	0	010
22513	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	010
22513	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	010
22513	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
22513	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	010
22513	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
22513	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	010
22513	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	010
22513	CMS	"Gown, Drape"	SB056	Abdominal Drape Laparotomy Drape Sterile (100 in x 72 in x 124 in)	item	8.049	1	0	010
22513	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	2	0	010
22513	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
22513	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
22513	CMS	"Cutters, Closures, Cautery"	SF055	Bone biopsy device	item	176.85	1	0	010
22513	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
22513	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	010
22513	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	010
22513	CMS	"Pharmacy, Rx"	SH100	Bone cement with mixer	item	246.28	1	0	010
22513	CMS	"Pharmacy, NonRx"	SJ017	DuraPrep surgical soln (26ml uou)	item	7.96	1	0	010
22513	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	010
22514	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
22514	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	0	010
22514	CMS	"Kit, Pack, Tray"	SA111	"Kyphoplasty kit, first fracture"	kit	3720.8	1	0	010
22514	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	010
22514	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	010
22514	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
22514	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	010
22514	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
22514	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	010
22514	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	010
22514	CMS	"Gown, Drape"	SB056	Abdominal Drape Laparotomy Drape Sterile (100 in x 72 in x 124 in)	item	8.049	1	0	010
22514	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	010
22514	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
22514	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
22514	CMS	"Cutters, Closures, Cautery"	SF055	Bone biopsy device	item	176.85	1	0	010
22514	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
22514	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	010
22514	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	010
22514	CMS	"Pharmacy, Rx"	SH100	Bone cement with mixer	item	246.28	1	0	010
22514	CMS	"Pharmacy, NonRx"	SJ017	DuraPrep surgical soln (26ml uou)	item	7.96	1	0	010
22514	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	010
22515	CMS	"Kit, Pack, Tray"	SA112	"Kyphoplasty kit, additional fracture"	kit	2149.41	1	0	ZZZ
22526	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
22526	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	010
22526	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	010
22526	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
22526	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
22526	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	010
22526	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	010
22526	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	010
22526	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
22526	CMS	"Accessory, Procedure"	SD222	"catheter, intradiscal (spineCATH)"	item	1380	1	0	010
22526	CMS	"Accessory, Procedure"	SD231	"needle, introducer (spineCATH)"	item	69	1	0	010
22526	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
22526	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
22526	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	010
22526	CMS	"Pharmacy, NonRx"	SJ017	DuraPrep surgical soln (26ml uou)	item	7.96	1	0	010
22526	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	1	0	010
22526	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	010
22527	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	ZZZ
22527	CMS	"Accessory, Procedure"	SD222	"catheter, intradiscal (spineCATH)"	item	1380	1	0	ZZZ
22527	CMS	"Accessory, Procedure"	SD231	"needle, introducer (spineCATH)"	item	69	1	0	ZZZ
22527	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	1	0	ZZZ
22532	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
22532	CMS	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	9.48		1	090
22533	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
22533	CMS	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	9.48		1	090
22548	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
22548	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
22551	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
22551	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
22554	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
22554	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
22556	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
22556	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
22558	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
22558	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
22586	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
22586	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
22590	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
22590	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
22595	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
22595	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
22600	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
22600	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
22610	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
22610	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
22612	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
22612	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
22630	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
22630	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
22633	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
22633	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
22800	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
22800	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
22802	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
22802	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
22804	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
22804	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
22808	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
22808	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
22810	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
22810	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
22812	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
22812	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
22818	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
22818	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
22819	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
22819	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
22830	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
22830	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
22836	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
22836	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
22837	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
22837	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
22838	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
22838	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
22849	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
22849	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
22849	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
22850	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
22850	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
22850	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
22852	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
22852	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
22852	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
22855	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
22855	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
22855	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
22856	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
22856	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
22857	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
22857	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
22861	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
22861	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
22862	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
22862	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
22864	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
22864	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
22865	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
22865	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
22867	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
22867	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
22869	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
22869	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
22900	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
22900	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
22901	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
22901	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
22902	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
22902	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3	2	090
22902	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
22902	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
22902	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
22902	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2	0	090
22902	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
22902	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
22902	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
22902	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2	0	090
22902	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
22902	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	2	0	090
22902	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	090
22902	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
22902	CMS	"Cutters, Closures, Cautery"	SF010	"blade, surgical hair clipper"	item	8.29	0.5	0	090
22902	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
22902	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
22902	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
22902	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
22902	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
22902	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	090
22902	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	090
22902	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
22902	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	10	0	090
22902	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	090
22902	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
22902	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	2	0	090
22902	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
22902	CMS	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.02	10	0	090
22902	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
22902	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
22902	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	090
22902	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	090
22903	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
22903	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
22904	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
22904	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
22905	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
22905	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
23000	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
23000	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3.5	2.5	090
23000	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
23000	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
23000	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
23000	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
23000	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
23000	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
23000	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
23000	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
23000	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
23000	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
23000	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
23000	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
23000	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
23000	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
23000	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
23000	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
23000	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
23000	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
23000	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
23000	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
23020	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
23020	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
23030	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
23030	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
23030	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	010
23030	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	010
23030	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	010
23030	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	010
23030	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
23030	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
23030	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
23030	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
23030	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
23030	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	010
23030	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	010
23030	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
23030	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	010
23030	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	010
23030	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	010
23030	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	010
23030	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
23030	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	010
23030	CMS	Lab	SL146	tubed culture media	item	0.92	1	0	010
23031	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
23031	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
23031	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	010
23031	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	010
23031	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	010
23031	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	010
23031	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
23031	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
23031	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
23031	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
23031	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
23031	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	010
23031	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	010
23031	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
23031	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	010
23031	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
23031	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	010
23031	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	010
23031	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	010
23031	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	010
23031	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
23031	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	010
23031	CMS	Lab	SL146	tubed culture media	item	0.92	1	0	010
23035	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
23035	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
23040	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
23040	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
23044	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
23044	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
23065	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
23065	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1.5	0.5	010
23065	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	010
23065	CMS	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	1.88	1	0	010
23065	CMS	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	6.71	1	0	010
23065	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
23065	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
23065	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	010
23065	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
23065	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
23065	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	010
23065	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
23066	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
23066	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
23066	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
23066	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
23066	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
23066	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
23066	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
23066	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
23066	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
23066	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
23066	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
23066	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
23066	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
23066	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
23066	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
23066	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
23066	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
23066	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
23066	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
23066	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
23066	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
23066	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
23071	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
23071	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
23073	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
23073	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
23075	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
23075	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3	2	090
23075	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
23075	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
23075	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
23075	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	1	0	090
23075	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
23075	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
23075	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
23075	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2	0	090
23075	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
23075	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	2	0	090
23075	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	090
23075	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
23075	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	090
23075	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	090
23075	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
23075	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
23075	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
23075	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
23075	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
23075	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	090
23075	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
23075	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
23075	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
23075	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	20	0	090
23075	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
23075	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	090
23075	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
23075	CMS	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.02	10	0	090
23075	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	090
23075	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
23075	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	090
23075	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	090
23076	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
23076	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
23077	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
23077	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
23078	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
23078	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
23100	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
23100	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
23101	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
23101	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
23105	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
23105	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
23106	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
23106	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
23107	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
23107	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
23120	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
23120	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
23125	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
23125	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
23130	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
23130	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
23140	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
23140	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
23145	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
23145	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
23146	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
23146	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
23150	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
23150	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
23155	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
23155	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
23156	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
23156	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
23170	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
23170	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
23172	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
23172	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
23174	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
23174	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
23180	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
23180	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
23182	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
23182	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
23184	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
23184	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
23190	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
23190	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
23195	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
23195	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
23200	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
23200	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
23210	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
23210	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
23220	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
23220	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
23330	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
23330	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
23330	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	010
23330	CMS	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	1.88	1	0	010
23330	CMS	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	6.71	1	0	010
23330	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
23330	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
23330	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
23330	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
23330	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
23330	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
23330	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	010
23330	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
23330	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
23330	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
23330	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	010
23330	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	010
23330	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	010
23330	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	010
23330	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
23330	CMS	Lab	SL146	tubed culture media	item	0.92	1	0	010
23333	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
23333	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
23334	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
23334	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
23335	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
23335	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
23350	CMS	"Kit, Pack, Tray"	SA060	"tray, arthrogram"	tray	29.39	1	0	000
23350	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
23350	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
23350	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	000
23350	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	30	0	000
23395	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
23395	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
23397	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
23397	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
23400	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
23400	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
23405	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
23405	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
23406	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
23406	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
23410	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
23410	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
23412	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
23412	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
23415	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
23415	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
23420	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
23420	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
23430	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
23430	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
23440	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
23440	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
23450	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
23450	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
23455	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
23455	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
23460	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
23460	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
23462	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
23462	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
23465	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
23465	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
23466	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
23466	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
23470	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
23470	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
23472	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
23472	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
23473	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
23473	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
23474	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
23474	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
23480	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
23480	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
23485	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
23485	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
23490	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
23490	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
23491	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
23491	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
23500	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2.5	2.5	090
23505	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
23505	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
23505	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
23505	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
23515	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
23515	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
23520	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3.5	2.5	090
23525	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5	4	090
23525	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
23525	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
23525	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
23530	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
23530	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
23532	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
23532	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
23540	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3.5	2.5	090
23545	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4.5	3.5	090
23545	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
23545	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
23545	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
23550	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
23550	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
23552	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
23552	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
23570	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2.5	2.5	090
23570	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
23575	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4.5	3.5	090
23575	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
23575	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
23575	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
23575	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
23585	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
23600	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	4	090
23600	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
23600	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
23600	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
23605	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5	4	090
23605	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
23605	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
23605	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
23605	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
23605	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
23605	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
23615	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
23615	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
23616	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
23616	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
23620	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3	3	090
23625	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4.5	3.5	090
23625	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
23625	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
23625	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
23630	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
23630	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
23650	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
23650	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
23650	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
23650	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
23655	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
23660	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
23660	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
23665	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5	4	090
23665	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
23665	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
23665	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
23670	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
23670	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
23675	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5.5	4.5	090
23675	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
23675	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
23675	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
23675	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
23675	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
23680	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
23680	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
23700	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	010
23800	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
23800	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
23802	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
23802	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
23900	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
23900	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
23920	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
23920	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
23921	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3.5	090
23921	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
23930	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
23930	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
23930	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	010
23930	CMS	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	1.88	1	0	010
23930	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	010
23930	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	010
23930	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
23930	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
23930	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
23930	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
23930	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
23930	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	010
23930	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	010
23930	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
23930	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7	3	0	010
23930	CMS	"Wound Care, Dressings"	SG028	"cast, stockinette 6in"	yd	1.14	3	0	010
23930	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	010
23930	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
23930	CMS	"Wound Care, Dressings"	SG068	plaster bandage (4in x 5yd uou)	item	0.78	3	0	010
23930	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	010
23930	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	010
23930	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	010
23930	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	010
23930	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
23930	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	010
23930	CMS	Lab	SL146	tubed culture media	item	0.92	1	0	010
23931	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
23931	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
23931	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	010
23931	CMS	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	1.88	1	0	010
23931	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	010
23931	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	010
23931	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
23931	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
23931	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
23931	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
23931	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
23931	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
23931	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	010
23931	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
23931	CMS	"Wound Care, Dressings"	SG028	"cast, stockinette 6in"	yd	1.14	3	0	010
23931	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	010
23931	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
23931	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	010
23931	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	010
23931	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	010
23931	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	010
23931	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
23931	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	010
23931	CMS	Lab	SL146	tubed culture media	item	0.92	1	0	010
23935	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
23935	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
24000	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
24000	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
24006	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
24006	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
24065	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
24065	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
24065	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	010
24065	CMS	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	1.88	1	0	010
24065	CMS	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	6.71	1	0	010
24065	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	010
24065	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
24065	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
24065	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
24065	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
24065	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
24065	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	010
24065	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
24065	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	010
24065	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
24065	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
24065	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	010
24066	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
24066	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
24066	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
24066	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
24066	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
24066	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
24066	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
24066	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
24066	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
24066	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
24066	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
24066	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
24066	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
24066	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
24066	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
24066	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
24066	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
24066	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
24066	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
24066	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
24066	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
24066	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
24066	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
24071	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
24071	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
24073	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
24073	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
24075	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
24075	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3	2	090
24075	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
24075	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
24075	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
24075	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	1	0	090
24075	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
24075	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
24075	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
24075	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
24075	CMS	"Hypodermic, IV"	SC003	arm board	item	0.96	1	0	090
24075	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
24075	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	2	0	090
24075	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	090
24075	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
24075	CMS	"Cutters, Closures, Cautery"	SF010	"blade, surgical hair clipper"	item	8.29	0.5	0	090
24075	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	090
24075	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	090
24075	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
24075	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
24075	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
24075	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
24075	CMS	"Wound Care, Dressings"	SG014	"bandage, elastic, self-adherent wrap 1in (Coban)"	item	1.59	1	0	090
24075	CMS	"Wound Care, Dressings"	SG015	"bandage, Esmarch-Martin, sterile 3in x 9ft"	item	6.08	1	0	090
24075	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
24075	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	090
24075	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
24075	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
24075	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
24075	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	20	0	090
24075	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
24075	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	090
24075	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
24075	CMS	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.02	10	0	090
24075	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	090
24075	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
24075	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	090
24075	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	090
24076	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
24076	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
24077	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
24077	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
24079	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
24079	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
24100	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
24100	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
24101	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
24101	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
24102	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
24102	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
24105	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
24105	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
24110	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
24110	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
24115	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
24115	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
24116	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
24116	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
24120	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
24120	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
24125	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
24125	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
24126	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
24126	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
24130	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
24130	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
24134	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
24134	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
24136	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
24136	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
24138	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
24138	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
24140	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
24140	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
24145	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
24145	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
24147	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
24147	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
24149	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
24149	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
24150	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
24150	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
24152	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
24152	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
24155	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
24155	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
24160	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
24160	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
24164	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
24164	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
24200	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
24200	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
24200	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	010
24200	CMS	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	1.88	1	0	010
24200	CMS	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	6.71	1	0	010
24200	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	010
24200	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
24200	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
24200	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
24200	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	010
24200	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	010
24200	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
24200	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
24200	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	010
24200	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	010
24200	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	010
24200	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	010
24201	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
24201	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
24201	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
24201	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
24201	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
24201	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
24201	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
24201	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
24201	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
24201	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
24201	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
24201	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
24201	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
24201	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
24201	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
24201	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
24201	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
24201	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
24201	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
24201	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
24201	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
24201	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
24201	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
24220	CMS	"Kit, Pack, Tray"	SA060	"tray, arthrogram"	tray	29.39	1	0	000
24220	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
24220	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
24220	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
24220	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	30	0	000
24300	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
24300	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
24301	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
24301	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
24305	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
24305	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
24310	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
24310	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
24320	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
24320	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
24330	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
24330	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
24331	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
24331	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
24332	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
24332	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
24340	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
24340	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
24341	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
24341	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
24342	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
24342	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
24343	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
24343	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
24344	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
24344	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
24345	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
24345	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
24346	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
24346	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
24357	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	090
24357	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
24358	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	090
24358	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
24359	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	090
24359	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
24360	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
24360	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
24361	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
24361	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
24362	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
24362	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
24363	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
24363	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
24365	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
24365	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
24366	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
24366	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
24370	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
24370	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
24371	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
24371	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
24400	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
24400	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
24410	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
24410	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
24420	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
24420	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
24420	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		36	090
24420	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		720	090
24420	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		60	090
24420	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		6	090
24430	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
24430	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
24435	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
24435	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
24470	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
24470	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
24495	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		5	090
24495	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
24495	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		5	090
24495	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		5	090
24495	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		5	090
24495	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		5	090
24495	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		10	090
24495	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		10	090
24495	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		900	090
24495	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		380	090
24495	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		10	090
24498	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
24498	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
24500	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	4	090
24500	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
24500	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
24500	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
24505	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5.5	4.5	090
24505	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
24505	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
24505	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
24505	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
24505	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
24505	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
24515	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
24515	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
24516	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
24516	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
24530	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	4	090
24530	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
24530	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
24530	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
24535	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	6	5	090
24535	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
24535	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
24535	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
24535	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
24535	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
24535	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
24538	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	090
24538	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
24538	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		1	090
24538	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		1	090
24538	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		1	090
24538	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		2	090
24538	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		2	090
24538	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		180	090
24538	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		76	090
24538	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		2	090
24545	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
24545	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
24546	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
24546	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
24560	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4.5	3.5	090
24560	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
24560	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
24560	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
24565	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5.5	4.5	090
24565	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
24565	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
24565	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
24565	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
24565	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
24565	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
24566	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
24566	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		4	090
24566	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63		1	090
24566	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
24566	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5	090
24566	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04		1	090
24566	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54		1	090
24566	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
24566	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		1	090
24566	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		2	090
24566	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		6	090
24566	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5		10	090
24566	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48		1	090
24566	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		1	090
24575	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
24575	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
24576	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5	4	090
24576	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
24576	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
24576	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
24577	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5.5	4.5	090
24577	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
24577	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
24577	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
24577	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
24577	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
24577	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
24579	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
24579	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
24582	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
24582	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		4	090
24582	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63		1	090
24582	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
24582	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5	090
24582	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04		1	090
24582	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54		1	090
24582	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
24582	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		1	090
24582	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		2	090
24582	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		6	090
24582	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5		10	090
24582	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48		1	090
24582	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		1	090
24586	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
24586	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
24587	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
24587	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
24600	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
24600	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
24600	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
24600	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
24605	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
24615	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
24615	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
24620	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
24635	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
24635	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
24640	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
24640	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7	1	0	010
24640	CMS	"Wound Care, Dressings"	SG028	"cast, stockinette 6in"	yd	1.14	3	0	010
24640	CMS	"Wound Care, Dressings"	SG068	plaster bandage (4in x 5yd uou)	item	0.78	1	0	010
24640	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	60	0	010
24650	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3	3	090
24650	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
24650	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
24650	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
24655	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5.5	4.5	090
24655	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
24655	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
24655	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
24655	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
24655	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
24655	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
24665	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
24665	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
24665	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		4	090
24665	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
24666	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
24666	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
24666	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		4	090
24666	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
24670	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3	3	090
24670	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
24670	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
24670	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
24675	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5	4	090
24675	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
24675	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
24675	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
24675	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
24675	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
24675	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
24685	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
24685	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
24685	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		4	090
24685	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
24800	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
24800	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
24802	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
24802	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
24900	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
24900	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
24920	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
24920	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
24925	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
24925	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
24930	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
24930	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
24931	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
24931	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
24935	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
24935	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
24935	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		36	090
24935	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		720	090
24935	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		60	090
24935	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		6	090
25000	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
25000	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
25001	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
25001	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
25020	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		5	090
25020	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
25020	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		5	090
25020	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		5	090
25020	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		5	090
25020	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		5	090
25020	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		10	090
25020	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		10	090
25020	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		900	090
25020	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		380	090
25020	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		10	090
25023	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		7	090
25023	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
25023	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		7	090
25023	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		7	090
25023	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		7	090
25023	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		7	090
25023	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		14	090
25023	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		14	090
25023	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		1260	090
25023	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		530	090
25023	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		14	090
25024	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
25024	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
25025	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
25025	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
25028	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		5	090
25028	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
25028	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		5	090
25028	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		5	090
25028	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		5	090
25028	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		5	090
25028	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		10	090
25028	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		10	090
25028	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		900	090
25028	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		380	090
25028	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		10	090
25031	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
25031	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
25035	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
25035	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
25040	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
25040	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
25065	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
25065	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
25065	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	010
25065	CMS	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	1.88	1	0	010
25065	CMS	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	6.71	1	0	010
25065	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	010
25065	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
25065	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
25065	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
25065	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
25065	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
25065	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
25065	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	010
25065	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
25065	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	010
25065	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
25065	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
25065	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	010
25066	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
25066	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
25071	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
25071	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
25073	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
25073	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
25075	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
25075	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3	2	090
25075	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
25075	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
25075	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
25075	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	1	0	090
25075	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
25075	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
25075	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
25075	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
25075	CMS	"Hypodermic, IV"	SC003	arm board	item	0.96	1	0	090
25075	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
25075	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	2	0	090
25075	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	090
25075	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
25075	CMS	"Cutters, Closures, Cautery"	SF010	"blade, surgical hair clipper"	item	8.29	0.5	0	090
25075	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	090
25075	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	090
25075	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
25075	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
25075	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
25075	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
25075	CMS	"Wound Care, Dressings"	SG014	"bandage, elastic, self-adherent wrap 1in (Coban)"	item	1.59	1	0	090
25075	CMS	"Wound Care, Dressings"	SG015	"bandage, Esmarch-Martin, sterile 3in x 9ft"	item	6.08	1	0	090
25075	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
25075	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	090
25075	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
25075	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
25075	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
25075	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	20	0	090
25075	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
25075	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	090
25075	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
25075	CMS	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.02	10	0	090
25075	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	090
25075	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
25075	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	090
25075	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	090
25076	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
25076	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
25077	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
25077	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
25078	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
25078	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
25085	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
25085	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
25100	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
25100	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
25101	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
25101	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
25105	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
25105	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
25107	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
25107	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
25109	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
25109	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
25110	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
25110	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
25111	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
25111	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
25112	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
25112	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
25115	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
25115	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
25116	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
25116	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
25118	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
25118	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
25119	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
25119	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
25120	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
25120	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
25125	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
25125	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
25126	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
25126	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
25130	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
25130	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
25135	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
25135	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
25136	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
25136	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
25145	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
25145	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
25150	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
25150	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
25151	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
25151	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
25170	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
25170	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
25210	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
25210	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
25215	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
25215	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
25230	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
25230	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
25240	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
25240	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
25246	CMS	"Kit, Pack, Tray"	SA060	"tray, arthrogram"	tray	29.39	1	0	000
25246	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
25246	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
25246	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
25246	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	30	0	000
25248	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
25248	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
25250	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
25250	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
25251	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
25251	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
25259	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
25259	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
25260	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
25260	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
25263	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
25263	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
25265	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
25265	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
25270	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
25270	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
25272	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
25272	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
25274	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
25274	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
25275	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
25275	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
25280	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
25280	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
25290	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
25290	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
25295	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
25295	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
25300	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
25300	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
25301	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
25301	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
25310	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
25310	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
25310	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51		1	090
25310	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
25310	RUC	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.34		2	090
25310	RUC	"Wound Care, Dressings"	SG027	"cast, stockinette 4in"	yd	0.6		0.5	090
25310	RUC	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.14		4	090
25310	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		6	090
25310	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		2	090
25310	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07		4	090
25312	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
25312	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
25315	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
25315	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
25316	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
25316	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
25320	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
25320	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
25332	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
25332	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
25335	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
25335	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
25337	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
25337	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
25350	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
25350	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
25355	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
25355	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
25360	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
25360	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
25365	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
25365	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
25370	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
25370	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
25375	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
25375	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
25390	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
25390	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
25391	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
25391	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
25392	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
25392	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
25393	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
25393	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
25394	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
25394	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
25400	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
25400	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
25405	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
25405	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
25415	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
25415	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
25420	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
25420	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
25425	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
25425	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
25426	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
25426	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
25430	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
25430	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
25431	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
25431	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
25440	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
25440	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
25441	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
25441	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
25442	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
25442	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
25443	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
25443	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
25444	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
25444	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
25445	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
25445	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
25446	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
25446	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
25447	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
25447	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
25447	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51		1	090
25447	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
25447	RUC	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.34		2	090
25447	RUC	"Wound Care, Dressings"	SG027	"cast, stockinette 4in"	yd	0.6		0.5	090
25447	RUC	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.14		4	090
25447	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		6	090
25447	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		2	090
25447	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07		4	090
25448	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
25448	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
25448	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
25448	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51		1	090
25448	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
25448	RUC	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.34		2	090
25448	RUC	"Wound Care, Dressings"	SG027	"cast, stockinette 4in"	yd	0.6		0.5	090
25448	RUC	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.14		4	090
25448	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		6	090
25448	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		2	090
25448	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07		4	090
25449	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
25449	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
25450	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
25450	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
25455	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
25455	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
25490	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
25490	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
25491	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
25491	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
25492	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
25492	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
25500	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
25500	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
25500	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
25500	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
25505	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	6	5	090
25505	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
25505	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
25505	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
25505	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
25505	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
25505	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
25515	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
25515	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
25520	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	6	5	090
25520	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
25520	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
25520	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
25525	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
25525	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
25526	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
25526	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
25530	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3	3	090
25530	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
25530	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
25530	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
25535	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5.5	4.5	090
25535	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
25535	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
25535	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
25535	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
25535	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
25535	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
25545	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
25545	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
25560	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
25560	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
25560	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
25560	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
25565	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5.5	4.5	090
25565	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
25565	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
25565	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
25565	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
25565	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
25565	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
25574	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
25574	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
25575	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
25575	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
25600	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5	5	090
25600	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
25600	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
25600	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
25605	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5	5	090
25605	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
25605	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
25605	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
25605	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
25605	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
25605	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
25606	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
25607	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
25608	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
25609	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
25622	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3.5	3.5	090
25622	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
25622	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
25622	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
25624	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	6	5	090
25624	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
25624	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
25624	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
25624	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
25624	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
25624	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
25628	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
25628	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
25630	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3	3	090
25630	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
25630	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
25630	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
25635	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5.5	4.5	090
25635	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
25635	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
25635	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
25635	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
25635	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
25635	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
25645	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
25645	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
25650	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4.5	3.5	090
25650	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
25650	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
25650	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
25651	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
25651	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
25652	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
25652	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
25660	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
25670	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
25670	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
25671	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
25671	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
25675	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5.5	4.5	090
25675	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
25675	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
25675	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
25675	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
25675	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
25675	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
25676	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
25676	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
25680	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
25685	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
25685	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
25690	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
25695	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
25695	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
25800	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
25800	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
25805	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
25805	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
25810	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
25810	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
25820	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
25820	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
25820	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		6	090
25820	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		2	090
25820	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		2	090
25820	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		16	090
25820	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		4	090
25820	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		24	090
25820	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		240	090
25820	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		40	090
25820	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		8	090
25825	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
25825	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
25825	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		6	090
25825	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		2	090
25825	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		2	090
25825	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		16	090
25825	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		4	090
25825	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		24	090
25825	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		240	090
25825	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		40	090
25825	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		8	090
25830	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
25830	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
25830	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
25830	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
25830	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
25830	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
25830	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
25830	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
25830	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
25830	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		0.083	090
25830	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
25830	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		62	090
25830	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		2	090
25830	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		8	090
25830	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
25830	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		172	090
25830	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		2	090
25900	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
25900	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
25905	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
25905	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
25907	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
25907	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
25909	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
25909	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
25915	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
25920	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
25920	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
25920	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		6	090
25920	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		2	090
25920	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		2	090
25920	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		16	090
25920	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		4	090
25920	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		24	090
25920	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		240	090
25920	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		40	090
25920	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		8	090
25922	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
25922	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
25922	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		6	090
25922	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		2	090
25922	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		2	090
25922	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		16	090
25922	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		4	090
25922	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		24	090
25922	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		240	090
25922	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		40	090
25922	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		8	090
25924	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
25924	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
25924	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		6	090
25924	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		2	090
25924	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		2	090
25924	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		16	090
25924	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		4	090
25924	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		24	090
25924	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		240	090
25924	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		40	090
25924	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		8	090
25927	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
25927	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
25927	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
25927	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
25927	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
25927	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
25927	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
25927	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
25927	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
25927	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
25927	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
25927	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
25927	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
25927	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
25927	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
25927	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
25929	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
25929	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
25931	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
25931	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
25931	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
25931	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
25931	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
25931	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
25931	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
25931	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
25931	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
25931	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
25931	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
25931	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
25931	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
25931	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
25931	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
25931	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26010	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5	1	1	010
26010	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
26010	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	0	1	010
26010	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
26010	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
26010	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
26010	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	6	0	010
26010	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	5	1	010
26010	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
26010	CMS	"Gown, Drape"	SB031	"lap sponge, sterile, 18inx18in (5 pack uou)"	item	4.72	5	0	010
26010	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
26010	CMS	"Gown, Drape"	SB038	safety glasses	item	1.92	2	0	010
26010	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
26010	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1	0	010
26010	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
26010	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
26010	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	010
26010	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
26010	CMS	"Wound Care, Dressings"	SG010	"bandage, elastic wrap 2in (Ace)"	item	0.72	2	1	010
26010	CMS	"Wound Care, Dressings"	SG015	"bandage, Esmarch-Martin, sterile 3in x 9ft"	item	6.08	1	0	010
26010	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	2	1	010
26010	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7	1	0	010
26010	CMS	"Wound Care, Dressings"	SG027	"cast, stockinette 4in"	yd	0.6	1	0	010
26010	CMS	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.14	12	6	010
26010	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78	1	0	010
26010	CMS	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	1	1	0	010
26010	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	12	010
26010	CMS	"Pharmacy, Rx"	SH022	bupivacaine 0.5% inj (Marcaine)	ml	0.14	5	0	010
26010	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	010
26010	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	010
26010	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	010
26010	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
26010	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	010
26010	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	10	10	010
26010	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	130	10	010
26010	CMS	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.02	120	0	010
26010	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	3	0	010
26010	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	010
26010	CMS	Lab	SL146	tubed culture media	item	0.92	4	0	010
26010	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	010
26011	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5	1	1	010
26011	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
26011	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	2	1	010
26011	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
26011	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
26011	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
26011	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	6	0	010
26011	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	5	1	010
26011	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
26011	CMS	"Gown, Drape"	SB031	"lap sponge, sterile, 18inx18in (5 pack uou)"	item	4.72	5	0	010
26011	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
26011	CMS	"Gown, Drape"	SB038	safety glasses	item	1.92	2	0	010
26011	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
26011	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1	0	010
26011	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
26011	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
26011	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	010
26011	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
26011	CMS	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32	1	0	010
26011	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	010
26011	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	010
26011	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
26011	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
26011	CMS	"Wound Care, Dressings"	SG010	"bandage, elastic wrap 2in (Ace)"	item	0.72	2	1	010
26011	CMS	"Wound Care, Dressings"	SG015	"bandage, Esmarch-Martin, sterile 3in x 9ft"	item	6.08	1	0	010
26011	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	2	1	010
26011	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7	1	0	010
26011	CMS	"Wound Care, Dressings"	SG027	"cast, stockinette 4in"	yd	0.6	1	0	010
26011	CMS	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.14	12	6	010
26011	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78	1	0	010
26011	CMS	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	1	1	0	010
26011	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	12	010
26011	CMS	"Pharmacy, Rx"	SH022	bupivacaine 0.5% inj (Marcaine)	ml	0.14	5	0	010
26011	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	010
26011	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	010
26011	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	010
26011	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
26011	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	010
26011	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	10	10	010
26011	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	130	10	010
26011	CMS	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.02	120	0	010
26011	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	3	0	010
26011	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	010
26011	CMS	Lab	SL146	tubed culture media	item	0.92	4	0	010
26011	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	010
26020	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26020	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26020	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51		1	090
26020	CMS	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1	090
26020	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		1	090
26020	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7		1	090
26020	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		12	090
26025	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
26025	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26025	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51		1	090
26025	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
26025	CMS	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1	090
26025	CMS	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.34		1	090
26025	CMS	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.14		6	090
26025	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		12	090
26030	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
26030	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26030	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51		1	090
26030	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
26030	CMS	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1	090
26030	CMS	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.34		1	090
26030	CMS	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.14		6	090
26030	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		12	090
26034	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
26034	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26034	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51		1	090
26034	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
26034	CMS	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1	090
26034	CMS	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.34		1	090
26034	CMS	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.14		6	090
26034	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		12	090
26035	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
26035	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26035	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51		1	090
26035	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
26035	CMS	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1	090
26035	CMS	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.34		1	090
26035	CMS	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.14		6	090
26035	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		12	090
26037	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
26037	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26037	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51		1	090
26037	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
26037	CMS	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1	090
26037	CMS	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.14		6	090
26037	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		12	090
26040	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
26040	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26040	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51		1	090
26040	CMS	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1	090
26040	CMS	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.34		1	090
26040	CMS	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.14		3	090
26040	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		12	090
26045	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26045	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26045	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51		1	090
26045	CMS	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1	090
26045	CMS	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.34		1	090
26045	CMS	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.14		3	090
26045	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		12	090
26055	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
26055	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3	2	090
26055	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
26055	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	090
26055	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	2	1	090
26055	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
26055	CMS	"Gown, Drape"	SB013	"drape, sterile, hand-upper extremity"	item	8.38	1	0	090
26055	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	090
26055	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
26055	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	090
26055	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
26055	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
26055	CMS	"Gown, Drape"	SB031	"lap sponge, sterile, 18inx18in (5 pack uou)"	item	4.72	1	0	090
26055	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	3	0	090
26055	CMS	"Gown, Drape"	SB038	safety glasses	item	1.92	1	0	090
26055	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	090
26055	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
26055	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1	0	090
26055	CMS	"Hypodermic, IV"	SC003	arm board	item	0.96	1	0	090
26055	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
26055	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	090
26055	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
26055	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	090
26055	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	090
26055	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	090
26055	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
26055	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
26055	CMS	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859	2	1	090
26055	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	2	1	090
26055	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	2	1	090
26055	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
26055	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	12	090
26055	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	5	0	090
26055	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	090
26055	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
26055	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
26055	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	120	0	090
26055	CMS	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.02	120	0	090
26055	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
26055	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
26055	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	090
26060	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
26060	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26060	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51		1	090
26060	CMS	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1	090
26060	CMS	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.34		1	090
26060	CMS	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.14		3	090
26060	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		12	090
26070	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
26070	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26070	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51		1	090
26070	CMS	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1	090
26070	CMS	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.34		1	090
26070	CMS	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.14		3	090
26070	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		12	090
26075	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
26075	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26075	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51		1	090
26075	CMS	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1	090
26075	CMS	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.34		1	090
26075	CMS	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.14		3	090
26075	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		12	090
26080	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26080	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26080	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51		1	090
26080	CMS	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1	090
26080	CMS	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.34		1	090
26080	CMS	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.14		3	090
26080	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		12	090
26100	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
26100	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26100	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51		1	090
26100	CMS	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1	090
26100	CMS	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.34		1	090
26100	CMS	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.14		3	090
26100	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		12	090
26105	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
26105	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26105	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51		1	090
26105	CMS	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1	090
26105	CMS	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.34		1	090
26105	CMS	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.14		3	090
26105	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		12	090
26110	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
26110	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26110	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51		1	090
26110	CMS	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.34		1	090
26110	CMS	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.14		3	090
26110	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		12	090
26111	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
26111	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26113	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
26113	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26115	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
26115	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3	2	090
26115	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
26115	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
26115	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
26115	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	1	0	090
26115	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
26115	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
26115	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
26115	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
26115	CMS	"Hypodermic, IV"	SC003	arm board	item	0.96	1	0	090
26115	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
26115	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	2	0	090
26115	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	090
26115	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
26115	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	090
26115	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	090
26115	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
26115	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
26115	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
26115	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
26115	CMS	"Wound Care, Dressings"	SG014	"bandage, elastic, self-adherent wrap 1in (Coban)"	item	1.59	1	0	090
26115	CMS	"Wound Care, Dressings"	SG015	"bandage, Esmarch-Martin, sterile 3in x 9ft"	item	6.08	1	0	090
26115	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
26115	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	090
26115	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
26115	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
26115	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
26115	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	20	0	090
26115	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
26115	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	090
26115	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
26115	CMS	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.02	10	0	090
26115	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	090
26115	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
26115	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	090
26115	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	090
26116	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
26116	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26117	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26117	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26118	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
26118	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26121	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26121	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26121	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51		1	090
26121	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
26121	CMS	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1	090
26121	CMS	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.34		1	090
26121	CMS	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.14		6	090
26121	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		12	090
26123	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
26123	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26123	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51		1	090
26123	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
26123	CMS	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1	090
26123	CMS	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.34		1	090
26123	CMS	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.14		6	090
26123	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		12	090
26130	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26130	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26130	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51		1	090
26130	CMS	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1	090
26130	CMS	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.34		1	090
26130	CMS	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.14		3	090
26130	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		12	090
26135	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26135	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26135	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51		1	090
26135	CMS	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1	090
26135	CMS	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.34		1	090
26135	CMS	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.14		3	090
26135	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		12	090
26140	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26140	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26140	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51		1	090
26140	CMS	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1	090
26140	CMS	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.34		1	090
26140	CMS	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.14		3	090
26140	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		12	090
26145	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26145	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26145	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51		1	090
26145	CMS	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1	090
26145	CMS	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.34		1	090
26145	CMS	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.14		2	090
26145	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		12	090
26160	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
26160	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3	2	090
26160	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
26160	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	090
26160	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	2	1	090
26160	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
26160	CMS	"Gown, Drape"	SB013	"drape, sterile, hand-upper extremity"	item	8.38	1	0	090
26160	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	090
26160	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
26160	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	090
26160	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
26160	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
26160	CMS	"Gown, Drape"	SB031	"lap sponge, sterile, 18inx18in (5 pack uou)"	item	4.72	1	0	090
26160	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	3	0	090
26160	CMS	"Gown, Drape"	SB038	safety glasses	item	1.92	1	0	090
26160	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	090
26160	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
26160	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1	0	090
26160	CMS	"Hypodermic, IV"	SC003	arm board	item	0.96	1	0	090
26160	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
26160	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	090
26160	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
26160	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	090
26160	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	090
26160	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	090
26160	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
26160	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
26160	CMS	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859	2	1	090
26160	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	2	1	090
26160	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	2	1	090
26160	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
26160	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	12	090
26160	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	5	0	090
26160	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	090
26160	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
26160	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
26160	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	120	0	090
26160	CMS	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.02	120	0	090
26160	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
26160	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
26160	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	090
26160	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	090
26170	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
26170	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26170	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51		1	090
26170	CMS	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1	090
26170	CMS	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.34		1	090
26170	CMS	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.14		3	090
26170	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		12	090
26180	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26180	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26180	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51		1	090
26180	CMS	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1	090
26180	CMS	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.34		1	090
26180	CMS	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.14		3	090
26180	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		12	090
26185	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26185	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26185	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51		1	090
26185	CMS	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1	090
26185	CMS	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.34		1	090
26185	CMS	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.14		3	090
26185	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		12	090
26200	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
26200	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26200	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51		1	090
26200	CMS	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1	090
26200	CMS	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.34		1	090
26200	CMS	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.14		3	090
26200	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		12	090
26205	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26205	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26205	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51		1	090
26205	CMS	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1	090
26205	CMS	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.34		1	090
26205	CMS	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.14		9	090
26205	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		24	090
26210	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26210	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26210	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51		1	090
26210	CMS	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1	090
26210	CMS	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.34		1	090
26210	CMS	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.14		3	090
26210	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		12	090
26215	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26215	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26215	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51		1	090
26215	CMS	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1	090
26215	CMS	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.34		1	090
26215	CMS	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.14		9	090
26215	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		24	090
26230	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
26230	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26230	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51		1	090
26230	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
26230	CMS	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1	090
26230	CMS	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.34		1	090
26230	CMS	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.14		6	090
26230	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		12	090
26235	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
26235	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26235	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51		1	090
26235	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
26235	CMS	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1	090
26235	CMS	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.34		1	090
26235	CMS	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.14		6	090
26235	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		12	090
26236	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
26236	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26236	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51		1	090
26236	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
26236	CMS	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1	090
26236	CMS	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.34		1	090
26236	CMS	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.14		6	090
26236	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		12	090
26250	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26250	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26260	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
26260	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26262	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
26262	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26320	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
26320	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
26340	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
26340	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
26341	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
26341	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
26341	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
26341	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
26341	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
26341	CMS	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.34	1	0	010
26341	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
26341	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
26341	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	010
26341	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	20	0	010
26350	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
26350	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26350	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		10	090
26350	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090
26350	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		15	090
26350	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26350	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26350	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26350	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26350	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		5	090
26350	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5	090
26350	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26350	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26350	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26350	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26350	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26352	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26352	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26352	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		10	090
26352	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090
26352	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		15	090
26352	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26352	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26352	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26352	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26352	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		5	090
26352	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5	090
26352	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26352	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26352	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26352	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26352	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26356	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
26356	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26356	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
26356	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		2	090
26356	CMS	"Wound Care, Dressings"	SG012	"bandage, elastic wrap 4in (Ace)"	item	0.52		1	090
26356	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
26356	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26356	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		2	090
26356	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		1	090
26356	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7		1	090
26356	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26356	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		36	090
26356	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48		1	090
26356	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		6	090
26357	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
26357	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26357	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
26357	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		2	090
26357	CMS	"Wound Care, Dressings"	SG012	"bandage, elastic wrap 4in (Ace)"	item	0.52		1	090
26357	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
26357	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26357	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		2	090
26357	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		1	090
26357	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7		1	090
26357	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26357	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		36	090
26357	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48		1	090
26357	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		6	090
26358	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
26358	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26358	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
26358	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		2	090
26358	CMS	"Wound Care, Dressings"	SG012	"bandage, elastic wrap 4in (Ace)"	item	0.52		1	090
26358	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
26358	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26358	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		2	090
26358	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		1	090
26358	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7		1	090
26358	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26358	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		36	090
26358	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48		1	090
26358	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		6	090
26370	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26370	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26370	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		10	090
26370	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090
26370	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		15	090
26370	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26370	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26370	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26370	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26370	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		5	090
26370	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5	090
26370	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26370	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26370	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26370	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26370	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26372	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26372	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26372	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		10	090
26372	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090
26372	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		15	090
26372	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26372	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26372	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26372	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26372	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		5	090
26372	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5	090
26372	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26372	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26372	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26372	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26372	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26373	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26373	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26373	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		10	090
26373	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090
26373	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		15	090
26373	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26373	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26373	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26373	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26373	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		5	090
26373	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5	090
26373	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26373	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26373	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26373	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26373	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26390	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26390	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26390	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26390	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26390	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26390	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26390	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26390	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26390	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26390	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26390	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26390	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26390	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26390	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26390	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26390	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26392	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26392	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26392	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		10	090
26392	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090
26392	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		15	090
26392	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26392	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26392	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26392	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26392	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		5	090
26392	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5	090
26392	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26392	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26392	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26392	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26392	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26410	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
26410	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26410	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		8	090
26410	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090
26410	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		12	090
26410	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26410	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26410	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26410	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26410	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		4	090
26410	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		4	090
26410	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26410	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26410	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26410	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26410	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26412	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26412	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26412	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		8	090
26412	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090
26412	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		12	090
26412	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26412	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26412	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26412	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26412	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		4	090
26412	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		4	090
26412	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26412	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26412	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26412	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26412	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26415	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26415	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26415	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		8	090
26415	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090
26415	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		12	090
26415	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26415	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26415	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26415	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26415	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		4	090
26415	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		4	090
26415	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26415	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26415	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26415	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26415	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26416	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26416	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26416	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		8	090
26416	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090
26416	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		12	090
26416	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26416	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26416	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26416	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26416	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		4	090
26416	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		4	090
26416	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26416	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26416	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26416	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26416	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26418	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
26418	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26418	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		8	090
26418	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090
26418	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		12	090
26418	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26418	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26418	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26418	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26418	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		4	090
26418	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		4	090
26418	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26418	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26418	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26418	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26418	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26420	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26420	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26420	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		8	090
26420	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090
26420	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		12	090
26420	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26420	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26420	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26420	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26420	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		4	090
26420	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		4	090
26420	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26420	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26420	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26420	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26420	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26426	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26426	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26428	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26428	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26428	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		8	090
26428	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090
26428	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		12	090
26428	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26428	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26428	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26428	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26428	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		4	090
26428	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		4	090
26428	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26428	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26428	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26428	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26428	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26432	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
26432	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26432	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26432	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26432	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26432	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26432	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26432	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26432	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26432	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26432	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26432	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26432	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26432	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26432	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26432	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26433	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
26433	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26433	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26433	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26433	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26433	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26433	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26433	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26433	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26433	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26433	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26433	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26433	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26433	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26433	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26433	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26434	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26434	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26434	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26434	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26434	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26434	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26434	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26434	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26434	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26434	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26434	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26434	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26434	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26434	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26434	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26434	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26437	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26437	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26437	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26437	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26437	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26437	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26437	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26437	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26437	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26437	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26437	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26437	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26437	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26437	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26437	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26437	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26440	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
26440	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26440	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		10	090
26440	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090
26440	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		15	090
26440	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26440	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26440	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26440	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26440	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		5	090
26440	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5	090
26440	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26440	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26440	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26440	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26440	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26442	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
26442	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26442	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		10	090
26442	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090
26442	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		15	090
26442	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26442	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26442	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26442	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26442	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		5	090
26442	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5	090
26442	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26442	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26442	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26442	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26442	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26445	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
26445	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26445	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		10	090
26445	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090
26445	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		15	090
26445	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26445	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26445	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26445	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26445	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		5	090
26445	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5	090
26445	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26445	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26445	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26445	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26445	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26449	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
26449	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
26450	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
26450	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26450	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
26450	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
26450	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		3	090
26450	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26450	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26450	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26450	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26450	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		1	090
26450	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		1	090
26450	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26450	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26450	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26450	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26450	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26455	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
26455	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26455	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
26455	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
26455	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		3	090
26455	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26455	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26455	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26455	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26455	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		1	090
26455	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		1	090
26455	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26455	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26455	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26455	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26455	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26460	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
26460	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26460	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
26460	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
26460	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		3	090
26460	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26460	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26460	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26460	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26460	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		1	090
26460	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		1	090
26460	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26460	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26460	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26460	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26460	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26471	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26471	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26471	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26471	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26471	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26471	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26471	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26471	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26471	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26471	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26471	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26471	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26471	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26471	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26471	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26471	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26474	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26474	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26474	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26474	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26474	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26474	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26474	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26474	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26474	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26474	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26474	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26474	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26474	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26474	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26474	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26474	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26476	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26476	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26476	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26476	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26476	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26476	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26476	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26476	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26476	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26476	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26476	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26476	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26476	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26476	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26476	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26476	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26477	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26477	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26477	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26477	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26477	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26477	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26477	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26477	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26477	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26477	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26477	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26477	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26477	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26477	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26477	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26477	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26478	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26478	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26478	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26478	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26478	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26478	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26478	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26478	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26478	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26478	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26478	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26478	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26478	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26478	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26478	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26478	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26479	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26479	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26479	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26479	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26479	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26479	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26479	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26479	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26479	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26479	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26479	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26479	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26479	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26479	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26479	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26479	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26480	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26480	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26480	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51		1	090
26480	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
26480	RUC	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.34		2	090
26480	RUC	"Wound Care, Dressings"	SG027	"cast, stockinette 4in"	yd	0.6		0.5	090
26480	RUC	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.14		4	090
26480	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		6	090
26480	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		2	090
26480	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07		4	090
26483	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26483	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26483	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		10	090
26483	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090
26483	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		15	090
26483	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26483	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26483	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26483	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26483	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		5	090
26483	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5	090
26483	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26483	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26483	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26483	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26483	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26485	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26485	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26485	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		10	090
26485	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090
26485	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		15	090
26485	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26485	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26485	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26485	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26485	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		5	090
26485	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5	090
26485	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26485	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26485	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26485	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26485	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26489	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26489	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26489	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		10	090
26489	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090
26489	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		15	090
26489	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26489	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26489	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26489	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26489	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		5	090
26489	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5	090
26489	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26489	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26489	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26489	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26489	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26490	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26490	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26490	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26490	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26490	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26490	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26490	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26490	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26490	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26490	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26490	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26490	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26490	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26490	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26490	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26490	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26492	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
26492	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26492	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26492	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26492	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26492	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26492	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26492	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26492	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26492	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26492	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26492	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26492	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26492	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26492	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26492	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26494	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26494	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26494	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26494	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26494	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26494	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26494	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26494	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26494	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26494	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26494	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26494	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26494	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26494	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26494	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26494	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26496	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26496	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26496	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26496	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26496	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26496	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26496	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26496	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26496	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26496	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26496	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26496	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26496	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26496	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26496	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26496	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26497	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26497	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26497	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26497	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26497	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26497	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26497	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26497	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26497	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26497	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26497	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26497	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26497	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26497	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26497	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26497	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26498	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
26498	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26498	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26498	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26498	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26498	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26498	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26498	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26498	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26498	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26498	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26498	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26498	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26498	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26498	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26498	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26499	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26499	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26499	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26499	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26499	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26499	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26499	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26499	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26499	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26499	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26499	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26499	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26499	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26499	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26499	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26499	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26500	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26500	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26500	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26500	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26500	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26500	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26500	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26500	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26500	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26500	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26500	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26500	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26500	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26500	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26500	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26500	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26502	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26502	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26502	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26502	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26502	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26502	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26502	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26502	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26502	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26502	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26502	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26502	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26502	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26502	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26502	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26502	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26508	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26508	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26508	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26508	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26508	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26508	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26508	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26508	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26508	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26508	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26508	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26508	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26508	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26508	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26508	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26508	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26510	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26510	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26510	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26510	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26510	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26510	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26510	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26510	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26510	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26510	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26510	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26510	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26510	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26510	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26510	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26510	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26516	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26516	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26516	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26516	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26516	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26516	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26516	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26516	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26516	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26516	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26516	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26516	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26516	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26516	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26516	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26516	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26517	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26517	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26517	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26517	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26517	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26517	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26517	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26517	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26517	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26517	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26517	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26517	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26517	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26517	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26517	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26517	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26518	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26518	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26518	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26518	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26518	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26518	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26518	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26518	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26518	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26518	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26518	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26518	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26518	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26518	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26518	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26518	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26520	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26520	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26520	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		10	090
26520	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090
26520	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		15	090
26520	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26520	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26520	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26520	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26520	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		5	090
26520	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5	090
26520	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26520	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26520	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26520	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26520	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26525	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26525	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26525	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		10	090
26525	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090
26525	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		15	090
26525	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26525	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26525	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26525	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26525	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		5	090
26525	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5	090
26525	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26525	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26525	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26525	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26525	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26530	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26530	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		0.5	090
26531	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
26531	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		0.5	090
26535	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26535	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		0.5	090
26536	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26536	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26536	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090
26536	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26536	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26536	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26536	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26536	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		5	090
26536	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5	090
26536	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26536	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26536	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26536	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26536	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26540	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26540	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26540	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26540	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26540	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26540	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26540	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26540	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26540	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26540	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26540	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26540	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26540	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26540	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26540	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26540	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26541	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26541	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26541	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26541	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26541	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26541	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26541	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26541	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26541	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26541	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26541	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26541	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26541	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26541	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26541	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26541	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26542	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26542	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26542	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26542	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26542	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26542	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26542	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26542	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26542	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26542	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26542	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26542	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26542	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26542	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26542	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26542	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26545	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26545	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26545	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26545	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26545	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26545	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26545	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26545	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26545	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26545	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26545	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26545	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26545	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26545	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26545	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26545	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26546	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		2	090
26546	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
26546	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26546	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26546	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26546	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26546	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26546	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26546	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26546	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26546	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26546	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26546	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26546	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26546	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26546	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26548	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26548	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26548	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26548	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26548	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26548	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26548	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26548	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26548	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26548	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26548	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26548	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26548	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26548	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26548	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26548	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26550	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26550	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26550	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		10	090
26550	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090
26550	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		15	090
26550	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26550	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26550	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26550	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26550	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		5	090
26550	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5	090
26550	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26550	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26550	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26550	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26550	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26551	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		2	090
26551	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		7	090
26551	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		10	090
26551	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090
26551	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		15	090
26551	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26551	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26551	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26551	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26551	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		5	090
26551	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5	090
26551	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26551	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26551	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26551	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26551	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26553	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		2	090
26553	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		7	090
26553	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		10	090
26553	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090
26553	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		15	090
26553	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26553	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26553	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26553	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26553	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		5	090
26553	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5	090
26553	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26553	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26553	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26553	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26553	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26554	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		2	090
26554	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		8	090
26554	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		10	090
26554	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090
26554	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		15	090
26554	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26554	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26554	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26554	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26554	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		5	090
26554	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5	090
26554	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26554	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26554	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26554	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26554	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26555	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26555	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26555	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		10	090
26555	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090
26555	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		15	090
26555	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26555	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26555	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26555	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26555	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		5	090
26555	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5	090
26555	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26555	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26555	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26555	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26555	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26556	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		2	090
26556	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		8	090
26556	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		10	090
26556	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090
26556	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		15	090
26556	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26556	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26556	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26556	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26556	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		5	090
26556	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5	090
26556	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26556	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26556	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26556	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26556	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26560	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
26560	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26560	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26560	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26560	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26560	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26560	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26560	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26560	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26560	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26560	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26560	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26560	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26560	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26560	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26560	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26561	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26561	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26561	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26561	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26561	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26561	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26561	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26561	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26561	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26561	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26561	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26561	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26561	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26561	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26561	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26561	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26562	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
26562	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26562	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26562	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26562	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26562	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26562	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26562	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26562	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26562	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26562	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26562	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26562	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26562	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26562	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26562	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26565	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26565	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26565	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26565	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26565	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26565	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26565	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26565	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26565	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26565	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26565	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26565	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26565	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26565	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26565	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26565	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26567	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26567	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26567	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26567	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26567	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26567	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26567	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26567	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26567	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26567	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26567	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26567	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26567	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26567	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26567	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26567	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26568	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26568	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26568	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		10	090
26568	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090
26568	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		15	090
26568	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26568	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26568	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26568	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26568	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		5	090
26568	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5	090
26568	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26568	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26568	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26568	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26568	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26580	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
26580	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26580	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26580	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26580	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26580	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26580	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26580	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26580	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26580	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26580	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26580	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26580	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26580	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26580	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26580	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26587	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
26587	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
26590	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26590	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26590	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26590	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26590	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26590	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26590	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26590	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26590	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26590	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26590	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26590	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26590	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26590	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26590	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26590	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26591	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
26591	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26591	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26591	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26591	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26591	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26591	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26591	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26591	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26591	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26591	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26591	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26591	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26591	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26591	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26591	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26593	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26593	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26593	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26593	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26593	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26593	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26593	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26593	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26593	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26593	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26593	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26593	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26593	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26593	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26593	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26593	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26596	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26596	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26596	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
26596	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
26596	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		3	090
26596	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26596	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26596	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26596	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26596	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		1	090
26596	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		1	090
26596	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26596	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26596	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26596	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26596	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26600	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	4	090
26600	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
26600	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
26600	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
26605	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4.5	3.5	090
26605	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
26605	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
26605	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
26605	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
26605	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
26605	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
26607	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		5	090
26607	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
26607	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		5	090
26607	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		5	090
26607	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		10	090
26607	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		10	090
26607	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		30	090
26607	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		50	090
26607	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		10	090
26608	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26608	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		4	090
26608	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63		1	090
26608	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
26608	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5	090
26608	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04		1	090
26608	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54		1	090
26608	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
26608	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		1	090
26608	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		2	090
26608	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		6	090
26608	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5		10	090
26608	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48		1	090
26608	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		1	090
26615	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26615	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26615	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		4	090
26615	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
26641	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5	4	090
26641	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
26641	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
26641	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
26641	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
26641	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
26641	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
26645	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4.5	3.5	090
26645	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
26645	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
26645	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
26645	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
26645	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
26645	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
26650	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26650	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		4	090
26650	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63		1	090
26650	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
26650	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5	090
26650	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04		1	090
26650	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54		1	090
26650	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
26650	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		1	090
26650	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		2	090
26650	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		6	090
26650	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5		10	090
26650	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48		1	090
26650	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		1	090
26665	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26665	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26665	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		4	090
26665	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
26670	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
26670	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
26670	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
26670	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
26670	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
26670	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
26670	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
26675	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5	4	090
26675	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
26675	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
26675	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
26675	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
26675	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
26675	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
26676	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
26676	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		4	090
26676	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63		1	090
26676	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
26676	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5	090
26676	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04		1	090
26676	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54		1	090
26676	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
26676	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		1	090
26676	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		2	090
26676	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		6	090
26676	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5		10	090
26676	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48		1	090
26676	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		1	090
26685	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26685	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26685	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		4	090
26685	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
26686	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26686	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26686	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		4	090
26686	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
26700	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
26700	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
26700	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
26700	CMS	"Wound Care, Dressings"	SG086	"splint, finger (metal-foam)"	item	2.01	1	0	090
26705	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5	4	090
26705	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
26705	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
26705	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
26705	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
26705	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
26705	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
26705	CMS	"Wound Care, Dressings"	SG086	"splint, finger (metal-foam)"	item	2.01	1	0	090
26705	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
26706	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26715	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26715	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26715	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		4	090
26715	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
26720	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	2	090
26720	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
26720	CMS	"Wound Care, Dressings"	SG086	"splint, finger (metal-foam)"	item	2.01	1	0	090
26725	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
26725	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
26725	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
26725	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
26725	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
26725	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
26725	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
26725	CMS	"Wound Care, Dressings"	SG086	"splint, finger (metal-foam)"	item	2.01	1	0	090
26725	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
26727	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26727	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		4	090
26727	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63		1	090
26727	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
26727	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5	090
26727	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04		1	090
26727	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54		1	090
26727	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
26727	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		1	090
26727	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		2	090
26727	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		6	090
26727	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5		10	090
26727	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48		1	090
26727	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		1	090
26735	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26735	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26735	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		4	090
26735	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
26740	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2.5	2.5	090
26740	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
26740	CMS	"Wound Care, Dressings"	SG086	"splint, finger (metal-foam)"	item	2.01	1	0	090
26742	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
26742	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
26742	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
26742	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
26742	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
26742	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
26742	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
26742	CMS	"Wound Care, Dressings"	SG086	"splint, finger (metal-foam)"	item	2.01	1	0	090
26742	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
26746	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
26746	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26746	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		4	090
26746	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
26750	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	2	090
26750	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
26750	CMS	"Wound Care, Dressings"	SG086	"splint, finger (metal-foam)"	item	2.01	1	0	090
26755	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3.5	2.5	090
26755	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
26755	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
26755	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
26755	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
26755	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
26755	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
26755	CMS	"Wound Care, Dressings"	SG086	"splint, finger (metal-foam)"	item	2.01	1	0	090
26755	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
26756	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26756	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		4	090
26756	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63		1	090
26756	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
26756	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5	090
26756	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04		1	090
26756	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54		1	090
26756	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
26756	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		1	090
26756	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		2	090
26756	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		6	090
26756	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5		10	090
26756	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48		1	090
26756	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		1	090
26765	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26765	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26765	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		4	090
26765	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
26770	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3.5	2.5	090
26770	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
26770	CMS	"Wound Care, Dressings"	SG086	"splint, finger (metal-foam)"	item	2.01	1	0	090
26775	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5	4	090
26775	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
26775	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
26775	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
26775	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
26775	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
26775	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
26775	CMS	"Wound Care, Dressings"	SG086	"splint, finger (metal-foam)"	item	2.01	1	0	090
26775	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
26776	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26776	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		4	090
26776	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63		1	090
26776	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
26776	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5	090
26776	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04		1	090
26776	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54		1	090
26776	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
26776	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		1	090
26776	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		2	090
26776	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		6	090
26776	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5		10	090
26776	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48		1	090
26776	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		1	090
26785	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26785	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26785	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		4	090
26785	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
26820	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26820	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26820	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26820	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26820	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26820	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26820	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26820	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26820	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26820	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26820	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26820	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26820	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26820	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26820	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26820	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26841	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
26841	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26841	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26841	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26841	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26841	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26841	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26841	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26841	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26841	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26841	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26841	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26841	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26841	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26841	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26841	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26842	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26842	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26842	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26842	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26842	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26842	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26842	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26842	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26842	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26842	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26842	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26842	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26842	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26842	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26842	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26842	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26843	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26843	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26843	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26843	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26843	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26843	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26843	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26843	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26843	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26843	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26843	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26843	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26843	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26843	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26843	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26843	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26844	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26844	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26844	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26844	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26844	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26844	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26844	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26844	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26844	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26844	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26844	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26844	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26844	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26844	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26844	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26844	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26850	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26850	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26850	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26850	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26850	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26850	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26850	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26850	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26850	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26850	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26850	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26850	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26850	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26850	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26850	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26850	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26852	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26852	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26852	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26852	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26852	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26852	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26852	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26852	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26852	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26852	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26852	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26852	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26852	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26852	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26852	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26852	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26860	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26860	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26860	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26860	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26860	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26860	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26860	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26860	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26860	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26860	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26860	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26860	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26860	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26860	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26860	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26860	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26862	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26862	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26862	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26862	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26862	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26862	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26862	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26862	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26862	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26862	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26862	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26862	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26862	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26862	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26862	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26862	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26910	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26910	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26910	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26910	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26910	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26910	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26910	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26910	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26910	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26910	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26910	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26910	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26910	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26910	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26910	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26910	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26951	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
26951	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26951	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26951	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26951	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26951	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26951	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26951	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26951	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26951	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26951	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26951	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26951	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26951	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26951	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26951	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26952	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26952	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
26952	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
26952	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
26952	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		9	090
26952	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		2	090
26952	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		2	090
26952	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
26952	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
26952	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		3	090
26952	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3	090
26952	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
26952	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		4	090
26952	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
26952	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		150	090
26952	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
26990	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26990	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
26990	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		10	090
26990	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		5	090
26990	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		5	090
26990	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		30	090
26990	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		30	090
26990	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		600	090
26990	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		50	090
26990	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		5	090
26991	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
26991	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
26991	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
26991	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
26991	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
26991	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
26991	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
26991	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
26991	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
26991	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
26991	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
26991	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	090
26991	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
26991	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
26991	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	2	0	090
26991	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
26991	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
26991	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
26991	CMS	Lab	SL146	tubed culture media	item	0.92	1	0	090
26992	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
26992	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
26992	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		10	090
26992	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		5	090
26992	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		5	090
26992	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		30	090
26992	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		30	090
26992	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		600	090
26992	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		50	090
26992	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		5	090
27000	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
27000	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27001	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
27001	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27003	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27003	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27005	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27005	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27006	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27006	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27025	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
27025	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27027	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27027	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27027	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46		1	090
27027	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		1	090
27030	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27030	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27033	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27033	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27035	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
27035	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27036	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27036	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
27036	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		2	090
27036	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		2	090
27036	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		6	090
27036	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		10	090
27036	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		3	090
27040	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
27040	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
27040	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	010
27040	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	010
27040	CMS	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	1.88	1	0	010
27040	CMS	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	6.71	1	0	010
27040	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	010
27040	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
27040	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
27040	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
27040	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
27040	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
27040	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
27040	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	010
27040	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
27040	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	010
27040	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
27040	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
27040	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	010
27041	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27041	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27043	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
27043	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27045	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
27045	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27047	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
27047	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3	2	090
27047	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
27047	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
27047	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
27047	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2	0	090
27047	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
27047	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
27047	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
27047	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2	0	090
27047	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
27047	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	2	0	090
27047	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	090
27047	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
27047	CMS	"Cutters, Closures, Cautery"	SF010	"blade, surgical hair clipper"	item	8.29	0.5	0	090
27047	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
27047	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
27047	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
27047	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
27047	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
27047	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	090
27047	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	090
27047	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
27047	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	10	0	090
27047	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	090
27047	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
27047	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	2	0	090
27047	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
27047	CMS	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.02	10	0	090
27047	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
27047	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
27047	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	090
27047	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	090
27048	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
27048	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27049	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27049	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27050	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
27050	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27052	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
27052	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27054	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27054	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27057	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27057	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27057	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46		1	090
27057	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		1	090
27059	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27059	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27060	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
27060	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27062	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
27062	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27065	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27065	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27066	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
27066	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27067	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
27067	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27070	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27070	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27070	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		10	090
27070	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		5	090
27070	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		5	090
27070	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		30	090
27070	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		30	090
27070	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		600	090
27070	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		50	090
27070	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		5	090
27071	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
27071	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27071	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		10	090
27071	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		5	090
27071	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		5	090
27071	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		30	090
27071	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		30	090
27071	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		600	090
27071	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		50	090
27071	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		5	090
27075	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27075	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27076	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27076	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27077	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27077	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27078	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27078	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27080	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
27080	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27086	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
27086	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
27086	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	010
27086	CMS	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	1.88	1	0	010
27086	CMS	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	6.71	1	0	010
27086	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	010
27086	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
27086	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
27086	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
27086	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
27086	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
27086	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
27086	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	010
27086	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
27086	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	010
27086	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
27086	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
27086	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	010
27086	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	010
27086	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	010
27086	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
27086	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	010
27087	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27087	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27090	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27090	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27091	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27091	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27093	CMS	"Kit, Pack, Tray"	SA060	"tray, arthrogram"	tray	29.39	1	0	000
27093	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
27093	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
27093	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
27093	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	000
27093	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	30	0	000
27095	CMS	"Kit, Pack, Tray"	SA060	"tray, arthrogram"	tray	29.39	1	0	000
27095	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
27095	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
27095	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
27095	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	000
27095	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	10	0	000
27095	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	30	0	000
27096	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	000
27096	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
27096	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	000
27096	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	000
27096	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
27096	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	5	0	000
27097	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27097	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27098	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27098	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27100	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
27100	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27105	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
27105	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27110	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
27110	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27111	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
27111	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27120	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
27120	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27122	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
27122	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27125	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27125	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27130	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
27130	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27132	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27132	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27134	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
27134	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27137	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
27137	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27138	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
27138	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27140	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27140	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27146	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27146	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27147	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27147	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27151	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27151	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27156	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27156	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27158	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
27158	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27161	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
27161	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27165	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
27165	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27170	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
27170	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27175	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
27176	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
27176	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27177	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
27177	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27178	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
27178	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27179	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
27179	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27181	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27181	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27185	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27185	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27187	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
27187	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27197	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	000
27198	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	000
27200	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2.5	1.5	090
27202	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
27202	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27215	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
27215	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27216	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27216	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27217	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27217	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27218	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27218	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27220	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
27222	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
27222	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27226	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27226	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27227	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27227	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27228	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27228	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27230	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5	4	090
27232	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
27235	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27235	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27236	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27236	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27238	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27240	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
27244	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27244	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27245	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27245	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27246	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3.5	2.5	090
27248	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27248	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27252	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27253	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27253	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27254	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
27254	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27256	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
27257	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	010
27258	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
27258	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27259	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27259	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27265	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27266	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27267	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27268	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27269	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27269	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27275	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	010
27278	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	2	090
27278	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	090
27278	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
27278	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	090
27278	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
27278	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
27278	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	090
27278	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	0	090
27278	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	090
27278	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
27278	CMS	"Accessory, Procedure"	SD087	"guide, needle, for localization"	item	21.29	1	0	090
27278	CMS	"Accessory, Procedure"	SD356	Dorsal SI Joint Arthrodesis Implant	item	11500	1	0	090
27278	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	090
27278	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	090
27278	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
27278	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
27278	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	090
27278	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	090
27278	CMS	"Pharmacy, Rx"	SH076	"adhesive, cyanoacrylate (2ml uou).doc"	item	31.35	1	0	090
27278	CMS	"Pharmacy, NonRx"	SJ017	DuraPrep surgical soln (26ml uou)	item	7.96	1	0	090
27278	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
27279	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
27279	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27280	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
27280	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27282	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
27282	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27284	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
27284	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27286	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27286	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27290	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
27290	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27295	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27295	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27301	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
27301	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4.5	3.5	090
27301	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
27301	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
27301	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
27301	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
27301	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
27301	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
27301	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
27301	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
27301	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
27301	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
27301	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
27301	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
27301	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
27301	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
27301	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
27301	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
27301	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
27301	CMS	Lab	SL146	tubed culture media	item	0.92	1	0	090
27303	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27303	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27305	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
27305	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27306	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
27306	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27307	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
27307	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27310	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27310	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27323	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
27323	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
27323	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	010
27323	CMS	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	1.88	1	0	010
27323	CMS	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	6.71	1	0	010
27323	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	010
27323	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
27323	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
27323	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
27323	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
27323	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
27323	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
27323	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	010
27323	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
27323	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	010
27323	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
27323	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
27323	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	010
27324	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
27324	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27325	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27325	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27325	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
27326	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27326	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27326	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
27327	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
27327	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3	2	090
27327	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
27327	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
27327	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
27327	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	1	0	090
27327	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
27327	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
27327	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
27327	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
27327	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
27327	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	2	0	090
27327	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	090
27327	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
27327	CMS	"Cutters, Closures, Cautery"	SF010	"blade, surgical hair clipper"	item	8.29	0.5	0	090
27327	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	090
27327	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	090
27327	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
27327	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
27327	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
27327	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
27327	CMS	"Wound Care, Dressings"	SG014	"bandage, elastic, self-adherent wrap 1in (Coban)"	item	1.59	1	0	090
27327	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
27327	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	090
27327	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
27327	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
27327	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
27327	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	10	0	090
27327	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	090
27327	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
27327	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	090
27327	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
27327	CMS	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.02	10	0	090
27327	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
27327	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
27327	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	090
27327	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	090
27328	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
27328	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27329	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27329	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27330	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
27330	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27331	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
27331	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27332	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27332	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27333	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27333	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27334	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27334	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27335	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27335	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27337	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
27337	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27339	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
27339	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27340	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
27340	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27345	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27345	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27347	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
27347	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27350	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27350	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27355	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27355	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27356	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27356	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27357	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
27357	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27360	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27360	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27360	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		10	090
27360	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		5	090
27360	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		5	090
27360	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		30	090
27360	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		30	090
27360	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		600	090
27360	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		50	090
27360	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		5	090
27364	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27364	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27365	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27365	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27369	CMS	"Kit, Pack, Tray"	SA060	"tray, arthrogram"	tray	29.39	1	0	000
27369	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
27369	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
27369	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	10	0	000
27369	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1	0	000
27369	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	30	0	000
27372	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
27372	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
27372	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
27372	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
27372	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
27372	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
27372	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
27372	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
27372	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
27372	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
27372	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
27372	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
27372	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
27372	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
27372	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
27372	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
27372	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
27372	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
27372	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
27372	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
27372	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
27372	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
27372	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
27380	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27380	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27380	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		5	090
27380	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		2	090
27380	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		2	090
27380	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		14	090
27380	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		2	090
27380	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		18	090
27380	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		240	090
27380	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		30	090
27380	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		5	090
27381	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27381	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27381	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		5	090
27381	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		2	090
27381	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		2	090
27381	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		14	090
27381	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		2	090
27381	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		18	090
27381	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		240	090
27381	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		30	090
27381	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		5	090
27385	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27385	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27385	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		5	090
27385	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		2	090
27385	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		2	090
27385	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		16	090
27385	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		2	090
27385	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		21	090
27385	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		274	090
27385	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		34	090
27385	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		6	090
27386	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
27386	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27386	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		5	090
27386	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		2	090
27386	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		2	090
27386	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		14	090
27386	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		2	090
27386	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		18	090
27386	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		240	090
27386	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		30	090
27386	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		5	090
27390	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
27390	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27391	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27391	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27392	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27392	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27393	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
27393	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27394	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27394	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27395	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
27395	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27396	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27396	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27397	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27397	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27400	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27400	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27403	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27403	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27403	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		3	090
27405	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27405	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27407	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
27407	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27409	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
27409	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27412	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
27412	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
27415	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
27415	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
27416	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	090
27416	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27418	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
27418	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27420	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27420	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27422	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27422	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27424	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27424	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27425	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27425	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27427	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27427	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27428	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
27428	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27429	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
27429	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27430	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27430	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27435	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27435	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27437	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27437	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27438	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27438	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27440	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27440	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27441	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27441	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27442	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27442	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27443	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27443	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27446	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
27446	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27447	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
27447	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27448	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27448	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27450	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
27450	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27454	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27454	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27455	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27455	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27455	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		2	090
27455	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		2	090
27455	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		12	090
27455	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		12	090
27455	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		240	090
27455	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		20	090
27457	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27457	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27458	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		8	090
27458	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27465	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27465	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27466	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27466	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27470	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
27470	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27472	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
27472	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27475	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27475	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27477	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27477	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27479	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27479	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27485	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27485	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27486	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27486	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27487	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27487	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27488	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27488	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27495	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
27495	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27496	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27496	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27497	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
27497	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27498	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27498	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27499	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27499	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27500	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
27500	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
27500	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
27500	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
27501	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
27501	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
27501	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
27501	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
27502	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27503	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27506	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
27506	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27507	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
27507	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27508	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	4	090
27508	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
27508	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
27508	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
27509	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27509	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27509	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		6	090
27509	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		3	090
27509	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		3	090
27509	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		18	090
27509	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		18	090
27509	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		360	090
27509	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		30	090
27510	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27511	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27511	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27513	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27513	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27514	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27514	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27516	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5.5	4.5	090
27516	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
27516	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
27516	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
27517	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4.5	090
27519	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27519	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27520	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3.5	3.5	090
27520	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
27520	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
27520	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
27524	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27524	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27530	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	4	090
27530	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
27530	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
27530	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
27532	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5	4	090
27532	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
27532	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
27532	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
27535	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27535	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27536	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27536	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27538	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5.5	4.5	090
27538	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
27538	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
27538	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
27540	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27540	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27550	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5.5	4.5	090
27550	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
27550	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
27550	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
27552	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
27556	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27556	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27557	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27557	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27558	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27558	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27560	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4.5	3.5	090
27560	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
27560	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
27560	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
27562	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27566	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27566	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27570	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	010
27580	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27580	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27580	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		8	090
27580	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		4	090
27580	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		4	090
27580	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		24	090
27580	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		24	090
27580	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		480	090
27580	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		40	090
27580	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
27590	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27590	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27591	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27591	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27592	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27592	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27594	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27594	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27596	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
27596	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27598	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
27598	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27600	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
27600	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27601	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27601	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27602	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27602	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27603	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
27603	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4.5	3.5	090
27603	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
27603	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
27603	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
27603	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
27603	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
27603	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
27603	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
27603	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
27603	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
27603	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
27603	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
27603	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
27603	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
27603	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
27603	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
27603	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
27603	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
27604	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
27604	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3.5	2.5	090
27604	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
27604	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
27604	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
27604	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
27604	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
27604	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
27604	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
27604	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
27604	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
27604	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
27604	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
27604	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
27604	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
27604	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
27604	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
27604	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
27604	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
27605	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
27605	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
27605	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	010
27605	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	010
27605	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	010
27605	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	010
27605	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
27605	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
27605	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
27605	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	010
27605	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	010
27605	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7	3	0	010
27605	CMS	"Wound Care, Dressings"	SG028	"cast, stockinette 6in"	yd	1.14	3	0	010
27605	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	010
27605	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
27605	CMS	"Wound Care, Dressings"	SG068	plaster bandage (4in x 5yd uou)	item	0.78	3	0	010
27605	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	108	0	010
27605	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	010
27605	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	010
27605	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	010
27605	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
27605	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	010
27606	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	010
27606	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	010
27607	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27607	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27610	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27610	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27612	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
27612	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27613	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
27613	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	1	010
27613	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	010
27613	CMS	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	1.88	1	0	010
27613	CMS	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	6.71	1	0	010
27613	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	010
27613	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
27613	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
27613	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
27613	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
27613	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
27613	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
27613	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	010
27613	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
27613	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	010
27613	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
27613	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
27613	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	010
27614	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
27614	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
27614	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
27614	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
27614	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
27614	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
27614	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
27614	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
27614	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
27614	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
27614	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
27614	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
27614	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
27614	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
27614	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
27614	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
27614	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
27614	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
27614	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
27614	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
27614	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
27615	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27615	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27616	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27616	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27618	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
27618	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3	2	090
27618	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
27618	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
27618	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
27618	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	1	0	090
27618	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
27618	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
27618	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
27618	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
27618	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
27618	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	2	0	090
27618	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	090
27618	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
27618	CMS	"Cutters, Closures, Cautery"	SF010	"blade, surgical hair clipper"	item	8.29	0.5	0	090
27618	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	090
27618	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	090
27618	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
27618	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
27618	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
27618	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
27618	CMS	"Wound Care, Dressings"	SG014	"bandage, elastic, self-adherent wrap 1in (Coban)"	item	1.59	1	0	090
27618	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
27618	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	090
27618	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
27618	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
27618	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
27618	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	10	0	090
27618	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	090
27618	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
27618	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	090
27618	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
27618	CMS	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.02	10	0	090
27618	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
27618	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
27618	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	090
27618	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	090
27619	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
27619	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27620	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27620	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27625	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27625	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27626	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27626	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27630	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
27630	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
27630	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
27630	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
27630	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
27630	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
27630	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
27630	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
27630	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
27630	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
27630	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
27630	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
27630	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
27630	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
27630	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
27630	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
27630	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
27630	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
27630	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
27630	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
27630	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
27630	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
27630	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
27632	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
27632	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27634	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
27634	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27635	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27635	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27637	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
27637	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27638	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27638	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27640	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
27640	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27641	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27641	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27645	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27645	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27646	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27646	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27647	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
27647	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27648	CMS	"Kit, Pack, Tray"	SA060	"tray, arthrogram"	tray	29.39	1	0	000
27648	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
27648	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
27648	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
27648	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	30	0	000
27650	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
27650	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27652	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
27652	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27654	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
27654	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27656	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
27656	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
27656	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
27656	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
27656	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
27656	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
27656	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
27656	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
27656	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
27656	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
27656	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
27656	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
27656	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
27656	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	090
27656	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
27656	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
27656	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
27656	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
27656	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
27656	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
27656	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
27656	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
27656	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
27658	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
27658	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27659	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3.5	090
27659	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27664	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
27664	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27665	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3.5	090
27665	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27675	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27675	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27676	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27676	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27680	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
27680	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27681	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27681	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27685	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
27685	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5	4	090
27685	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
27685	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
27685	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
27685	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
27685	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
27685	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
27685	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
27685	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
27685	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
27685	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
27685	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
27685	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	090
27685	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
27685	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
27685	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
27685	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
27685	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
27685	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
27685	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
27685	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
27685	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
27686	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3.5	090
27686	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27687	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27687	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27690	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
27690	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27691	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
27691	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27695	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27695	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27696	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27696	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27698	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27698	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27700	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27700	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27702	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
27702	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27703	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
27703	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27704	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27704	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27705	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27705	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27707	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27707	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27709	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27709	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27712	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27712	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27713	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		8	090
27713	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27715	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27715	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27720	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
27720	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27722	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
27722	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27724	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
27724	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27725	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27725	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27726	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27727	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
27727	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27730	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27730	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27732	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27732	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27734	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27734	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27740	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27740	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27742	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27742	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27745	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27745	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27750	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3.5	3.5	090
27750	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
27750	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
27750	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
27752	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5	4	090
27752	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
27752	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
27752	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
27756	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27756	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27758	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
27758	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27759	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27759	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27760	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	4	090
27760	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
27760	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
27760	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
27762	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5.5	4.5	090
27762	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
27762	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
27762	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
27766	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27766	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27767	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5	4	090
27767	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
27767	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
27768	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27769	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	090
27769	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27780	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3.5	3.5	090
27780	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
27780	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
27780	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
27781	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5	4	090
27781	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
27781	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
27781	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
27784	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27784	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27786	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3.5	3.5	090
27786	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
27786	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
27786	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
27788	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5	4	090
27788	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
27788	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
27788	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
27792	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27792	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27808	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	4	090
27808	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
27808	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
27808	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
27810	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5	4	090
27810	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
27810	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
27810	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
27814	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27814	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27816	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4.5	3.5	090
27816	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
27816	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
27816	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
27818	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5	4	090
27818	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
27818	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
27818	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
27822	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27822	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27822	CMS	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06		16	090
27822	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		4	090
27822	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		8	090
27822	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		8	090
27822	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		24	090
27822	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		40	090
27822	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		12	090
27823	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27823	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27823	CMS	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06		16	090
27823	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		4	090
27823	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		8	090
27823	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		8	090
27823	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		24	090
27823	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		40	090
27823	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		12	090
27824	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
27824	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
27824	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
27824	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
27824	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
27824	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
27824	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
27825	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
27825	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
27825	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
27825	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
27825	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
27825	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
27825	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
27826	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27826	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27826	CMS	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06		16	090
27826	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		4	090
27826	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		8	090
27826	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		8	090
27826	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		24	090
27826	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		40	090
27826	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		12	090
27827	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
27827	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27827	CMS	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06		16	090
27827	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		4	090
27827	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		8	090
27827	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		8	090
27827	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		24	090
27827	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		40	090
27827	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		12	090
27828	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
27828	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27828	CMS	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06		16	090
27828	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		4	090
27828	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		8	090
27828	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		8	090
27828	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		24	090
27828	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		40	090
27828	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		12	090
27829	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27829	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27829	CMS	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06		12	090
27829	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
27829	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		6	090
27829	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		6	090
27829	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		18	090
27829	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		30	090
27829	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		9	090
27830	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4.5	3.5	090
27830	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
27830	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
27830	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
27831	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27832	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27832	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27840	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27842	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27846	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27846	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27848	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27848	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27860	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	010
27870	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27870	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27871	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27871	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27880	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
27880	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27881	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
27881	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27882	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27882	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27884	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27884	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27886	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
27886	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27888	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
27888	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27889	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
27889	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
27892	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27892	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27893	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
27893	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
27894	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
27894	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
28001	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	000
28001	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
28001	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	000
28001	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
28001	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
28001	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	000
28001	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	000
28001	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	1	0	000
28001	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	4	0	000
28001	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
28001	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
28001	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
28001	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
28001	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
28001	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
28001	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
28001	CMS	"Wound Care, Dressings"	SG015	"bandage, Esmarch-Martin, sterile 3in x 9ft"	item	6.08	1	0	000
28001	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	000
28001	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	000
28001	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
28001	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
28001	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
28001	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	000
28001	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
28001	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	000
28002	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	000
28002	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
28002	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	000
28002	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
28002	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
28002	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	000
28002	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	000
28002	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	1	0	000
28002	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	4	0	000
28002	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
28002	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
28002	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
28002	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
28002	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
28002	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
28002	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	000
28002	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	000
28002	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	000
28002	CMS	"Wound Care, Dressings"	SG015	"bandage, Esmarch-Martin, sterile 3in x 9ft"	item	6.08	1	0	000
28002	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	000
28002	CMS	"Wound Care, Dressings"	SG040	"dressing, 5in x 9in (Adaptic)"	item	1.04	1	0	000
28002	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
28002	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78	1	0	000
28002	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
28002	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	10	0	000
28002	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
28002	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	000
28002	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
28002	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	000
28003	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	000
28003	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
28003	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	000
28003	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
28003	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
28003	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	000
28003	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	000
28003	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	1	0	000
28003	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	4	0	000
28003	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
28003	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
28003	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
28003	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
28003	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
28003	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
28003	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	000
28003	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	000
28003	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	000
28003	CMS	"Wound Care, Dressings"	SG015	"bandage, Esmarch-Martin, sterile 3in x 9ft"	item	6.08	1	0	000
28003	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	000
28003	CMS	"Wound Care, Dressings"	SG040	"dressing, 5in x 9in (Adaptic)"	item	1.04	1	0	000
28003	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
28003	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78	1	0	000
28003	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	18	0	000
28003	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	10	0	000
28003	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
28003	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	000
28003	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
28003	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	000
28005	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
28005	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
28005	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		6	090
28005	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		6	090
28005	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		12	090
28008	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28008	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
28008	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28008	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28008	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28008	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28008	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28008	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28008	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28008	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28008	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28008	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28008	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28008	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28008	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28008	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28008	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28008	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28008	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28010	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3.5	2.5	090
28010	CMS	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	1.88	1	0	090
28010	CMS	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	6.71	1	0	090
28010	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28010	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28010	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
28010	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28010	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28010	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28010	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28011	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
28011	CMS	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	1.88	1	0	090
28011	CMS	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	6.71	1	0	090
28011	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28011	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28011	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
28011	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28011	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28011	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28011	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28020	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28020	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
28020	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28020	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28020	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28020	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28020	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28020	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28020	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28020	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28020	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28020	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28020	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28020	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28020	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28020	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28020	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28020	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28020	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28020	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28020	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28020	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28020	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28022	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28022	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
28022	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28022	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28022	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28022	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28022	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28022	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28022	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28022	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28022	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28022	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28022	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28022	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28022	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28022	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28022	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28022	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28022	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28022	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28022	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28022	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28022	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28024	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28024	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
28024	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28024	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28024	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28024	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28024	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28024	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28024	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28024	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28024	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28024	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28024	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28024	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28024	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28024	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28024	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28024	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28024	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28024	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28024	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28024	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28024	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28035	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28035	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
28035	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28035	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28035	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28035	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28035	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28035	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28035	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28035	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28035	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28035	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28035	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28035	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28035	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28035	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28035	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28035	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28035	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28035	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28035	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28035	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28035	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28039	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28039	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3	2	090
28039	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28039	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
28039	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
28039	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2	0	090
28039	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
28039	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
28039	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
28039	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
28039	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28039	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	2	0	090
28039	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	090
28039	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
28039	CMS	"Accessory, Procedure"	SD123	"tourniquet, ankle, sterile"	item	16.85	1	0	090
28039	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28039	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28039	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
28039	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28039	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28039	CMS	"Wound Care, Dressings"	SG014	"bandage, elastic, self-adherent wrap 1in (Coban)"	item	1.59	1	0	090
28039	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28039	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28039	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28039	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28039	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	6	0	090
28039	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	6	0	090
28039	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28039	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28039	CMS	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.02	10	0	090
28039	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	090
28039	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
28039	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	090
28039	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	090
28041	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
28041	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
28043	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28043	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3	2	090
28043	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28043	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
28043	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
28043	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	1	0	090
28043	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
28043	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
28043	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
28043	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
28043	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28043	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	2	0	090
28043	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	090
28043	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
28043	CMS	"Accessory, Procedure"	SD123	"tourniquet, ankle, sterile"	item	16.85	1	0	090
28043	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28043	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28043	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
28043	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28043	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28043	CMS	"Wound Care, Dressings"	SG014	"bandage, elastic, self-adherent wrap 1in (Coban)"	item	1.59	1	0	090
28043	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28043	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28043	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28043	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28043	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	4.5	0	090
28043	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	4.5	0	090
28043	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28043	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28043	CMS	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.02	10	0	090
28043	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	090
28043	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
28043	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	090
28043	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	090
28045	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28045	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
28045	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28045	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
28045	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
28045	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2	0	090
28045	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
28045	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
28045	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
28045	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
28045	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
28045	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	2	0	090
28045	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	090
28045	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
28045	CMS	"Accessory, Procedure"	SD123	"tourniquet, ankle, sterile"	item	16.85	1	0	090
28045	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28045	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28045	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
28045	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28045	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28045	CMS	"Wound Care, Dressings"	SG014	"bandage, elastic, self-adherent wrap 1in (Coban)"	item	1.59	1	0	090
28045	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28045	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28045	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28045	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28045	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	6	0	090
28045	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	6	0	090
28045	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28045	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28045	CMS	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.02	10	0	090
28045	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	090
28045	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
28045	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	090
28045	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	090
28046	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
28046	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
28047	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
28047	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
28050	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28050	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
28050	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28050	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28050	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28050	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28050	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28050	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28050	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28050	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28050	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28050	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28050	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28050	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28050	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28050	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28050	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28050	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28050	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28050	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28050	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28050	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28050	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28052	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28052	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3.5	2.5	090
28052	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28052	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28052	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28052	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28052	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28052	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28052	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28052	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28052	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28052	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28052	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28052	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28052	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28052	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28052	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28052	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28052	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28052	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28052	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28052	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28052	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28054	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28054	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3.5	2.5	090
28054	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28054	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28054	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28054	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28054	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28054	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28054	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28054	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28054	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28054	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28054	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28054	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28054	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28054	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28054	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28054	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28054	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28054	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28054	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28054	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28054	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28055	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
28055	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
28055	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
28060	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28060	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4.5	3.5	090
28060	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28060	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28060	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28060	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28060	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28060	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28060	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28060	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28060	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28060	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28060	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28060	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28060	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28060	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28060	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28060	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28060	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28060	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28060	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28060	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28060	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28062	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28062	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4.5	3.5	090
28062	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28062	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28062	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28062	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28062	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28062	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28062	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28062	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28062	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28062	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28062	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28062	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28062	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28062	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28062	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28062	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28062	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28062	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28062	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28062	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28062	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28070	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28070	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
28070	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28070	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28070	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28070	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28070	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28070	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28070	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28070	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28070	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28070	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28070	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28070	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28070	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28070	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28070	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28070	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28070	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28070	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28070	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28070	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28070	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28072	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28072	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
28072	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28072	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28072	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28072	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28072	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28072	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28072	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28072	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28072	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28072	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28072	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28072	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28072	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28072	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28072	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28072	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28072	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28072	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28072	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28072	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28072	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28080	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28080	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	6	5	090
28080	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28080	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28080	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28080	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28080	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28080	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28080	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28080	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28080	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28080	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28080	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28080	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28080	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28080	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28080	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28080	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28080	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28080	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28080	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28080	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28080	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28086	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28086	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
28086	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28086	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28086	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28086	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28086	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28086	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28086	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28086	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28086	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28086	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28086	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28086	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28086	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28086	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28086	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28086	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28086	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28086	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28086	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28086	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28086	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28088	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28088	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3.5	2.5	090
28088	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28088	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28088	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28088	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28088	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28088	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28088	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28088	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28088	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28088	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28088	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28088	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28088	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28088	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28088	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28088	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28088	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28088	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28088	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28088	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28088	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28090	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28090	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
28090	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28090	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28090	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28090	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28090	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28090	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28090	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28090	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28090	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28090	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28090	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28090	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28090	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28090	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28090	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28090	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28090	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28090	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28090	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28090	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28090	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28092	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28092	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
28092	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28092	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28092	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28092	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28092	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28092	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28092	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28092	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28092	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28092	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28092	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28092	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28092	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28092	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28092	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28092	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28092	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28092	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28092	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28092	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28092	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28100	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28100	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4.5	3.5	090
28100	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28100	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28100	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28100	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28100	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28100	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28100	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28100	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28100	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28100	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28100	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28100	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28100	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28100	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28100	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28100	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28100	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28100	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28100	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28100	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28100	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28102	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
28102	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
28103	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3.5	090
28103	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
28104	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28104	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
28104	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28104	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28104	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28104	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28104	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28104	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28104	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28104	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28104	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28104	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28104	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28104	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28104	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28104	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28104	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28104	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28104	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28104	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28104	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28104	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28104	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28106	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
28106	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
28107	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28107	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4.5	3.5	090
28107	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28107	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28107	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28107	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28107	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28107	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28107	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28107	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28107	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28107	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28107	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28107	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28107	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28107	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28107	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28107	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28107	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28107	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28107	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28107	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28107	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28108	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28108	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
28108	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28108	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28108	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28108	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28108	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28108	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28108	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28108	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28108	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28108	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28108	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28108	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28108	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28108	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28108	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28108	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28108	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28108	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28108	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28108	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28108	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28110	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28110	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
28110	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28110	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28110	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28110	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28110	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28110	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28110	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28110	CMS	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	11.95	1	0	090
28110	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28110	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28110	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28110	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28110	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28110	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28110	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28110	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28110	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28110	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28110	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28110	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28110	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28110	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28111	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28111	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
28111	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28111	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28111	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28111	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28111	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28111	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28111	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28111	CMS	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	11.95	1	0	090
28111	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28111	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28111	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28111	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28111	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28111	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28111	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28111	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28111	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28111	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28111	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28111	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28111	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28111	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28112	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28112	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
28112	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28112	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28112	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28112	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28112	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28112	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28112	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28112	CMS	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	11.95	1	0	090
28112	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28112	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28112	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28112	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28112	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28112	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28112	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28112	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28112	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28112	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28112	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28112	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28112	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28112	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28113	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28113	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	6	5	090
28113	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28113	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28113	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28113	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28113	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28113	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28113	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28113	CMS	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	11.95	1	0	090
28113	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28113	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28113	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28113	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28113	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28113	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28113	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28113	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28113	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28113	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28113	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28113	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28113	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28113	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28114	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28114	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	7	6	090
28114	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28114	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28114	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28114	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28114	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28114	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28114	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28114	CMS	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	11.95	1	0	090
28114	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28114	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28114	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28114	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28114	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28114	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28114	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28114	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28114	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28114	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28114	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28114	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28114	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28114	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28116	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28116	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5	4	090
28116	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28116	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28116	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28116	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28116	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28116	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28116	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28116	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28116	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28116	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28116	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28116	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28116	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28116	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28116	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28116	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28116	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28116	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28116	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28116	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28116	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28118	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28118	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4.5	3.5	090
28118	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28118	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28118	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28118	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28118	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28118	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28118	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28118	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28118	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28118	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28118	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28118	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28118	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28118	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28118	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28118	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28118	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28118	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28118	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28118	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28118	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28119	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28119	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4.5	3.5	090
28119	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28119	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28119	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28119	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28119	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28119	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28119	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28119	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28119	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28119	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28119	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28119	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28119	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28119	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28119	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28119	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28119	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28119	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28119	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28119	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28119	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28120	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28120	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5	4	090
28120	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28120	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28120	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28120	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28120	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28120	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28120	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28120	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28120	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28120	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28120	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28120	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28120	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28120	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28120	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28120	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28120	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28120	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28120	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28120	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28120	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28122	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28122	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5	4	090
28122	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28122	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28122	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28122	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28122	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28122	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28122	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28122	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28122	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28122	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28122	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28122	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28122	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28122	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28122	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28122	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28122	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28122	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28122	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28122	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28122	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28124	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28124	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5	4	090
28124	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28124	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28124	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28124	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28124	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28124	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28124	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28124	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28124	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28124	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28124	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28124	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28124	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28124	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28124	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28124	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28124	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28124	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28124	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28124	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28124	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28126	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28126	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3.5	2.5	090
28126	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28126	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28126	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28126	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28126	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28126	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28126	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28126	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28126	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28126	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28126	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28126	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28126	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28126	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28126	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28126	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28126	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28126	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28126	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28126	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28126	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28130	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
28130	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
28140	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28140	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4.5	3.5	090
28140	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28140	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28140	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28140	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28140	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28140	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28140	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28140	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28140	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28140	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28140	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28140	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28140	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28140	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28140	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28140	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28140	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28140	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28140	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28140	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28140	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28150	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28150	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
28150	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28150	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28150	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28150	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28150	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28150	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28150	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28150	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28150	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28150	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28150	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28150	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28150	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28150	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28150	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28150	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28150	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28150	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28150	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28150	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28150	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28153	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28153	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
28153	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28153	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28153	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28153	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28153	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28153	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28153	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28153	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28153	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28153	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28153	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28153	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28153	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28153	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28153	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28153	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28153	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28153	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28153	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28153	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28153	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28160	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28160	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
28160	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28160	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28160	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28160	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28160	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28160	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28160	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28160	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28160	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28160	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28160	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28160	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28160	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28160	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28160	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28160	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28160	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28160	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28160	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28160	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28160	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28171	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
28171	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
28173	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
28173	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
28175	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
28175	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
28190	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
28190	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	1	010
28190	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	010
28190	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	010
28190	CMS	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	6.71	1	0	010
28190	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	010
28190	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
28190	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
28190	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
28190	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
28190	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
28190	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	010
28190	CMS	"Wound Care, Dressings"	SG040	"dressing, 5in x 9in (Adaptic)"	item	1.04	1	0	010
28190	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	010
28190	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
28190	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	010
28190	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	010
28190	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	010
28190	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	010
28190	CMS	"Pharmacy, NonRx"	SJ025	ethyl chloride spray	oz	6.17	1	0	010
28190	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	010
28192	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28192	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
28192	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28192	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28192	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28192	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28192	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28192	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28192	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28192	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28192	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28192	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28192	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28192	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28192	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28192	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28192	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28192	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28192	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28192	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28192	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28192	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28192	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28193	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28193	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4.5	3.5	090
28193	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28193	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28193	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28193	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28193	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28193	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28193	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28193	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28193	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28193	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28193	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28193	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28193	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28193	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28193	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28193	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28193	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28193	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28193	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28193	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28193	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28200	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28200	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
28200	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28200	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28200	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28200	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28200	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28200	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28200	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28200	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28200	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28200	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28200	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28200	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28200	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28200	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28200	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28200	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28200	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28200	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28200	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28200	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28200	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28202	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28202	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4.5	3.5	090
28202	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28202	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28202	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28202	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28202	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28202	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28202	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28202	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28202	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28202	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28202	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28202	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28202	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28202	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28202	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28202	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28202	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28202	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28202	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28202	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28202	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28208	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28208	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
28208	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28208	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28208	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28208	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28208	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28208	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28208	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28208	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28208	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28208	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28208	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28208	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28208	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28208	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28208	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28208	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28208	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28208	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28208	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28208	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28208	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28210	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28210	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4.5	3.5	090
28210	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28210	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28210	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28210	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28210	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28210	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28210	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28210	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28210	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28210	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28210	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28210	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28210	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28210	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28210	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28210	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28210	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28210	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28210	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28210	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28210	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28220	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28220	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
28220	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28220	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28220	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28220	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28220	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28220	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28220	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28220	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28220	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28220	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28220	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28220	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28220	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28220	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28220	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28220	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28220	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28220	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28220	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28220	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28220	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28222	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28222	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
28222	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28222	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28222	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28222	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28222	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28222	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28222	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28222	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28222	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28222	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28222	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28222	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28222	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28222	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28222	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28222	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28222	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28222	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28222	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28222	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28222	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28225	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28225	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3.5	2.5	090
28225	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28225	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28225	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28225	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28225	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28225	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28225	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28225	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28225	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28225	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28225	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28225	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28225	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28225	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28225	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28225	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28225	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28225	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28225	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28225	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28225	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28226	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28226	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
28226	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28226	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28226	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28226	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28226	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28226	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28226	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28226	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28226	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28226	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28226	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28226	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28226	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28226	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28226	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28226	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28226	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28226	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28226	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28226	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28226	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28230	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28230	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3.5	2.5	090
28230	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28230	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28230	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28230	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28230	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28230	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28230	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28230	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28230	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28230	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28230	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28230	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28230	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28230	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28230	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28230	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28230	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28230	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28230	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28230	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28230	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28232	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28232	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3.5	2.5	090
28232	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28232	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28232	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28232	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28232	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28232	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28232	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28232	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28232	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28232	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28232	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28232	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28232	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28232	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28232	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28232	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28232	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28232	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28232	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28232	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28232	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28234	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28234	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4.5	3.5	090
28234	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28234	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28234	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28234	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28234	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28234	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28234	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28234	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28234	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28234	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28234	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28234	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28234	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28234	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28234	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28234	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28234	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28234	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28234	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28234	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28234	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28238	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28238	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4.5	3.5	090
28238	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28238	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28238	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28238	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28238	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28238	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28238	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28238	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28238	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28238	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28238	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28238	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28238	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28238	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28238	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28238	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28238	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28238	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28238	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28238	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28238	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28240	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28240	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3.5	2.5	090
28240	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28240	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28240	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28240	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28240	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28240	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28240	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28240	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28240	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28240	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28240	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28240	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28240	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28240	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28240	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28240	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28240	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28240	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28240	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28240	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28240	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28250	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28250	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
28250	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28250	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28250	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28250	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28250	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28250	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28250	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28250	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28250	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28250	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28250	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28250	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28250	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28250	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28250	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28250	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28250	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28250	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28250	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28250	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28250	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28260	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28260	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4.5	3.5	090
28260	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28260	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28260	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28260	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28260	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28260	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28260	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28260	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28260	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28260	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28260	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28260	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28260	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28260	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28260	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28260	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28260	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28260	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28260	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28260	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28260	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28261	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28261	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5	4	090
28261	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28261	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28261	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28261	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28261	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28261	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28261	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28261	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28261	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28261	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28261	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28261	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28261	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28261	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28261	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28261	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28261	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28261	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28261	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28261	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28261	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28262	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28262	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5	4	090
28262	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28262	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28262	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28262	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28262	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28262	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28262	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28262	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28262	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28262	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28262	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28262	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28262	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28262	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28262	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28262	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28262	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28262	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28262	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28262	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28262	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28264	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28264	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5	4	090
28264	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28264	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28264	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28264	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28264	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28264	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28264	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28264	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28264	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28264	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28264	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28264	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28264	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28264	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28264	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28264	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28264	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28264	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28264	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28264	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28264	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28270	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28270	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4.5	3.5	090
28270	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28270	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28270	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28270	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28270	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28270	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28270	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28270	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28270	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28270	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28270	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28270	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28270	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28270	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28270	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28270	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28270	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28270	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28270	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28270	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28270	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28272	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28272	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3.5	2.5	090
28272	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28272	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28272	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28272	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28272	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28272	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28272	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28272	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28272	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28272	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28272	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28272	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28272	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28272	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28272	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28272	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28272	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28272	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28272	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28272	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28272	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28280	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28280	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
28280	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28280	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28280	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28280	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28280	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28280	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28280	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28280	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28280	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28280	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28280	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28280	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28280	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28280	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28280	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28280	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28280	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28280	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28280	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28280	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28280	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28285	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28285	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5	4	090
28285	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28285	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28285	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28285	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28285	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28285	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28285	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28285	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28285	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28285	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28285	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28285	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28285	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28285	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28285	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28285	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28285	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28285	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28285	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28285	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28285	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28286	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28286	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
28286	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28286	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28286	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28286	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28286	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28286	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28286	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28286	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28286	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28286	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28286	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28286	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28286	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28286	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28286	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28286	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28286	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28286	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28286	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28286	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28286	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28288	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28288	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	6	5	090
28288	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28288	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28288	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28288	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28288	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28288	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28288	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28288	CMS	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	11.95	1	0	090
28288	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28288	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28288	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28288	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28288	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28288	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28288	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28288	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28288	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28288	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28288	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28288	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28288	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28288	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28289	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28289	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5	4	090
28289	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28289	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28289	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28289	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28289	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28289	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28289	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	090
28289	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
28289	CMS	"Accessory, Procedure"	SD123	"tourniquet, ankle, sterile"	item	16.85	1	0	090
28289	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
28289	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
28289	CMS	"Accessory, Procedure"	SD142	"bur, surgical, sterile (drill)"	item	5.13	1	0	090
28289	CMS	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	11.95	1	0	090
28289	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28289	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28289	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28289	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28289	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28289	CMS	"Wound Care, Dressings"	SG012	"bandage, elastic wrap 4in (Ace)"	item	0.52	1	0	090
28289	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	2	0	090
28289	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28289	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28289	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28289	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	10	0	090
28289	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28289	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28289	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28289	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28289	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4	0	090
28289	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
28291	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28291	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5	4	090
28291	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28291	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28291	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28291	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28291	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28291	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28291	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	090
28291	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
28291	CMS	"Accessory, Procedure"	SD123	"tourniquet, ankle, sterile"	item	16.85	1	0	090
28291	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
28291	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
28291	CMS	"Accessory, Procedure"	SD142	"bur, surgical, sterile (drill)"	item	5.13	1	0	090
28291	CMS	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	11.95	1	0	090
28291	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28291	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28291	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28291	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28291	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28291	CMS	"Wound Care, Dressings"	SG012	"bandage, elastic wrap 4in (Ace)"	item	0.52	1	0	090
28291	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	2	0	090
28291	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28291	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28291	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28291	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	10	0	090
28291	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28291	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28291	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28291	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28291	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4	0	090
28291	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
28292	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28292	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	6	5	090
28292	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28292	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28292	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28292	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28292	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28292	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28292	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	090
28292	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
28292	CMS	"Accessory, Procedure"	SD123	"tourniquet, ankle, sterile"	item	16.85	1	0	090
28292	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
28292	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
28292	CMS	"Accessory, Procedure"	SD142	"bur, surgical, sterile (drill)"	item	5.13	1	0	090
28292	CMS	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	11.95	1	0	090
28292	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28292	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28292	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28292	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28292	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28292	CMS	"Wound Care, Dressings"	SG012	"bandage, elastic wrap 4in (Ace)"	item	0.52	1	0	090
28292	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	2	0	090
28292	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28292	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28292	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28292	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	10	0	090
28292	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28292	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28292	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28292	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28292	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4	0	090
28292	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
28295	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28295	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	6	5	090
28295	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28295	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28295	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28295	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28295	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28295	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28295	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	090
28295	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
28295	CMS	"Accessory, Procedure"	SD123	"tourniquet, ankle, sterile"	item	16.85	1	0	090
28295	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
28295	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
28295	CMS	"Accessory, Procedure"	SD142	"bur, surgical, sterile (drill)"	item	5.13	1	0	090
28295	CMS	"Accessory, Procedure"	SD202	"screw, surgical, standard, 2.7mm x 12mm"	item	73.66	2	0	090
28295	CMS	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	11.95	1	0	090
28295	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28295	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28295	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28295	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28295	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28295	CMS	"Wound Care, Dressings"	SG012	"bandage, elastic wrap 4in (Ace)"	item	0.52	1	0	090
28295	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	2	0	090
28295	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28295	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28295	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28295	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	10	0	090
28295	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28295	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28295	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28295	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28295	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4	0	090
28295	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
28296	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28296	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	6	5	090
28296	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28296	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28296	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28296	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28296	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28296	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28296	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	090
28296	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
28296	CMS	"Accessory, Procedure"	SD123	"tourniquet, ankle, sterile"	item	16.85	1	0	090
28296	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
28296	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
28296	CMS	"Accessory, Procedure"	SD142	"bur, surgical, sterile (drill)"	item	5.13	1	0	090
28296	CMS	"Accessory, Procedure"	SD202	"screw, surgical, standard, 2.7mm x 12mm"	item	73.66	2	0	090
28296	CMS	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	11.95	1	0	090
28296	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28296	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28296	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28296	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28296	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28296	CMS	"Wound Care, Dressings"	SG012	"bandage, elastic wrap 4in (Ace)"	item	0.52	1	0	090
28296	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	2	0	090
28296	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28296	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28296	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28296	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	10	0	090
28296	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28296	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28296	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28296	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28296	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4	0	090
28296	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
28297	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28297	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	6	5	090
28297	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28297	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28297	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28297	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28297	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28297	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28297	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	090
28297	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
28297	CMS	"Accessory, Procedure"	SD123	"tourniquet, ankle, sterile"	item	16.85	1	0	090
28297	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
28297	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
28297	CMS	"Accessory, Procedure"	SD142	"bur, surgical, sterile (drill)"	item	5.13	1	0	090
28297	CMS	"Accessory, Procedure"	SD202	"screw, surgical, standard, 2.7mm x 12mm"	item	73.66	2	0	090
28297	CMS	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	11.95	1	0	090
28297	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28297	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28297	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28297	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28297	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28297	CMS	"Wound Care, Dressings"	SG012	"bandage, elastic wrap 4in (Ace)"	item	0.52	1	0	090
28297	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	2	0	090
28297	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28297	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28297	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28297	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	10	0	090
28297	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28297	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28297	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28297	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28297	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4	0	090
28297	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
28298	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28298	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5	4	090
28298	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28298	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28298	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28298	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28298	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28298	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28298	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	090
28298	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
28298	CMS	"Accessory, Procedure"	SD123	"tourniquet, ankle, sterile"	item	16.85	1	0	090
28298	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
28298	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
28298	CMS	"Accessory, Procedure"	SD142	"bur, surgical, sterile (drill)"	item	5.13	1	0	090
28298	CMS	"Accessory, Procedure"	SD202	"screw, surgical, standard, 2.7mm x 12mm"	item	73.66	1	0	090
28298	CMS	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	11.95	1	0	090
28298	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28298	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28298	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28298	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28298	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28298	CMS	"Wound Care, Dressings"	SG012	"bandage, elastic wrap 4in (Ace)"	item	0.52	1	0	090
28298	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	2	0	090
28298	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28298	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28298	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28298	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	10	0	090
28298	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28298	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28298	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28298	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28298	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4	0	090
28298	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
28299	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28299	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	6	5	090
28299	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28299	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28299	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28299	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28299	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28299	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28299	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	090
28299	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
28299	CMS	"Accessory, Procedure"	SD123	"tourniquet, ankle, sterile"	item	16.85	1	0	090
28299	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
28299	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
28299	CMS	"Accessory, Procedure"	SD142	"bur, surgical, sterile (drill)"	item	5.13	1	0	090
28299	CMS	"Accessory, Procedure"	SD202	"screw, surgical, standard, 2.7mm x 12mm"	item	73.66	2	0	090
28299	CMS	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	11.95	1	0	090
28299	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28299	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28299	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	3	0	090
28299	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28299	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28299	CMS	"Wound Care, Dressings"	SG012	"bandage, elastic wrap 4in (Ace)"	item	0.52	1	0	090
28299	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	2	0	090
28299	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28299	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28299	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28299	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	10	0	090
28299	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28299	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28299	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28299	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28299	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4	0	090
28299	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
28300	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
28300	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
28302	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
28302	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
28304	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28304	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5	4	090
28304	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28304	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28304	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28304	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28304	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28304	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28304	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28304	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	1	0	090
28304	CMS	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	11.95	1	0	090
28304	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28304	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28304	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28304	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28304	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28304	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28304	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28304	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28304	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28304	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28304	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28304	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28304	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28304	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28305	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4.5	090
28305	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
28306	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28306	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
28306	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28306	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28306	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28306	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28306	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28306	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28306	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28306	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	1	0	090
28306	CMS	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	11.95	1	0	090
28306	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28306	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28306	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28306	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28306	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28306	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28306	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28306	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28306	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28306	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28306	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28306	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28306	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28306	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28307	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28307	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4.5	3.5	090
28307	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28307	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28307	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28307	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28307	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28307	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28307	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28307	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	1	0	090
28307	CMS	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	11.95	1	0	090
28307	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28307	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28307	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28307	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28307	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28307	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28307	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28307	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28307	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28307	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28307	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28307	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28307	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28307	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28308	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28308	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5	4	090
28308	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28308	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28308	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28308	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28308	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28308	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28308	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28308	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	1	0	090
28308	CMS	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	11.95	1	0	090
28308	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28308	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28308	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28308	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28308	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28308	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28308	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28308	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28308	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28308	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28308	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28308	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28308	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28308	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28309	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
28309	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
28310	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28310	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
28310	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28310	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28310	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28310	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28310	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28310	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28310	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28310	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	1	0	090
28310	CMS	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	11.95	1	0	090
28310	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28310	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28310	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28310	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28310	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28310	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28310	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28310	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28310	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28310	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28310	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28310	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28310	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28310	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28312	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28312	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
28312	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28312	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28312	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28312	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28312	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28312	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28312	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28312	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	1	0	090
28312	CMS	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	11.95	1	0	090
28312	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28312	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28312	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28312	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28312	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28312	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28312	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28312	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28312	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28312	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28312	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28312	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28312	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28312	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28313	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28313	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
28313	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28313	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28313	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28313	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28313	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28313	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28313	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28313	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	1	0	090
28313	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28313	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28313	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28313	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28313	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28313	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28313	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28313	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28313	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28313	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28313	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28313	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28313	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28313	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28315	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28315	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
28315	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28315	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28315	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28315	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28315	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28315	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28315	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28315	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	1	0	090
28315	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28315	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28315	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28315	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28315	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28315	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28315	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28315	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28315	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28315	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28315	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28315	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28315	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28315	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28320	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
28320	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
28322	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28322	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5	4	090
28322	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28322	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28322	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28322	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28322	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28322	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28322	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28322	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	1	0	090
28322	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28322	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28322	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28322	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28322	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28322	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28322	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28322	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28322	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28322	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28322	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28322	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28322	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28322	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28340	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28340	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4.5	3.5	090
28340	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28340	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28340	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28340	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28340	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28340	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28340	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28340	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	1	0	090
28340	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28340	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28340	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28340	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28340	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28340	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28340	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28340	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28340	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28340	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28340	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28340	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28340	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28340	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28341	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28341	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5	4	090
28341	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28341	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28341	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28341	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28341	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28341	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28341	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28341	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	1	0	090
28341	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28341	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28341	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28341	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28341	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28341	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28341	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28341	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28341	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28341	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28341	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28341	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28341	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28341	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28344	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28344	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
28344	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28344	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28344	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28344	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28344	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28344	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28344	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28344	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	1	0	090
28344	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28344	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28344	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28344	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28344	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28344	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28344	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28344	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28344	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28344	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28344	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28344	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28344	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28344	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28345	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28345	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4.5	3.5	090
28345	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28345	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28345	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28345	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28345	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28345	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28345	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28345	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	1	0	090
28345	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28345	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28345	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28345	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28345	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28345	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28345	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28345	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28345	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28345	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28345	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28345	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28345	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28345	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28360	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
28360	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		4	090
28360	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		8	090
28360	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		8	090
28360	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		24	090
28400	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3	3	090
28400	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
28400	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
28400	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
28405	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4.5	3.5	090
28405	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
28405	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
28405	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
28406	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
28406	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
28406	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		1	090
28406	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		1	090
28406	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		1	090
28406	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		2	090
28406	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		180	090
28406	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		76	090
28415	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
28415	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
28415	CMS	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06		16	090
28415	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		4	090
28415	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		8	090
28415	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		8	090
28415	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		24	090
28415	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		40	090
28415	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		12	090
28420	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
28420	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
28420	CMS	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06		16	090
28420	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		4	090
28420	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		8	090
28420	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		8	090
28420	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		24	090
28420	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		40	090
28420	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		12	090
28430	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3.5	2.5	090
28430	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
28430	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
28430	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
28435	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
28435	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
28435	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
28435	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
28435	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28435	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28435	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28436	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
28436	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
28436	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		1	090
28436	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		1	090
28436	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		1	090
28436	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		2	090
28436	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		180	090
28436	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		76	090
28445	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
28445	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
28446	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
28446	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
28450	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2.5	2.5	090
28450	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
28450	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
28450	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
28455	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
28455	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28455	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
28455	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
28455	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
28455	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28455	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28455	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28456	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
28456	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
28456	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		1	090
28456	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		1	090
28456	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		1	090
28456	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		2	090
28456	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		180	090
28456	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		76	090
28465	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
28465	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
28465	CMS	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06		12	090
28465	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
28465	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		6	090
28465	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		6	090
28465	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		18	090
28465	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		30	090
28465	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		9	090
28470	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3	3	090
28470	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
28470	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
28470	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
28475	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4.5	3.5	090
28475	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
28475	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
28475	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
28475	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28475	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28475	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28476	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
28476	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
28476	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		1	090
28476	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		1	090
28476	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		1	090
28476	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		2	090
28476	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		180	090
28476	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		76	090
28485	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
28485	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
28485	CMS	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06		16	090
28485	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		4	090
28485	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		8	090
28485	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		8	090
28485	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		24	090
28485	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		40	090
28485	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		12	090
28490	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1.5	1.5	090
28490	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
28490	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
28490	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
28495	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3	2	090
28495	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
28495	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
28495	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
28495	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28495	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28495	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28496	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28496	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
28496	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28496	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28496	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28496	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28496	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28496	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28496	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28496	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	1	0	090
28496	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28496	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28496	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28496	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28496	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28496	CMS	"Cutters, Closures, Cautery"	SF042	"wire, Kirschner 7.5in"	item	6.73	1	0	090
28496	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28496	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28496	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28496	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28496	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28496	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28496	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28496	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28496	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28505	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28505	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5	4	090
28505	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28505	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28505	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28505	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28505	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28505	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28505	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28505	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	1	0	090
28505	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28505	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28505	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28505	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28505	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28505	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28505	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28505	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28505	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28505	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28505	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28505	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28505	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28505	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28510	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1.5	1.5	090
28510	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
28510	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
28515	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3	2	090
28515	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
28515	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
28515	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28515	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28515	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28525	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28525	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5	4	090
28525	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28525	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28525	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28525	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28525	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28525	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28525	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28525	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	1	0	090
28525	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28525	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28525	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28525	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28525	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28525	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28525	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28525	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28525	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28525	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28525	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28525	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28525	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28525	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28530	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	090
28530	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
28530	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
28530	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
28531	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28531	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3	2	090
28531	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28531	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28531	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28531	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28531	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28531	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28531	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28531	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	1	0	090
28531	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28531	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28531	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28531	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28531	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28531	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28531	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28531	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28531	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28531	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28531	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28531	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28531	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28531	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28540	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
28540	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
28540	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
28540	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
28545	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
28545	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
28545	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
28545	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
28545	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28545	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28545	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28546	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28546	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5	4	090
28546	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28546	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28546	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28546	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28546	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28546	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28546	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28546	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	1	0	090
28546	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28546	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28546	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28546	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28546	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28546	CMS	"Cutters, Closures, Cautery"	SF042	"wire, Kirschner 7.5in"	item	6.73	1	0	090
28546	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28546	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28546	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28546	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28546	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28546	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28546	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28546	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28546	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28555	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28555	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5	4	090
28555	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28555	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28555	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28555	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28555	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28555	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28555	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28555	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	1	0	090
28555	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28555	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28555	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28555	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28555	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28555	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28555	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28555	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28555	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28555	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28555	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28555	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28555	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28555	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28570	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3	2	090
28570	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
28570	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
28570	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
28575	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4.5	3.5	090
28575	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
28575	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
28575	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
28575	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28575	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28575	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28585	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28585	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	6	5	090
28585	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28585	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28585	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28585	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28585	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28585	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28585	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28585	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	1	0	090
28585	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28585	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28585	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28585	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28585	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28585	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28585	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28585	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28585	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28585	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28585	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28585	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28585	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28585	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28600	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3.5	2.5	090
28600	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
28600	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
28600	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
28605	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4.5	3.5	090
28605	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
28605	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
28605	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
28605	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28605	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28605	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28606	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014		28	090
28615	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		3	090
28615	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
28615	CMS	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06		12	090
28615	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
28615	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		6	090
28615	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		6	090
28615	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		18	090
28615	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		30	090
28615	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		9	090
28630	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
28630	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	010
28630	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	1	010
28630	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	010
28630	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7	3	0	010
28630	CMS	"Wound Care, Dressings"	SG068	plaster bandage (4in x 5yd uou)	item	0.78	3	0	010
28635	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
28635	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	010
28635	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	1	010
28635	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	010
28635	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
28635	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
28635	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7	3	0	010
28635	CMS	"Wound Care, Dressings"	SG068	plaster bandage (4in x 5yd uou)	item	0.78	3	0	010
28635	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	010
28636	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
28636	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
28636	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	010
28636	CMS	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	1.88	1	0	010
28636	CMS	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	6.71	1	0	010
28636	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	010
28636	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
28636	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
28636	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
28636	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	010
28636	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7	3	0	010
28636	CMS	"Wound Care, Dressings"	SG028	"cast, stockinette 6in"	yd	1.14	3	0	010
28636	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	010
28636	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
28636	CMS	"Wound Care, Dressings"	SG068	plaster bandage (4in x 5yd uou)	item	0.78	3	0	010
28636	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	108	0	010
28636	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	010
28645	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28645	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5	4	090
28645	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28645	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28645	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28645	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28645	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28645	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28645	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28645	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	1	0	090
28645	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28645	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28645	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28645	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28645	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28645	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28645	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28645	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28645	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28645	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28645	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28645	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28645	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28645	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28660	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
28660	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	1	010
28660	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	010
28660	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
28665	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
28665	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	1	010
28665	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
28665	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
28665	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	010
28665	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
28665	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	010
28666	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	010
28666	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3		2	010
28666	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59		1	010
28666	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014		7	010
28666	CMS	"Gown, Drape"	SB037	pillow case	item	0.47		1	010
28666	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		1	010
28666	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		1	010
28666	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		1	010
28666	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		2	010
28666	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78		2	010
28666	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		180	010
28666	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		76	010
28666	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		2	010
28675	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28675	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5	4	090
28675	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28675	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28675	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28675	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28675	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28675	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28675	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28675	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	1	0	090
28675	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28675	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28675	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28675	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28675	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28675	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28675	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28675	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28675	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28675	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28675	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28675	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28675	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28675	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28705	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
28705	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
28715	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
28715	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
28725	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
28725	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
28730	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
28730	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
28735	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
28735	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
28737	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
28737	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
28740	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28740	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5	4	090
28740	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28740	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28740	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28740	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28740	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28740	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28740	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28740	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	1	0	090
28740	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28740	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28740	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28740	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28740	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28740	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28740	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28740	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28740	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28740	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28740	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28740	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28740	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28740	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28750	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28750	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28750	RUC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28750	RUC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28750	RUC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28750	RUC	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	5	4	090
28750	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	090
28750	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28750	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	5	4	090
28750	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	35	28	090
28750	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
28750	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	4	0	090
28750	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	090
28750	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
28750	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
28750	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
28750	RUC	"Accessory, Procedure"	SD142	"bur, surgical, sterile (drill)"	item	5.13	1	0	090
28750	RUC	"Accessory, Procedure"	SD202	"screw, surgical, standard, 2.7mm x 12mm"	item	73.66	2	0	090
28750	RUC	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	11.95	1	0	090
28750	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28750	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28750	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28750	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28750	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28750	RUC	"Wound Care, Dressings"	SG012	"bandage, elastic wrap 4in (Ace)"	item	0.52	1	0	090
28750	RUC	"Wound Care, Dressings"	SG013	"bandage, elastic wrap 6in (Ace)"	item	0.8	1	0	090
28750	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28750	RUC	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7	1	0	090
28750	RUC	"Wound Care, Dressings"	SG027	"cast, stockinette 4in"	yd	0.6	1	0	090
28750	RUC	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454	0.25	0	090
28750	RUC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28750	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28750	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28750	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	10	0	090
28750	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28750	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28750	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	2	0	090
28750	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28750	RUC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28750	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4	0	090
28750	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
28755	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28755	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28755	RUC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28755	RUC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28755	RUC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28755	RUC	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	5	4	090
28755	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	090
28755	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28755	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	5	4	090
28755	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	35	28	090
28755	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	090
28755	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	4	0	090
28755	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	090
28755	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
28755	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
28755	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
28755	RUC	"Accessory, Procedure"	SD142	"bur, surgical, sterile (drill)"	item	5.13	1	0	090
28755	RUC	"Accessory, Procedure"	SD202	"screw, surgical, standard, 2.7mm x 12mm"	item	73.66	2	0	090
28755	RUC	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	11.95	1	0	090
28755	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28755	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28755	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28755	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28755	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28755	RUC	"Wound Care, Dressings"	SG012	"bandage, elastic wrap 4in (Ace)"	item	0.52	1	0	090
28755	RUC	"Wound Care, Dressings"	SG013	"bandage, elastic wrap 6in (Ace)"	item	0.8	1	0	090
28755	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28755	RUC	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7	1	0	090
28755	RUC	"Wound Care, Dressings"	SG027	"cast, stockinette 4in"	yd	0.6	1	0	090
28755	RUC	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454	0.25	0	090
28755	RUC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28755	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28755	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28755	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	10	0	090
28755	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28755	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28755	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	2	0	090
28755	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28755	RUC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28755	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4	0	090
28755	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
28760	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
28760	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5	4	090
28760	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
28760	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
28760	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	12.16	1	0	090
28760	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
28760	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
28760	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
28760	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28760	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	1	0	090
28760	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
28760	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
28760	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
28760	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
28760	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
28760	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
28760	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
28760	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
28760	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
28760	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
28760	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
28760	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
28760	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
28760	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	090
28800	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
28800	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
28805	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
28805	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
28810	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
28810	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
28820	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	000
28820	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
28820	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	000
28820	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
28820	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
28820	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	000
28820	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	000
28820	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	1	0	000
28820	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	4	0	000
28820	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
28820	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
28820	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
28820	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
28820	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
28820	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
28820	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	000
28820	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	000
28820	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	000
28820	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	000
28820	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	000
28820	CMS	"Wound Care, Dressings"	SG012	"bandage, elastic wrap 4in (Ace)"	item	0.52	1	0	000
28820	CMS	"Wound Care, Dressings"	SG015	"bandage, Esmarch-Martin, sterile 3in x 9ft"	item	6.08	1	0	000
28820	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	000
28820	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	000
28820	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
28820	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	000
28820	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	10	0	000
28820	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
28820	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	000
28820	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
28825	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	000
28825	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
28825	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	000
28825	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
28825	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
28825	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	000
28825	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	000
28825	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	1	0	000
28825	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	4	0	000
28825	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
28825	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
28825	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
28825	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
28825	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
28825	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
28825	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	000
28825	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	000
28825	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	000
28825	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	000
28825	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	000
28825	CMS	"Wound Care, Dressings"	SG012	"bandage, elastic wrap 4in (Ace)"	item	0.52	1	0	000
28825	CMS	"Wound Care, Dressings"	SG015	"bandage, Esmarch-Martin, sterile 3in x 9ft"	item	6.08	1	0	000
28825	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	000
28825	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	000
28825	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
28825	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	000
28825	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	10	0	000
28825	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
28825	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	000
28825	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
28890	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
28890	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	090
28890	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	090
28890	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
28890	CMS	"Pharmacy, Rx"	SH022	bupivacaine 0.5% inj (Marcaine)	ml	0.14	5	0	090
28890	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	090
28890	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
29000	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	1	000
29000	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	7	1	000
29010	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	1	000
29010	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	7	1	000
29015	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	1	000
29015	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	7	1	000
29035	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	1	000
29035	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	7	1	000
29040	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	1	000
29040	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	7	1	000
29044	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	1	000
29044	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	7	1	000
29046	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	1	000
29046	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	7	1	000
29049	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	1	000
29049	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	5	1	000
29049	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2	0	000
29055	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	1	000
29055	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	7	1	000
29058	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	1	000
29058	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	5	1	000
29058	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2	0	000
29065	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	1	000
29065	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	5	1	000
29065	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2	1	000
29075	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	1	000
29075	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	5	1	000
29075	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2	1	000
29085	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	1	000
29085	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	5	1	000
29085	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2	0	000
29086	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	1	000
29086	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	5	1	000
29086	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2	1	000
29105	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	000
29105	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
29105	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2	0	000
29125	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	1	000
29125	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	5	1	000
29125	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2	1	000
29126	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	1	000
29126	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	5	1	000
29126	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2	0	000
29200	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	000
29200	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	000
29200	CMS	"Wound Care, Dressings"	SG097	foam underwrap	inch	0.02	130	0	000
29200	CMS	"Wound Care, Dressings"	SG098	rigid strapping tape	inch	0.018	130	0	000
29200	CMS	Infection Control	SM029	skin prep barrier wipes	item	0.2	2	0	000
29240	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	000
29240	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	000
29240	CMS	"Wound Care, Dressings"	SG097	foam underwrap	inch	0.02	80	0	000
29240	CMS	"Wound Care, Dressings"	SG098	rigid strapping tape	inch	0.018	80	0	000
29240	CMS	Infection Control	SM029	skin prep barrier wipes	item	0.2	2	0	000
29260	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	000
29260	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	000
29260	CMS	"Wound Care, Dressings"	SG097	foam underwrap	inch	0.02	45	0	000
29260	CMS	"Wound Care, Dressings"	SG098	rigid strapping tape	inch	0.018	45	0	000
29260	CMS	Infection Control	SM029	skin prep barrier wipes	item	0.2	1	0	000
29280	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	000
29280	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	000
29280	CMS	"Wound Care, Dressings"	SG097	foam underwrap	inch	0.02	30	0	000
29280	CMS	"Wound Care, Dressings"	SG098	rigid strapping tape	inch	0.018	30	0	000
29280	CMS	Infection Control	SM029	skin prep barrier wipes	item	0.2	1	0	000
29305	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	1	000
29305	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	7	1	000
29305	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2	0	000
29325	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	1	000
29325	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	7	1	000
29325	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2	0	000
29345	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	1	000
29345	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	5	1	000
29345	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2	0	000
29355	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	1	000
29355	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	5	1	000
29355	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2	0	000
29358	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	1	000
29358	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	5	1	000
29358	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2	0	000
29365	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	1	000
29365	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	5	1	000
29365	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2	0	000
29405	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	1	000
29405	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	5	1	000
29405	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2	1	000
29425	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	1	000
29425	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	5	1	000
29425	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2	1	000
29435	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	1	000
29435	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	5	1	000
29435	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2	0	000
29440	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
29440	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	4	0	000
29440	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
29445	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
29445	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	1	000
29445	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	2	000
29445	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2	0	000
29450	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	5	1	000
29450	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2	1	000
29505	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	1	000
29505	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	5	1	000
29505	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2	0	000
29515	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	1	000
29515	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	5	1	000
29515	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2	1	000
29520	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	000
29520	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	000
29520	CMS	"Wound Care, Dressings"	SG097	foam underwrap	inch	0.02	175	0	000
29520	CMS	"Wound Care, Dressings"	SG098	rigid strapping tape	inch	0.018	175	0	000
29520	CMS	Infection Control	SM029	skin prep barrier wipes	item	0.2	2	0	000
29530	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	000
29530	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	000
29530	CMS	"Wound Care, Dressings"	SG097	foam underwrap	inch	0.02	75	0	000
29530	CMS	"Wound Care, Dressings"	SG098	rigid strapping tape	inch	0.018	75	0	000
29530	CMS	Infection Control	SM029	skin prep barrier wipes	item	0.2	2	0	000
29540	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
29540	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
29540	CMS	"Wound Care, Dressings"	SG001	"adherent, pre-tape spray"	oz	0.9	0.5	0	000
29540	CMS	"Wound Care, Dressings"	SG097	foam underwrap	inch	0.02	24	0	000
29540	CMS	"Wound Care, Dressings"	SG098	rigid strapping tape	inch	0.018	48	0	000
29550	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
29550	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
29550	CMS	"Wound Care, Dressings"	SG001	"adherent, pre-tape spray"	oz	0.9	0.25	0	000
29550	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1	0	000
29550	CMS	"Wound Care, Dressings"	SG097	foam underwrap	inch	0.02	10	0	000
29550	CMS	"Wound Care, Dressings"	SG098	rigid strapping tape	inch	0.018	10	0	000
29580	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
29580	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
29580	CMS	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.45	2	0	000
29580	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
29580	CMS	"Wound Care, Dressings"	SG012	"bandage, elastic wrap 4in (Ace)"	item	0.52	1	0	000
29580	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
29580	CMS	"Wound Care, Dressings"	SG080	unna boot	item	5.44	1	0	000
29580	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	000
29580	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	000
29580	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	000
29581	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
29581	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
29581	CMS	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.45	2	0	000
29581	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
29581	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
29581	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	000
29581	CMS	"Wound Care, Dressings"	SG096	Multi-layer compression system bandages	item	19.5	1	0	000
29581	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	000
29581	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	000
29581	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	000
29584	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
29584	CMS	"Wound Care, Dressings"	SG096	Multi-layer compression system bandages	item	19.5	2	0	000
29584	CMS	Infection Control	SM020	"lotion, antibacterial"	oz	0.26	1	0	000
29700	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	1	000
29700	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	1	000
29700	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
29705	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	1	000
29705	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	1	000
29705	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
29710	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	1	000
29710	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	1	000
29710	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
29720	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
29720	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	4	0	000
29720	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
29730	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
29730	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
29730	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
29740	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
29740	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	4	0	000
29740	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
29750	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
29750	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	4	0	000
29750	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
29800	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
29800	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
29800	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		3	090
29804	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
29804	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
29804	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		4	090
29805	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
29805	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
29806	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
29806	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
29807	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
29807	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
29819	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
29819	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
29820	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
29820	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
29821	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
29821	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
29822	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
29822	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
29823	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
29823	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
29824	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
29824	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
29825	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
29825	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
29827	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
29827	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
29828	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
29828	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
29830	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
29830	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
29834	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
29834	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
29835	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
29835	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
29836	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
29836	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
29837	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
29837	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
29838	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
29838	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
29840	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
29840	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
29843	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
29843	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
29844	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
29844	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
29845	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
29845	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
29846	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
29846	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
29847	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
29847	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
29848	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
29848	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
29850	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
29850	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
29851	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3.5	090
29851	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
29855	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3.5	090
29855	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
29856	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3.5	090
29856	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
29860	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
29860	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
29861	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
29861	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
29862	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
29862	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
29863	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
29863	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
29866	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
29866	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
29867	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
29867	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
29868	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
29868	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
29870	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
29870	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3	3	090
29870	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5	1	1	090
29870	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	33.33	1	0	090
29870	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	090
29870	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	2	0	090
29870	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	090
29870	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
29870	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
29870	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
29870	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	090
29870	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	090
29870	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
29870	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
29870	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
29870	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
29870	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	090
29870	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
29871	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
29871	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
29873	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
29873	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
29874	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
29874	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
29875	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
29875	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
29876	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
29876	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
29877	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
29877	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
29879	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
29879	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
29880	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
29880	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
29881	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
29881	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
29882	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
29882	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
29883	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
29883	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
29884	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
29884	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
29885	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
29885	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
29886	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
29886	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
29887	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
29887	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
29888	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
29888	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
29889	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
29889	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
29891	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
29891	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
29892	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
29892	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
29893	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	7	6	090
29893	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
29893	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	090
29893	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
29893	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	090
29893	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
29893	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
29893	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	3	0	090
29893	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
29893	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	090
29893	CMS	"Gown, Drape"	SB040	"slippers, paper"	pair	0.201	1	0	090
29893	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	5	0	090
29893	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	3	0	090
29893	CMS	"Cutters, Closures, Cautery"	SF026	"endoscopic blade, surgical"	item	51.62	2	0	090
29893	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
29893	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
29893	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
29893	CMS	"Wound Care, Dressings"	SG015	"bandage, Esmarch-Martin, sterile 3in x 9ft"	item	6.08	1	0	090
29893	CMS	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.34	1	0	090
29893	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	1	0	090
29893	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	090
29893	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	4	0	090
29893	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	20	0	090
29893	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	10	0	090
29893	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	090
29893	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	090
29893	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	70	0	090
29893	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	3	0	090
29894	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
29894	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
29895	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
29895	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
29897	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
29897	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
29898	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
29898	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
29899	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
29899	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
29900	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
29900	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
29901	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
29901	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
29902	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
29902	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
29904	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
29905	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
29906	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
29906	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
29907	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
29907	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
29914	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
29914	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
29915	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
29915	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
29916	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
29916	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
30000	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	0	010
30000	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	010
30000	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
30000	CMS	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.95	1	0	010
30000	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
30000	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	010
30000	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
30000	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
30000	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
30000	CMS	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	11.2	1	0	010
30000	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8	4	0	010
30000	CMS	"Wound Care, Dressings"	SG044	"dressing, Merocel nasal standard 4.5cm"	item	16.6	2	0	010
30000	CMS	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	1	1	0	010
30000	CMS	"Pharmacy, Rx"	SH025	"cocaine 4% solution, topical"	ml	5.7	4	0	010
30000	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	010
30000	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	010
30000	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
30000	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	2	1	010
30000	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
30000	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02	2	1	010
30020	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	0	010
30020	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	010
30020	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
30020	CMS	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.95	1	0	010
30020	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
30020	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	010
30020	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
30020	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
30020	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
30020	CMS	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	11.2	1	0	010
30020	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8	4	0	010
30020	CMS	"Wound Care, Dressings"	SG044	"dressing, Merocel nasal standard 4.5cm"	item	16.6	2	0	010
30020	CMS	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	1	1	0	010
30020	CMS	"Pharmacy, Rx"	SH025	"cocaine 4% solution, topical"	ml	5.7	4	0	010
30020	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	010
30020	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	010
30020	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
30020	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	2	1	010
30020	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
30020	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02	2	1	010
30100	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	000
30100	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
30100	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	000
30100	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	000
30100	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	000
30100	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	000
30100	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
30100	CMS	"Pharmacy, Rx"	SH025	"cocaine 4% solution, topical"	ml	5.7	4	0	000
30100	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
30100	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	1	0	000
30100	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
30100	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
30100	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02	1	0	000
30110	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	010
30110	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
30110	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
30110	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	010
30110	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
30110	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
30110	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
30110	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8	4	0	010
30110	CMS	"Wound Care, Dressings"	SG044	"dressing, Merocel nasal standard 4.5cm"	item	16.6	1	0	010
30110	CMS	"Pharmacy, Rx"	SH025	"cocaine 4% solution, topical"	ml	5.7	4	0	010
30110	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
30110	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	2	1	010
30110	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
30110	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02	2	1	010
30115	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		1	090
30115	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
30115	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
30115	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		4	090
30115	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
30115	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
30115	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		2	090
30115	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		2	090
30115	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		2	090
30115	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		2	090
30115	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25		2	090
30115	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		2	090
30115	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		4	090
30115	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		1	090
30115	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		2	090
30115	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		2	090
30115	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		2	090
30117	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	3	2	090
30117	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3	2	090
30117	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
30117	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	090
30117	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
30117	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
30117	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
30117	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
30117	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	3	2	090
30117	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	3	2	090
30117	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	3	2	090
30117	CMS	"Accessory, Procedure"	SD279	"Fibrillar, surgical"	item		1	0	090
30117	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
30117	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
30117	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
30117	CMS	"Cutters, Closures, Cautery"	SF028	laser tip (single use)	item	369.99	1	0	090
30117	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8	4	0	090
30117	CMS	"Wound Care, Dressings"	SG044	"dressing, Merocel nasal standard 4.5cm"	item	16.6	1	0	090
30117	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	4	090
30117	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
30117	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	5	0	090
30117	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	9	6	090
30117	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	090
30117	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
30117	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	3	2	090
30117	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02	3	2	090
30118	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09		3	090
30118	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
30118	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
30118	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
30118	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		3	090
30118	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25		3	090
30118	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7		1	090
30118	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		9	090
30118	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		3	090
30118	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		3	090
30120	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3.5	2.5	090
30120	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
30120	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	6	4	090
30120	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	3	2	090
30120	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	2	090
30120	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	2	090
30120	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	3	2	090
30120	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	090
30120	CMS	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.78	2	0	090
30120	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
30120	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
30120	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
30120	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8	4	0	090
30120	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	5	0	090
30120	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	090
30120	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	5	0	090
30120	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
30120	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	3	2	090
30120	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	090
30120	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
30124	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
30124	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
30124	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		2	090
30124	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1	090
30124	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		1	090
30124	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		1	090
30124	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		1	090
30124	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		1	090
30124	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25		1	090
30124	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		1	090
30124	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		4	090
30124	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		1	090
30124	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		1	090
30125	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
30125	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
30125	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		6	090
30125	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
30125	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090
30125	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		3	090
30125	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		3	090
30125	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
30125	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		3	090
30125	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25		3	090
30125	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		3	090
30125	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		6	090
30125	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3	090
30125	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		3	090
30130	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		1	090
30130	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
30130	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
30130	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		4	090
30130	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
30130	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
30130	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		2	090
30130	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		2	090
30130	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		2	090
30130	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		2	090
30130	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25		2	090
30130	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		2	090
30130	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		4	090
30130	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		1	090
30130	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		2	090
30130	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		2	090
30130	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		2	090
30140	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	000
30140	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	000
30140	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
30140	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
30140	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
30140	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	000
30140	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
30140	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
30140	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
30140	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
30140	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	000
30140	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
30140	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8	2	0	000
30140	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	3	0	000
30140	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	000
30140	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	5	0	000
30140	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
30140	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	1	0	000
30140	CMS	Lab	SL464	Atomizer tips (disposable)	item	2.66	1	0	000
30140	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02	1	0	000
30150	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3.5	090
30150	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
30150	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		6	090
30150	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
30150	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090
30150	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		3	090
30150	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		3	090
30150	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
30150	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		3	090
30150	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25		3	090
30150	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		3	090
30150	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		6	090
30150	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		2	090
30150	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3	090
30150	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		3	090
30150	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		3	090
30160	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3.5	090
30160	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
30160	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		6	090
30160	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
30160	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090
30160	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		3	090
30160	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		3	090
30160	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
30160	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		3	090
30160	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25		3	090
30160	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		3	090
30160	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		6	090
30160	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		2	090
30160	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3	090
30160	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		3	090
30160	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		3	090
30200	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	000
30200	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
30200	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1	0	000
30200	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
30200	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	000
30200	CMS	"Pharmacy, Rx"	SH025	"cocaine 4% solution, topical"	ml	5.7	4	0	000
30200	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
30200	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	1	0	000
30200	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02	1	0	000
30210	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	010
30210	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
30210	CMS	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.95	1	0	010
30210	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
30210	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	010
30210	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8	4	0	010
30210	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	010
30210	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
30210	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	2	1	010
30210	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
30210	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02	2	1	010
30220	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	010
30220	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
30220	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
30220	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	010
30220	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8	4	0	010
30220	CMS	"Wound Care, Dressings"	SG072	"septal button prosthesis, silicone"	item	89.24	1	0	010
30220	CMS	"Pharmacy, Rx"	SH025	"cocaine 4% solution, topical"	ml	5.7	4	0	010
30220	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	010
30220	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
30220	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	2	1	010
30220	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	7	0	010
30220	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02	2	1	010
30300	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	1	010
30300	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	010
30300	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
30300	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
30300	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
30300	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	010
30300	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	010
30300	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
30300	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	010
30300	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	3	0	010
30300	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	010
30300	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	4	0	010
30300	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
30300	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	2	1	010
30300	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
30300	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02	2	1	010
30300	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	2	1	010
30300	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	4	2	010
30300	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	8	4	010
30300	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	8	4	010
30300	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	2	1	010
30310	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3		2	010
30310	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	010
30310	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59		1	010
30310	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1	010
30310	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43		1	010
30310	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		1	010
30310	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		2	010
30310	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		4	010
30310	CMS	"Pharmacy, Rx"	SH025	"cocaine 4% solution, topical"	ml	5.7		4	010
30310	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		1	010
30310	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8		2	010
30310	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		1	010
30310	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15		1	010
30310	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76		1	010
30310	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22		2	010
30310	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44		2	010
30310	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84		1	010
30320	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		1	090
30320	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2.5	090
30320	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
30320	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		4	090
30320	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
30320	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
30320	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		2	090
30320	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		2	090
30320	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		2	090
30320	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		2	090
30320	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25		2	090
30320	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		2	090
30320	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		4	090
30320	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		3	090
30320	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		2	090
30320	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		2	090
30320	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		2	090
30400	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
30400	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
30400	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		12	090
30400	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		5	090
30400	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
30400	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		6	090
30400	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		6	090
30400	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		6	090
30400	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		6	090
30400	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25		6	090
30400	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		6	090
30400	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		12	090
30400	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		3	090
30400	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		6	090
30400	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		6	090
30400	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		6	090
30410	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
30410	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
30410	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		12	090
30410	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		5	090
30410	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
30410	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		6	090
30410	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		6	090
30410	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		6	090
30410	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		6	090
30410	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25		6	090
30410	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		6	090
30410	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		12	090
30410	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		3	090
30410	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		6	090
30410	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		6	090
30410	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		6	090
30420	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
30420	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
30420	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		12	090
30420	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		5	090
30420	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
30420	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		6	090
30420	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		6	090
30420	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		6	090
30420	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		6	090
30420	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25		6	090
30420	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		6	090
30420	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		12	090
30420	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		3	090
30420	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		6	090
30420	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		6	090
30420	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		6	090
30430	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
30430	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
30430	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		12	090
30430	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		5	090
30430	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
30430	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		6	090
30430	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		6	090
30430	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		6	090
30430	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		6	090
30430	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25		6	090
30430	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		6	090
30430	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		12	090
30430	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		3	090
30430	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		6	090
30430	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		6	090
30430	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		6	090
30435	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
30435	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
30435	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		12	090
30435	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		5	090
30435	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
30435	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		6	090
30435	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		6	090
30435	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		6	090
30435	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		6	090
30435	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25		6	090
30435	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		6	090
30435	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		12	090
30435	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		3	090
30435	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		6	090
30435	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		6	090
30435	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		6	090
30450	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
30450	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
30450	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		12	090
30450	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		5	090
30450	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
30450	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		6	090
30450	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		6	090
30450	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		6	090
30450	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		6	090
30450	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25		6	090
30450	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		6	090
30450	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		12	090
30450	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		3	090
30450	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		6	090
30450	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		6	090
30450	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		6	090
30460	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
30460	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
30460	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		4	090
30460	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
30460	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
30460	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		2	090
30460	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		2	090
30460	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		2	090
30460	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		2	090
30460	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25		2	090
30460	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		2	090
30460	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		4	090
30460	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		1	090
30460	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		2	090
30460	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		2	090
30460	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		2	090
30462	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
30462	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
30462	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		8	090
30462	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
30462	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
30462	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
30462	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		4	090
30462	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
30462	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
30462	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25		4	090
30462	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
30462	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		8	090
30462	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		2	090
30462	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4	090
30462	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		4	090
30462	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
30465	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
30465	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
30465	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		8	090
30465	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
30465	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
30465	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
30465	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		4	090
30465	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
30465	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
30465	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25		4	090
30465	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
30465	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		8	090
30465	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		2	090
30465	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4	090
30465	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		4	090
30465	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
30468	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	000
30468	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
30468	CMS	"Kit, Pack, Tray"	SA133	Absorabable nasal implant and delivery device	kit	1995	1	0	000
30468	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
30468	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	000
30468	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
30468	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
30468	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
30468	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	000
30468	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
30468	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
30468	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
30468	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
30468	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	000
30468	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	3	0	000
30468	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	000
30468	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	5	0	000
30468	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	1	0	000
30468	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	000
30468	CMS	Lab	SL464	Atomizer tips (disposable)	item	2.66	1	0	000
30468	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02	1	0	000
30469	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	000
30469	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
30469	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
30469	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	000
30469	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
30469	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
30469	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
30469	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	000
30469	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
30469	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
30469	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
30469	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
30469	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	000
30469	CMS	"Accessory, Procedure"	SD352	VivAer Stylus	item	1950	1	0	000
30469	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	3	0	000
30469	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	000
30469	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	5	0	000
30469	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	1	0	000
30469	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	000
30469	CMS	Lab	SL464	Atomizer tips (disposable)	item	2.66	1	0	000
30469	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02	1	0	000
30520	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
30520	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
30520	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		6	090
30520	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
30520	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090
30520	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		3	090
30520	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		3	090
30520	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
30520	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		3	090
30520	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25		3	090
30520	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		3	090
30520	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		6	090
30520	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		6	090
30520	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3	090
30520	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		3	090
30520	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		3	090
30540	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		1	090
30540	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3.5	090
30540	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		6	090
30540	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
30540	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090
30540	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		3	090
30540	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		3	090
30540	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
30540	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		3	090
30540	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25		3	090
30540	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		3	090
30540	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		6	090
30540	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3	090
30540	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		3	090
30540	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		3	090
30545	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		1	090
30545	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
30545	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		8	090
30545	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		4	090
30545	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
30545	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
30545	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		4	090
30545	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
30545	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
30545	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25		4	090
30545	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
30545	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		6	090
30545	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4	090
30545	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		4	090
30545	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
30560	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	010
30560	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
30560	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	1	010
30560	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
30560	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	010
30560	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
30560	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
30560	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
30560	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8	4	0	010
30560	CMS	"Wound Care, Dressings"	SG044	"dressing, Merocel nasal standard 4.5cm"	item	16.6	2	0	010
30560	CMS	"Pharmacy, Rx"	SH025	"cocaine 4% solution, topical"	ml	5.7	4	0	010
30560	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	010
30560	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
30560	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	2	1	010
30560	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
30560	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02	2	1	010
30560	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	4	2	010
30560	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	4	2	010
30560	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	8	4	010
30560	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	8	4	010
30560	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	2	1	010
30580	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
30580	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5	4	090
30580	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
30580	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
30580	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
30580	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	090
30580	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
30580	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
30580	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
30580	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
30580	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
30580	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
30580	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	090
30580	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
30580	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
30580	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
30580	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
30580	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
30580	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	090
30580	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
30580	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
30580	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
30580	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	090
30580	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	6	0	090
30580	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
30580	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	2	0	090
30580	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	090
30580	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
30580	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
30580	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
30580	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	1	0	090
30600	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
30600	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
30600	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
30600	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
30600	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
30600	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	090
30600	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
30600	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
30600	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
30600	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
30600	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
30600	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
30600	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	090
30600	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
30600	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
30600	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
30600	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
30600	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
30600	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	090
30600	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
30600	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
30600	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
30600	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	090
30600	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	1	0	090
30600	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
30600	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	2	0	090
30600	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	8	0	090
30600	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	1	0	090
30600	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
30600	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
30600	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	1	0	090
30620	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
30620	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
30620	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		8	090
30620	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
30620	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
30620	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
30620	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		4	090
30620	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
30620	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
30620	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25		4	090
30620	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
30620	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		8	090
30620	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		2	090
30620	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4	090
30620	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		4	090
30620	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
30630	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3.5	090
30630	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
30630	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		6	090
30630	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
30630	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090
30630	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		3	090
30630	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		3	090
30630	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
30630	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		3	090
30630	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25		3	090
30630	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		3	090
30630	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		6	090
30630	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		2	090
30630	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3	090
30630	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		3	090
30630	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		3	090
30801	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	010
30801	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
30801	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	1	010
30801	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	2	1	010
30801	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	1	010
30801	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	1	010
30801	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	1	010
30801	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	2	1	010
30801	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	2	0	010
30801	CMS	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.78	4	0	010
30801	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	2	1	010
30801	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	4	1	010
30801	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	0	1	010
30801	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	10	5	010
30801	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78	2	1	010
30801	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	10	5	010
30801	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	2	1	010
30801	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
30802	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	010
30802	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
30802	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	1	010
30802	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	2	1	010
30802	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	1	010
30802	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	1	010
30802	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	1	010
30802	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	2	1	010
30802	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	2	0	010
30802	CMS	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.78	4	0	010
30802	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	2	1	010
30802	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	4	1	010
30802	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	0	1	010
30802	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	10	5	010
30802	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78	2	1	010
30802	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	10	5	010
30802	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	2	1	010
30802	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
30901	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
30901	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
30901	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
30901	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
30901	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
30901	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
30901	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	000
30901	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8	2	0	000
30901	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	000
30901	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	000
30901	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	4	0	000
30901	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
30901	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	1	0	000
30901	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	3	0	000
30901	CMS	Lab	SL464	Atomizer tips (disposable)	item	2.66	1	0	000
30901	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02	1	0	000
30903	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
30903	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
30903	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
30903	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
30903	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
30903	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
30903	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
30903	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
30903	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	000
30903	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	000
30903	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	000
30903	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8	2	0	000
30903	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	000
30903	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	000
30903	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	000
30903	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	4	0	000
30903	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
30903	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	1	0	000
30903	CMS	Lab	SL464	Atomizer tips (disposable)	item	2.66	1	0	000
30903	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02	1	0	000
30905	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
30905	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
30905	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
30905	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
30905	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
30905	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
30905	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1	0	000
30905	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
30905	CMS	"Accessory, Procedure"	SD071	epistaxis balloon	item	44.46	1	0	000
30905	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
30905	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	000
30905	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	000
30905	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	000
30905	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8	2	0	000
30905	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	000
30905	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	000
30905	CMS	"Wound Care, Dressings"	SG066	"packing, gauze w-petrolatum, 0.5in (6yd uou)"	item	2.15	1	0	000
30905	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	000
30905	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	4	0	000
30905	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
30905	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	1	0	000
30905	CMS	Lab	SL464	Atomizer tips (disposable)	item	2.66	1	0	000
30905	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02	1	0	000
30906	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
30906	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
30906	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
30906	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
30906	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
30906	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
30906	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
30906	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1	0	000
30906	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
30906	CMS	"Accessory, Procedure"	SD071	epistaxis balloon	item	44.46	1	0	000
30906	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
30906	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	000
30906	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	000
30906	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	000
30906	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8	2	0	000
30906	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	000
30906	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	000
30906	CMS	"Wound Care, Dressings"	SG066	"packing, gauze w-petrolatum, 0.5in (6yd uou)"	item	2.15	1	0	000
30906	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	000
30906	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	4	0	000
30906	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
30906	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	1	0	000
30906	CMS	Lab	SL464	Atomizer tips (disposable)	item	2.66	1	0	000
30906	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02	1	0	000
30915	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2.5	090
30915	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
30915	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		4	090
30915	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
30915	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
30915	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		2	090
30915	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		2	090
30915	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		2	090
30915	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		2	090
30915	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25		2	090
30915	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		2	090
30915	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		4	090
30915	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		4	090
30915	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		2	090
30915	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		2	090
30915	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		2	090
30920	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
30920	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
30920	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		6	090
30920	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
30920	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090
30920	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		3	090
30920	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		3	090
30920	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
30920	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		3	090
30920	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25		3	090
30920	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		3	090
30920	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		6	090
30920	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		6	090
30920	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3	090
30920	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		3	090
30920	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		3	090
30930	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	010
30930	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59		1	010
30930	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1	010
30930	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43		1	010
30930	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		1	010
30930	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		2	010
30930	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		1	010
30930	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		1	010
31000	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	010
31000	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	1	010
31000	CMS	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.95	1	0	010
31000	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
31000	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	010
31000	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8	4	0	010
31000	CMS	"Pharmacy, Rx"	SH025	"cocaine 4% solution, topical"	ml	5.7	4	0	010
31000	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	010
31000	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
31000	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	2	1	010
31000	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
31000	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02	2	1	010
31002	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3		1	010
31002	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	010
31002	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59		1	010
31002	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1	010
31002	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43		1	010
31002	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		1	010
31002	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		2	010
31002	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		4	010
31002	CMS	"Pharmacy, Rx"	SH025	"cocaine 4% solution, topical"	ml	5.7		4	010
31002	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		1	010
31002	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8		2	010
31002	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		1	010
31002	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15		1	010
31002	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76		1	010
31002	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22		2	010
31002	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44		2	010
31002	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84		1	010
31020	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	2	1	090
31020	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
31020	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3.5	2.5	090
31020	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	3	2	090
31020	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	6	4	090
31020	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	3	2	090
31020	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	2	090
31020	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	2	090
31020	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	3	2	090
31020	CMS	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.95	1	0	090
31020	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	090
31020	CMS	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.78	2	0	090
31020	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	3	2	090
31020	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	6	2	090
31020	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	0	2	090
31020	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
31020	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
31020	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
31020	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8	4	0	090
31020	CMS	"Wound Care, Dressings"	SG044	"dressing, Merocel nasal standard 4.5cm"	item	16.6	1	0	090
31020	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
31020	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	5	0	090
31020	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
31020	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
31020	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	4	0	090
31020	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	3	2	090
31020	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	1	0	090
31020	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
31030	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	2	1	090
31030	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
31030	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3	2	090
31030	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
31030	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	3	2	090
31030	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	6	4	090
31030	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	1	090
31030	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	2	090
31030	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	2	090
31030	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	3	2	090
31030	CMS	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.95	1	0	090
31030	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	090
31030	CMS	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.78	2	0	090
31030	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	3	2	090
31030	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	6	2	090
31030	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	0	2	090
31030	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
31030	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
31030	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
31030	CMS	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	11.2	1	0	090
31030	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
31030	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8	2	0	090
31030	CMS	"Wound Care, Dressings"	SG044	"dressing, Merocel nasal standard 4.5cm"	item	16.6	1	0	090
31030	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
31030	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	5	0	090
31030	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	4	0	090
31030	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
31030	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	4	0	090
31030	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	3	2	090
31030	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	1	0	090
31030	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
31032	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		1	090
31032	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2.5	090
31032	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
31032	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		4	090
31032	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
31032	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
31032	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		2	090
31032	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		2	090
31032	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		2	090
31032	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		2	090
31032	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25		2	090
31032	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		2	090
31032	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		4	090
31032	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		4	090
31032	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		2	090
31032	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		2	090
31032	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		2	090
31040	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3.5	090
31040	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
31040	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		6	090
31040	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
31040	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090
31040	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		3	090
31040	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		3	090
31040	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
31040	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		3	090
31040	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25		3	090
31040	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		3	090
31040	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		7	090
31040	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		2	090
31040	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3	090
31040	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		3	090
31040	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		3	090
31050	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		1	090
31050	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
31050	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
31050	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		4	090
31050	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
31050	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
31050	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		2	090
31050	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		2	090
31050	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		2	090
31050	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		2	090
31050	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25		2	090
31050	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		2	090
31050	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		4	090
31050	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		5	090
31050	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		2	090
31050	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		2	090
31050	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		2	090
31051	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		1	090
31051	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
31051	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
31051	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		6	090
31051	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
31051	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090
31051	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		3	090
31051	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		3	090
31051	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
31051	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		3	090
31051	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25		3	090
31051	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		3	090
31051	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		6	090
31051	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		6	090
31051	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3	090
31051	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		3	090
31051	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		3	090
31070	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		1	090
31070	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2.5	090
31070	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
31070	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		4	090
31070	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
31070	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
31070	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		2	090
31070	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		2	090
31070	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		2	090
31070	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		2	090
31070	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25		2	090
31070	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		2	090
31070	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		4	090
31070	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		6	090
31070	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		2	090
31070	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		2	090
31070	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		2	090
31075	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		1	090
31075	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3.5	090
31075	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
31075	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		6	090
31075	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
31075	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090
31075	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		3	090
31075	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		3	090
31075	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
31075	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		3	090
31075	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25		3	090
31075	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		3	090
31075	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		7	090
31075	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		2	090
31075	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3	090
31075	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		3	090
31075	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		3	090
31080	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		1	090
31080	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
31080	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
31080	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		8	090
31080	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
31080	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
31080	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
31080	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		4	090
31080	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
31080	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
31080	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25		4	090
31080	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
31080	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		8	090
31080	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		2	090
31080	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4	090
31080	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		4	090
31080	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
31081	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		1	090
31081	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
31081	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
31081	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		8	090
31081	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
31081	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
31081	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
31081	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		4	090
31081	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
31081	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
31081	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25		4	090
31081	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
31081	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		8	090
31081	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		2	090
31081	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4	090
31081	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		4	090
31081	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
31084	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		1	090
31084	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
31084	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
31084	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		8	090
31084	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
31084	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
31084	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
31084	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		4	090
31084	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
31084	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
31084	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25		4	090
31084	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
31084	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		8	090
31084	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		2	090
31084	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4	090
31084	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		4	090
31084	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
31085	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		1	090
31085	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
31085	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
31085	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		8	090
31085	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
31085	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
31085	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
31085	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		4	090
31085	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
31085	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
31085	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25		4	090
31085	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
31085	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		8	090
31085	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		2	090
31085	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4	090
31085	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		4	090
31085	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
31086	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		1	090
31086	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
31086	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
31086	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		8	090
31086	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
31086	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
31086	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
31086	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		4	090
31086	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
31086	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
31086	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25		4	090
31086	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
31086	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		8	090
31086	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		2	090
31086	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4	090
31086	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		4	090
31086	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
31087	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		1	090
31087	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3.5	090
31087	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
31087	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		6	090
31087	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
31087	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090
31087	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		3	090
31087	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		3	090
31087	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
31087	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		3	090
31087	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25		3	090
31087	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		3	090
31087	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		7	090
31087	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		2	090
31087	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3	090
31087	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		3	090
31087	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		3	090
31090	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		1	090
31090	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
31090	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
31090	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		10	090
31090	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		4	090
31090	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5	090
31090	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		5	090
31090	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		5	090
31090	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		5	090
31090	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		5	090
31090	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25		5	090
31090	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		5	090
31090	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		10	090
31090	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		6	090
31090	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		5	090
31090	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		5	090
31090	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		5	090
31200	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		1	090
31200	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3.5	090
31200	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
31200	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		6	090
31200	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
31200	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090
31200	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		3	090
31200	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		3	090
31200	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
31200	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		3	090
31200	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25		3	090
31200	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		3	090
31200	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		7	090
31200	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		2	090
31200	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3	090
31200	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		3	090
31200	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		3	090
31201	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		1	090
31201	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3.5	090
31201	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
31201	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		6	090
31201	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
31201	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090
31201	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		3	090
31201	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		3	090
31201	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
31201	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		3	090
31201	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25		3	090
31201	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		3	090
31201	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		7	090
31201	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		2	090
31201	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3	090
31201	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		3	090
31201	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		3	090
31205	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		1	090
31205	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3.5	090
31205	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
31205	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		6	090
31205	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
31205	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090
31205	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		3	090
31205	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		3	090
31205	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
31205	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		3	090
31205	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25		3	090
31205	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		3	090
31205	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		7	090
31205	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		2	090
31205	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3	090
31205	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		3	090
31205	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		3	090
31225	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		1	090
31225	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09		1	090
31225	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
31225	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
31225	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		8	090
31225	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		5	090
31225	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
31225	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		6	090
31225	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		6	090
31225	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		6	090
31225	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		6	090
31225	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		16	090
31225	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		8	090
31225	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
31225	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		4	090
31230	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		1	090
31230	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09		1	090
31230	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
31230	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
31230	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		8	090
31230	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		4.5	090
31230	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5.5	090
31230	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		5.5	090
31230	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		5.5	090
31230	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		5.5	090
31230	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		5.5	090
31230	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		16	090
31230	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		8	090
31230	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
31230	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		4	090
31231	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
31231	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	000
31231	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
31231	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	4	0	000
31231	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
31231	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
31231	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
31231	CMS	"Gown, Drape"	SB045	"drape, sterile, incise, ophthalmic"	item	6.89	1	0	000
31231	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
31231	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	12	0	000
31231	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8	2	0	000
31231	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	5	0	000
31231	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	5	0	000
31231	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
31231	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	10	0	000
31231	CMS	Lab	SL464	Atomizer tips (disposable)	item	2.66	1	0	000
31231	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
31233	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	000
31233	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
31233	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
31233	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	000
31233	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8	2	0	000
31233	CMS	"Wound Care, Dressings"	SG066	"packing, gauze w-petrolatum, 0.5in (6yd uou)"	item	2.15	1	0	000
31233	CMS	"Pharmacy, Rx"	SH025	"cocaine 4% solution, topical"	ml	5.7	4	0	000
31233	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
31233	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	1	0	000
31233	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	000
31233	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
31233	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	2	0	000
31233	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02	1	0	000
31233	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	2	0	000
31233	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	2	0	000
31233	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	4	0	000
31233	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	4	0	000
31233	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	000
31235	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	000
31235	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
31235	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
31235	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	000
31235	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8	2	0	000
31235	CMS	"Wound Care, Dressings"	SG066	"packing, gauze w-petrolatum, 0.5in (6yd uou)"	item	2.15	1	0	000
31235	CMS	"Pharmacy, Rx"	SH025	"cocaine 4% solution, topical"	ml	5.7	4	0	000
31235	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
31235	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	1	0	000
31235	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	000
31235	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
31235	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	2	0	000
31235	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02	1	0	000
31235	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	2	0	000
31235	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	2	0	000
31235	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	4	0	000
31235	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	4	0	000
31235	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	000
31237	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
31237	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
31237	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
31237	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
31237	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
31237	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
31237	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
31237	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
31237	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	000
31237	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	3	0	000
31237	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8	2	0	000
31237	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	4	0	000
31237	CMS	"Wound Care, Dressings"	SG066	"packing, gauze w-petrolatum, 0.5in (6yd uou)"	item	2.15	1	0	000
31237	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	000
31237	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
31237	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	2	0	000
31237	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	000
31237	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
31237	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	2	0	000
31237	CMS	Lab	SL464	Atomizer tips (disposable)	item	2.66	2	0	000
31237	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02	2	0	000
31237	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	2	0	000
31237	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	4	0	000
31238	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
31238	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
31238	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
31238	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
31238	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
31238	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
31238	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
31238	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	000
31238	CMS	"Accessory, Procedure"	SD279	"Fibrillar, surgical"	item		1	0	000
31238	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	3	0	000
31238	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8	2	0	000
31238	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	4	0	000
31238	CMS	"Wound Care, Dressings"	SG066	"packing, gauze w-petrolatum, 0.5in (6yd uou)"	item	2.15	1	0	000
31238	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	000
31238	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
31238	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	2	0	000
31238	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	000
31238	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
31238	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	2	0	000
31238	CMS	Lab	SL464	Atomizer tips (disposable)	item	2.66	2	0	000
31238	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02	2	0	000
31238	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	2	0	000
31238	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	4	0	000
31239	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		1	010
31239	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26		1	010
31239	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13		1	010
31239	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		1	010
31239	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		2	010
31239	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		1	010
31242	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
31242	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	000
31242	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
31242	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
31242	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
31242	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
31242	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
31242	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	000
31242	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
31242	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
31242	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
31242	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
31242	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	000
31242	CMS	"Accessory, Procedure"	SD357	Radiofrequency Stylus / wand	item	1950	1	0	000
31242	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8	10	0	000
31242	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
31242	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	000
31242	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	6	0	000
31242	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
31242	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	6	0	000
31242	CMS	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	1	0	000
31242	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02	2	0	000
31242	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	2	0	000
31243	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
31243	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	000
31243	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
31243	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
31243	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
31243	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
31243	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
31243	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	000
31243	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
31243	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
31243	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
31243	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
31243	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	000
31243	CMS	"Accessory, Procedure"	SD358	Cryoablation handpiece and 2 canisters (one per side)	item	1882.8	1	0	000
31243	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8	10	0	000
31243	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
31243	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	000
31243	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	6	0	000
31243	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
31243	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	6	0	000
31243	CMS	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	1	0	000
31243	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02	2	0	000
31243	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	2	0	000
31254	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
31254	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	000
31254	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
31254	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
31254	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	000
31254	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
31254	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
31254	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
31254	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	000
31254	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
31254	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
31254	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
31254	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
31254	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	000
31254	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8	8	0	000
31254	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	4	0	000
31254	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	5	0	000
31254	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	10	0	000
31254	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
31254	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	1	0	000
31254	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
31254	CMS	Lab	SL033	culture swab system (Culturette)	item	0.96	1	0	000
31254	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	000
31254	CMS	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	1	0	000
31254	CMS	Lab	SL464	Atomizer tips (disposable)	item	2.66	1	0	000
31254	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02	1	0	000
31254	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
31254	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	4	0	000
31290	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3		1	010
31290	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	010
31290	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59		1	010
31290	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1	010
31290	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43		1	010
31290	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		1	010
31290	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		2	010
31290	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		4	010
31290	CMS	"Pharmacy, Rx"	SH025	"cocaine 4% solution, topical"	ml	5.7		4	010
31290	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		1	010
31290	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8		2	010
31290	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		1	010
31290	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15		1	010
31290	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76		1	010
31290	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22		2	010
31290	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44		2	010
31290	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84		1	010
31291	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3		1	010
31291	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	010
31291	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59		1	010
31291	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1	010
31291	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43		1	010
31291	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		1	010
31291	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		2	010
31291	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		4	010
31291	CMS	"Pharmacy, Rx"	SH025	"cocaine 4% solution, topical"	ml	5.7		4	010
31291	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		1	010
31291	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8		2	010
31291	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		1	010
31291	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15		1	010
31291	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76		1	010
31291	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22		2	010
31291	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44		2	010
31291	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84		1	010
31292	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3		1	010
31292	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	010
31292	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59		1	010
31292	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1	010
31292	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43		1	010
31292	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		1	010
31292	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		2	010
31292	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		4	010
31292	CMS	"Pharmacy, Rx"	SH025	"cocaine 4% solution, topical"	ml	5.7		4	010
31292	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		1	010
31292	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8		2	010
31292	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15		1	010
31292	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76		1	010
31292	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22		2	010
31292	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44		2	010
31292	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84		1	010
31293	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3		1	010
31293	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	010
31293	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59		1	010
31293	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1	010
31293	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43		1	010
31293	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		1	010
31293	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		2	010
31293	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		4	010
31293	CMS	"Pharmacy, Rx"	SH025	"cocaine 4% solution, topical"	ml	5.7		4	010
31293	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		1	010
31293	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8		2	010
31293	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		1	010
31293	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15		1	010
31293	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76		1	010
31293	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22		2	010
31293	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44		2	010
31293	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84		1	010
31294	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3		1	010
31294	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	010
31294	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59		1	010
31294	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1	010
31294	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43		1	010
31294	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		1	010
31294	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		2	010
31294	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		4	010
31294	CMS	"Pharmacy, Rx"	SH025	"cocaine 4% solution, topical"	ml	5.7		4	010
31294	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		1	010
31294	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8		2	010
31294	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		1	010
31294	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15		1	010
31294	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76		1	010
31294	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22		2	010
31294	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44		2	010
31294	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84		1	010
31295	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
31295	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	000
31295	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
31295	CMS	"Kit, Pack, Tray"	SA106	"kit, sinus surgery, balloon (maxillary, frontal, or sphenoid)"	kit	2338	0.5	0	000
31295	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
31295	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
31295	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
31295	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
31295	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
31295	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	000
31295	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
31295	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
31295	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
31295	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
31295	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
31295	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	000
31295	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8	5	0	000
31295	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
31295	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	000
31295	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	3	0	000
31295	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	000
31295	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
31295	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	3	0	000
31295	CMS	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	1	0	000
31295	CMS	Lab	SL038	"cup-container, sterile, graduated 1000ml"	item	1.15	1	0	000
31295	CMS	Lab	SL146	tubed culture media	item	0.92	1	0	000
31295	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02	2	0	000
31295	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	2	0	000
31296	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
31296	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	000
31296	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
31296	CMS	"Kit, Pack, Tray"	SA106	"kit, sinus surgery, balloon (maxillary, frontal, or sphenoid)"	kit	2338	0.5	0	000
31296	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
31296	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
31296	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
31296	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
31296	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
31296	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	000
31296	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
31296	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
31296	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
31296	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
31296	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
31296	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	000
31296	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8	5	0	000
31296	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
31296	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	000
31296	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	3	0	000
31296	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	000
31296	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
31296	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	3	0	000
31296	CMS	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	1	0	000
31296	CMS	Lab	SL038	"cup-container, sterile, graduated 1000ml"	item	1.15	1	0	000
31296	CMS	Lab	SL146	tubed culture media	item	0.92	1	0	000
31296	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02	2	0	000
31296	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	2	0	000
31297	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
31297	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	000
31297	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
31297	CMS	"Kit, Pack, Tray"	SA106	"kit, sinus surgery, balloon (maxillary, frontal, or sphenoid)"	kit	2338	0.5	0	000
31297	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
31297	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
31297	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
31297	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
31297	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
31297	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	000
31297	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
31297	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
31297	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
31297	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
31297	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
31297	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	000
31297	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8	5	0	000
31297	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
31297	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	000
31297	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	3	0	000
31297	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	000
31297	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
31297	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	3	0	000
31297	CMS	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	1	0	000
31297	CMS	Lab	SL038	"cup-container, sterile, graduated 1000ml"	item	1.15	1	0	000
31297	CMS	Lab	SL146	tubed culture media	item	0.92	1	0	000
31297	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02	2	0	000
31297	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	2	0	000
31298	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	2	0	000
31298	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	000
31298	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
31298	CMS	"Kit, Pack, Tray"	SA106	"kit, sinus surgery, balloon (maxillary, frontal, or sphenoid)"	kit	2338	1	0	000
31298	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
31298	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
31298	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
31298	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
31298	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
31298	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	000
31298	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
31298	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
31298	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
31298	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
31298	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
31298	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	000
31298	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8	5	0	000
31298	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
31298	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	000
31298	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	3	0	000
31298	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	000
31298	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
31298	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	3	0	000
31298	CMS	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	1	0	000
31298	CMS	Lab	SL038	"cup-container, sterile, graduated 1000ml"	item	1.15	1	0	000
31298	CMS	Lab	SL146	tubed culture media	item	0.92	1	0	000
31298	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02	2	0	000
31298	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	4	0	000
31300	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		2	090
31300	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
31300	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
31300	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
31300	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
31300	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
31300	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		4	090
31300	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
31300	CMS	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		4	090
31300	CMS	"Accessory, Procedure"	SD070	endosheath	item	15.28		4	090
31300	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
31300	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		8	090
31300	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		4	090
31300	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
31300	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		2	090
31360	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		2	090
31360	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
31360	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
31360	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
31360	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
31360	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
31360	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		4	090
31360	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
31360	CMS	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		4	090
31360	CMS	"Accessory, Procedure"	SD070	endosheath	item	15.28		4	090
31360	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
31360	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		8	090
31360	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		4	090
31360	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		15	090
31360	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		2	090
31365	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		2	090
31365	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
31365	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
31365	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
31365	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
31365	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
31365	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		4	090
31365	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
31365	CMS	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		4	090
31365	CMS	"Accessory, Procedure"	SD070	endosheath	item	15.28		4	090
31365	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
31365	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		8	090
31365	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		4	090
31365	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		15	090
31365	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		2	090
31367	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		4	090
31367	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
31367	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
31367	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3.5	090
31367	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4.5	090
31367	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4.5	090
31367	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		4.5	090
31367	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4.5	090
31367	CMS	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		4.5	090
31367	CMS	"Accessory, Procedure"	SD070	endosheath	item	15.28		4.5	090
31367	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4.5	090
31367	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		16	090
31367	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		8	090
31367	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
31367	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		4	090
31368	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		4	090
31368	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
31368	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
31368	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		4.5	090
31368	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5.5	090
31368	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		5.5	090
31368	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		5.5	090
31368	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		5.5	090
31368	CMS	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		5.5	090
31368	CMS	"Accessory, Procedure"	SD070	endosheath	item	15.28		5.5	090
31368	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		5.5	090
31368	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		16	090
31368	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		8	090
31368	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
31368	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		4	090
31370	CMS	"Kit, Pack, Tray"	SA035	"kit, tracheostomy care"	kit	2.085		2	090
31370	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		4	090
31370	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
31370	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
31370	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3.5	090
31370	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4.5	090
31370	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4.5	090
31370	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		4.5	090
31370	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4.5	090
31370	CMS	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		4.5	090
31370	CMS	"Accessory, Procedure"	SD070	endosheath	item	15.28		4.5	090
31370	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4.5	090
31370	CMS	"Accessory, Procedure"	SD209	tracheostomy tube	item	20.93		1	090
31370	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		16	090
31370	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		8	090
31370	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
31370	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		4	090
31375	CMS	"Kit, Pack, Tray"	SA035	"kit, tracheostomy care"	kit	2.085		2	090
31375	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		4	090
31375	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
31375	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
31375	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
31375	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
31375	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
31375	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		4	090
31375	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
31375	CMS	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		4	090
31375	CMS	"Accessory, Procedure"	SD070	endosheath	item	15.28		4	090
31375	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
31375	CMS	"Accessory, Procedure"	SD209	tracheostomy tube	item	20.93		1	090
31375	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		16	090
31375	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		8	090
31375	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
31375	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		4	090
31380	CMS	"Kit, Pack, Tray"	SA035	"kit, tracheostomy care"	kit	2.085		2	090
31380	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		4	090
31380	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
31380	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
31380	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
31380	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
31380	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
31380	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		4	090
31380	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
31380	CMS	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		4	090
31380	CMS	"Accessory, Procedure"	SD070	endosheath	item	15.28		4	090
31380	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
31380	CMS	"Accessory, Procedure"	SD209	tracheostomy tube	item	20.93		1	090
31380	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		16	090
31380	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		8	090
31380	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
31380	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		4	090
31382	CMS	"Kit, Pack, Tray"	SA035	"kit, tracheostomy care"	kit	2.085		2	090
31382	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		4	090
31382	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
31382	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
31382	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3.5	090
31382	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4.5	090
31382	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4.5	090
31382	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		4.5	090
31382	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4.5	090
31382	CMS	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		4.5	090
31382	CMS	"Accessory, Procedure"	SD070	endosheath	item	15.28		4.5	090
31382	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4.5	090
31382	CMS	"Accessory, Procedure"	SD209	tracheostomy tube	item	20.93		1	090
31382	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		16	090
31382	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		8	090
31382	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
31382	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		4	090
31390	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		2	090
31390	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
31390	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
31390	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		5	090
31390	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
31390	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		6	090
31390	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		6	090
31390	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		6	090
31390	CMS	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		6	090
31390	CMS	"Accessory, Procedure"	SD070	endosheath	item	15.28		6	090
31390	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		6	090
31390	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		8	090
31390	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		4	090
31390	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		15	090
31390	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		2	090
31395	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		2	090
31395	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
31395	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
31395	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		7	090
31395	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090
31395	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		8	090
31395	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		8	090
31395	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		8	090
31395	CMS	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		8	090
31395	CMS	"Accessory, Procedure"	SD070	endosheath	item	15.28		8	090
31395	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		8	090
31395	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		8	090
31395	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		4	090
31395	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		15	090
31395	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		2	090
31400	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		4	090
31400	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
31400	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
31400	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		4	090
31400	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3		3	090
31400	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
31400	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
31400	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		4	090
31400	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13		1	090
31400	CMS	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.78		2	090
31400	CMS	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		4	090
31400	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		8	090
31400	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		12	090
31400	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		8	090
31400	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08		5	090
31400	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		20	090
31400	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
31400	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4	090
31400	CMS	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	1.13		4	090
31400	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
31420	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		1	090
31420	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3.5	090
31420	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
31420	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		3	090
31420	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3		2	090
31420	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090
31420	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		3	090
31420	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		3	090
31420	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13		1	090
31420	CMS	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.78		2	090
31420	CMS	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		3	090
31420	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		6	090
31420	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		12	090
31420	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		8	090
31420	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08		5	090
31420	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		20	090
31420	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
31420	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3	090
31420	CMS	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	1.13		4	090
31420	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
31505	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
31505	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
31505	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
31505	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
31505	CMS	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	1.13	2	0	000
31505	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
31505	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	2	0	000
31505	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	2	0	000
31505	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	2	0	000
31505	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	4	0	000
31505	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	4	0	000
31505	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	000
31510	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	000
31510	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
31510	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
31510	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
31510	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	000
31510	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
31510	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
31510	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
31510	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	2	0	000
31510	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
31510	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	2	0	000
31510	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	2	0	000
31510	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	4	0	000
31510	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	4	0	000
31510	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	000
31511	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	000
31511	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
31511	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
31511	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	000
31511	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
31511	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
31511	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
31511	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	2	0	000
31511	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
31511	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	2	0	000
31511	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	2	0	000
31511	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	4	0	000
31511	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	4	0	000
31511	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	000
31512	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	000
31512	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
31512	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
31512	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
31512	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	000
31512	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
31512	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
31512	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
31512	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	2	0	000
31512	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
31512	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	2	0	000
31512	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	4	0	000
31512	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	4	0	000
31512	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	000
31515	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	000
31515	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
31515	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
31515	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
31515	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	000
31515	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
31515	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8	4	0	000
31515	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	4	0	000
31515	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
31515	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
31515	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	2	0	000
31515	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
31515	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	2	0	000
31515	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	2	0	000
31515	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	4	0	000
31515	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	4	0	000
31515	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	000
31525	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	000
31525	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
31525	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
31525	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	000
31525	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
31525	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8	4	0	000
31525	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	4	0	000
31525	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
31525	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
31525	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	2	0	000
31525	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	2	0	000
31525	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	2	0	000
31525	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	4	0	000
31525	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	4	0	000
31525	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	000
31551	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		3	090
31551	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09		3	090
31551	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
31551	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
31551	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		1	090
31551	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1	090
31551	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		1	090
31551	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		1	090
31551	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		12	090
31551	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		6	090
31551	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		3	090
31551	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		1	090
31551	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
31551	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		3	090
31552	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		3	090
31552	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09		3	090
31552	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
31552	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
31552	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		1	090
31552	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1	090
31552	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		1	090
31552	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		1	090
31552	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		12	090
31552	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		10	090
31552	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		3	090
31552	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		1	090
31552	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
31552	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		3	090
31553	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		3	090
31553	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09		3	090
31553	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
31553	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
31553	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		3	090
31553	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090
31553	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		3	090
31553	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		3	090
31553	CMS	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		3	090
31553	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		3	090
31553	CMS	"Accessory, Procedure"	SD209	tracheostomy tube	item	20.93		3	090
31553	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		12	090
31553	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		3	090
31553	CMS	"Wound Care, Dressings"	SG090	tracheostomy collar-neckband	item	3.235		3	090
31553	CMS	"Wound Care, Dressings"	SG091	tracheostomy dressing	item	3.24		3	090
31553	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		6	090
31553	CMS	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.47		6	090
31553	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		3	090
31553	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3	090
31553	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
31553	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
31553	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		3	090
31554	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		3	090
31554	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09		3	090
31554	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
31554	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
31554	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		3	090
31554	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090
31554	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		3	090
31554	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		3	090
31554	CMS	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		3	090
31554	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		3	090
31554	CMS	"Accessory, Procedure"	SD209	tracheostomy tube	item	20.93		3	090
31554	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		12	090
31554	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		3	090
31554	CMS	"Wound Care, Dressings"	SG090	tracheostomy collar-neckband	item	3.235		3	090
31554	CMS	"Wound Care, Dressings"	SG091	tracheostomy dressing	item	3.24		3	090
31554	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		10	090
31554	CMS	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.47		6	090
31554	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		3	090
31554	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3	090
31554	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
31554	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
31554	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		3	090
31570	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	000
31570	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
31570	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
31570	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
31570	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	000
31570	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
31570	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8	4	0	000
31570	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	4	0	000
31570	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
31570	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
31570	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	2	0	000
31570	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	2	0	000
31570	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	2	0	000
31570	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	4	0	000
31570	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	4	0	000
31570	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	000
31572	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	000
31572	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
31572	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
31572	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
31572	CMS	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.41	1	0	000
31572	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	000
31572	CMS	"Cutters, Closures, Cautery"	SF029	"laser tip, bare (single use)"	item	189.55	1	0	000
31572	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	000
31572	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
31572	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	1	0	000
31572	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
31572	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	2	0	000
31572	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02	1	0	000
31572	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	2	0	000
31572	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	2	0	000
31572	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	4	0	000
31572	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	4	0	000
31572	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	000
31573	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	000
31573	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
31573	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
31573	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
31573	CMS	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.41	1	0	000
31573	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	000
31573	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	000
31573	CMS	"Pharmacy, Rx"	SH084	Kenalog 40 inj	ml	10.5775	1	0	000
31573	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
31573	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	1	0	000
31573	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
31573	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	2	0	000
31573	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02	1	0	000
31573	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	2	0	000
31573	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	2	0	000
31573	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	4	0	000
31573	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	4	0	000
31573	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	000
31574	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	000
31574	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
31574	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
31574	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
31574	CMS	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.41	1	0	000
31574	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	000
31574	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	000
31574	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
31574	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	1	0	000
31574	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
31574	CMS	"Pharmacy, NonRx"	SJ090	Voice Augmentation Gel	ml	592.11	1	0	000
31574	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	2	0	000
31574	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02	1	0	000
31574	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	2	0	000
31574	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	2	0	000
31574	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	4	0	000
31574	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	4	0	000
31574	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	000
31575	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
31575	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
31575	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
31575	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
31575	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	000
31575	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	1	0	000
31575	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
31575	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	2	0	000
31575	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02	1	0	000
31575	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	2	0	000
31575	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	2	0	000
31575	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	4	0	000
31575	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	4	0	000
31575	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	000
31576	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	000
31576	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
31576	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
31576	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
31576	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
31576	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	000
31576	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
31576	CMS	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.41	1	0	000
31576	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	000
31576	CMS	"Accessory, Procedure"	SD318	Disposable biopsy forceps	item	23.08	1	0	000
31576	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
31576	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	000
31576	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
31576	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	1	0	000
31576	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
31576	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	2	0	000
31576	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	000
31576	CMS	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	1	0	000
31576	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02	1	0	000
31576	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	2	0	000
31576	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	2	0	000
31576	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	4	0	000
31576	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	4	0	000
31576	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	000
31577	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	000
31577	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
31577	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
31577	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
31577	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	000
31577	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
31577	CMS	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.41	1	0	000
31577	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	000
31577	CMS	"Accessory, Procedure"	SD318	Disposable biopsy forceps	item	23.08	1	0	000
31577	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
31577	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	000
31577	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
31577	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	1	0	000
31577	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
31577	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	2	0	000
31577	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	000
31577	CMS	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	1	0	000
31577	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02	1	0	000
31577	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	2	0	000
31577	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	2	0	000
31577	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	4	0	000
31577	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	4	0	000
31577	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	000
31578	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	000
31578	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
31578	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
31578	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
31578	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
31578	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	000
31578	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
31578	CMS	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.41	1	0	000
31578	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	000
31578	CMS	"Accessory, Procedure"	SD318	Disposable biopsy forceps	item	23.08	1	0	000
31578	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
31578	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	000
31578	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
31578	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	1	0	000
31578	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
31578	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	2	0	000
31578	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	000
31578	CMS	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	1	0	000
31578	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02	1	0	000
31578	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	2	0	000
31578	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	2	0	000
31578	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	4	0	000
31578	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	4	0	000
31578	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	000
31579	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
31579	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
31579	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
31579	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
31579	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	000
31579	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	1	0	000
31579	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
31579	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	2	0	000
31579	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02	1	0	000
31579	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	2	0	000
31579	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	2	0	000
31579	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	4	0	000
31579	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	4	0	000
31579	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	000
31580	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		3	090
31580	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09		3	090
31580	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
31580	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
31580	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		3	090
31580	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090
31580	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		3	090
31580	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		3	090
31580	CMS	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		3	090
31580	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		3	090
31580	CMS	"Accessory, Procedure"	SD209	tracheostomy tube	item	20.93		3	090
31580	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		12	090
31580	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		3	090
31580	CMS	"Wound Care, Dressings"	SG090	tracheostomy collar-neckband	item	3.235		3	090
31580	CMS	"Wound Care, Dressings"	SG091	tracheostomy dressing	item	3.24		3	090
31580	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		10	090
31580	CMS	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.47		6	090
31580	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		3	090
31580	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3	090
31580	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
31580	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
31580	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		3	090
31584	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		3	090
31584	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09		3	090
31584	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
31584	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
31584	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		3	090
31584	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090
31584	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		3	090
31584	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		3	090
31584	CMS	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		3	090
31584	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		3	090
31584	CMS	"Accessory, Procedure"	SD209	tracheostomy tube	item	20.93		3	090
31584	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		12	090
31584	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		3	090
31584	CMS	"Wound Care, Dressings"	SG090	tracheostomy collar-neckband	item	3.235		3	090
31584	CMS	"Wound Care, Dressings"	SG091	tracheostomy dressing	item	3.24		3	090
31584	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		10	090
31584	CMS	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.47		6	090
31584	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		3	090
31584	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3	090
31584	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
31584	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
31584	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		3	090
31587	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		3	090
31587	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09		3	090
31587	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
31587	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
31587	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		1	090
31587	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1	090
31587	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		1	090
31587	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		1	090
31587	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		12	090
31587	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		10	090
31587	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		3	090
31587	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		1	090
31587	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
31587	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		3	090
31590	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		5	090
31590	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
31590	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
31590	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		5	090
31590	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3		4	090
31590	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5	090
31590	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		5	090
31590	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		5	090
31590	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13		1	090
31590	CMS	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.78		2	090
31590	CMS	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		5	090
31590	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		10	090
31590	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		15	090
31590	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		10	090
31590	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08		5	090
31590	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		25	090
31590	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
31590	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		5	090
31590	CMS	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	1.13		5	090
31590	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
31591	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		3	090
31591	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09		3	090
31591	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
31591	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
31591	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		1	090
31591	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1	090
31591	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		1	090
31591	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		1	090
31591	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		10	090
31591	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		3	090
31591	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		1	090
31591	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
31591	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		3	090
31592	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		3	090
31592	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09		3	090
31592	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
31592	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
31592	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		1	090
31592	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1	090
31592	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		1	090
31592	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		1	090
31592	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		12	090
31592	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		10	090
31592	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		3	090
31592	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		1	090
31592	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
31592	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		3	090
31610	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09		3	090
31610	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
31610	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		3	090
31610	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090
31610	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		3	090
31610	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		3	090
31610	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13		3	090
31610	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
31610	CMS	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		3	090
31610	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		3	090
31610	CMS	"Accessory, Procedure"	SD209	tracheostomy tube	item	20.93		3	090
31610	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		12	090
31610	CMS	"Wound Care, Dressings"	SG090	tracheostomy collar-neckband	item	3.235		3	090
31610	CMS	"Wound Care, Dressings"	SG091	tracheostomy dressing	item	3.24		3	090
31610	CMS	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.47		3	090
31610	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		3	090
31610	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3	090
31610	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		30	090
31610	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		3	090
31611	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		1	090
31611	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2.5	090
31611	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		2	090
31611	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3		1	090
31611	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
31611	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		2	090
31611	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		2	090
31611	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13		1	090
31611	CMS	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		2	090
31611	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
31611	CMS	"Accessory, Procedure"	SD195	"prosthesis, voice button (Blom-Singer)"	item	48		1	090
31611	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
31611	CMS	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.47		2	090
31611	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		1	090
31611	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		2	090
31612	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
31612	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
31612	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
31612	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
31612	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
31612	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1	0	000
31612	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
31612	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	000
31612	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
31612	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	000
31612	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	8	0	000
31612	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	6	0	000
31612	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	000
31612	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
31612	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
31612	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
31613	CMS	"Kit, Pack, Tray"	SA035	"kit, tracheostomy care"	kit	2.085		2.5	090
31613	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2.5	090
31613	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
31613	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1.5	090
31613	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2.5	090
31613	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		2.5	090
31613	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		2.5	090
31613	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		2.5	090
31613	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		2.5	090
31613	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		2.5	090
31613	CMS	"Accessory, Procedure"	SD209	tracheostomy tube	item	20.93		1	090
31613	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
31614	CMS	"Kit, Pack, Tray"	SA035	"kit, tracheostomy care"	kit	2.085		4	090
31614	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
31614	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
31614	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
31614	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
31614	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
31614	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		4	090
31614	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
31614	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
31614	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		4	090
31614	CMS	"Accessory, Procedure"	SD209	tracheostomy tube	item	20.93		1	090
31614	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
31615	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
31615	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
31615	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
31615	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
31615	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	000
31615	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
31615	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
31615	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	4	0	000
31615	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
31615	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	2	0	000
31615	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	2	0	000
31615	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	2	0	000
31615	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	4	0	000
31615	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	4	0	000
31615	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	000
31622	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
31622	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
31622	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
31622	CMS	"Accessory, Procedure"	SD121	"suction specimen trap, sterile"	item	2.47	2	0	000
31622	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
31622	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	40	0	000
31622	CMS	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	1.04	5	0	000
31622	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	20	0	000
31622	CMS	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.47	1	0	000
31622	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
31622	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1	0	000
31622	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	2	0	000
31622	CMS	Infection Control	SM016	"eye shield, splash protection"	item	3.18	2	0	000
31623	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
31623	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
31623	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
31623	CMS	"Accessory, Procedure"	SD121	"suction specimen trap, sterile"	item	2.47	1	0	000
31623	CMS	"Accessory, Procedure"	SD141	"brush, protected airway specimen"	item	20	2	0	000
31623	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
31623	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	40	0	000
31623	CMS	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	1.04	5	0	000
31623	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	20	0	000
31623	CMS	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.47	1	0	000
31623	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
31623	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	2	0	000
31623	CMS	Infection Control	SM016	"eye shield, splash protection"	item	3.18	2	0	000
31624	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
31624	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
31624	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
31624	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
31624	CMS	"Accessory, Procedure"	SD121	"suction specimen trap, sterile"	item	2.47	3	0	000
31624	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
31624	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	40	0	000
31624	CMS	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	1.04	5	0	000
31624	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	20	0	000
31624	CMS	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.47	15	0	000
31624	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
31624	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	2	0	000
31624	CMS	Infection Control	SM016	"eye shield, splash protection"	item	3.18	2	0	000
31625	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
31625	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
31625	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
31625	CMS	"Accessory, Procedure"	SD066	endoscopic biopsy forceps	item	68.03	1	0	000
31625	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	000
31625	CMS	"Accessory, Procedure"	SD121	"suction specimen trap, sterile"	item	2.47	1	0	000
31625	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
31625	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	40	0	000
31625	CMS	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	1.04	5	0	000
31625	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	20	0	000
31625	CMS	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.47	1	0	000
31625	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
31625	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1	0	000
31625	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	2	0	000
31625	CMS	Infection Control	SM016	"eye shield, splash protection"	item	3.18	2	0	000
31626	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
31626	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
31626	CMS	"Gown, Drape"	SB053	Gold Fiducial Marker	item	138.67	3	0	000
31626	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
31626	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
31626	CMS	"Hypodermic, IV"	SC092	"catheter, needle (for CPT 31626)"	item	40.23	1	0	000
31626	CMS	"Accessory, Procedure"	SD121	"suction specimen trap, sterile"	item	2.47	2	0	000
31626	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
31626	CMS	"Pharmacy, Rx"	SH041	Indigo Carmine soln 0.8% inj (5cc vial uou)	item	15.16	1	0	000
31626	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	40	0	000
31626	CMS	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	1.04	5	0	000
31626	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	20	0	000
31626	CMS	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.47	1	0	000
31626	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
31626	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1	0	000
31626	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	2	0	000
31626	CMS	Infection Control	SM016	"eye shield, splash protection"	item	3.18	2	0	000
31627	CMS	"Kit, Pack, Tray"	SA097	"kit, locatable guide, ext. working channel, w-b-scope adapter"	kit	976.68	1	0	ZZZ
31627	CMS	"Accessory, Procedure"	SD235	"sensor, patch, bronchosopy (for kit, locatable guide) (patient)"	item	2.14	3	0	ZZZ
31628	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
31628	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
31628	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
31628	CMS	"Accessory, Procedure"	SD066	endoscopic biopsy forceps	item	68.03	1	0	000
31628	CMS	"Accessory, Procedure"	SD121	"suction specimen trap, sterile"	item	2.47	1	0	000
31628	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
31628	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	40	0	000
31628	CMS	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	1.04	5	0	000
31628	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	20	0	000
31628	CMS	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.47	1	0	000
31628	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
31628	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1	0	000
31628	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	2	0	000
31628	CMS	Infection Control	SM016	"eye shield, splash protection"	item	3.18	2	0	000
31629	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
31629	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
31629	CMS	"Hypodermic, IV"	SC043	"needle, transbronchial, cytology (Wang)"	item	74.1	2	0	000
31629	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
31629	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	2	0	000
31629	CMS	"Accessory, Procedure"	SD121	"suction specimen trap, sterile"	item	2.47	1	0	000
31629	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
31629	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	40	0	000
31629	CMS	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	1.04	5	0	000
31629	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	20	0	000
31629	CMS	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.47	1	0	000
31629	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
31629	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1	0	000
31629	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	2	0	000
31629	CMS	Infection Control	SM016	"eye shield, splash protection"	item	3.18	2	0	000
31634	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
31634	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
31634	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
31634	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
31634	CMS	"Accessory, Procedure"	SD121	"suction specimen trap, sterile"	item	2.47	1	0	000
31634	CMS	"Accessory, Procedure"	SD261	B5-2C Double Lumen Balloon 10 mm dia	item	126.75	1	0	000
31634	CMS	"Accessory, Procedure"	SD262	Insuffalator - Boston Scientific	item	85	1	0	000
31634	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
31634	CMS	"Wound Care, Dressings"	SG094	"Tisseel Fibrin Glue, 1 ml"	ml	262.01	4	0	000
31634	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	40	0	000
31634	CMS	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	1.04	5	0	000
31634	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	20	0	000
31634	CMS	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.47	1	0	000
31634	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
31634	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1	0	000
31634	CMS	Infection Control	SM016	"eye shield, splash protection"	item	3.18	2	0	000
31635	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
31635	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
31635	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
31635	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
31635	CMS	"Accessory, Procedure"	SD121	"suction specimen trap, sterile"	item	2.47	1	0	000
31635	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
31635	CMS	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.47	1	0	000
31635	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1	0	000
31635	CMS	Infection Control	SM016	"eye shield, splash protection"	item	3.18	2	0	000
31645	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
31645	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
31645	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
31645	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
31645	CMS	"Accessory, Procedure"	SD084	"gas, oxygen"	liter	0.01	175	0	000
31645	CMS	"Accessory, Procedure"	SD121	"suction specimen trap, sterile"	item	2.47	1	0	000
31645	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
31645	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	40	0	000
31645	CMS	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	1.04	5	0	000
31645	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	20	0	000
31645	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	000
31645	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
31645	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1	0	000
31645	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	2	0	000
31645	CMS	Infection Control	SM016	"eye shield, splash protection"	item	3.18	2	0	000
31652	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
31652	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
31652	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
31652	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
31652	CMS	"Hypodermic, IV"	SC102	"EBUS, single use aspiration needle, 21g"	item	420.92	2	0	000
31652	CMS	"Accessory, Procedure"	SD121	"suction specimen trap, sterile"	item	2.47	2	0	000
31652	CMS	"Accessory, Procedure"	SD294	Balloon for Bronchoscopy Fiberscope	item	25.5	1	0	000
31652	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
31652	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	40	0	000
31652	CMS	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	1.04	5	0	000
31652	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	20	0	000
31652	CMS	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.47	1	0	000
31652	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
31652	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1	0	000
31652	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	2	0	000
31652	CMS	Infection Control	SM016	"eye shield, splash protection"	item	3.18	2	0	000
31653	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
31653	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
31653	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
31653	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
31653	CMS	"Hypodermic, IV"	SC102	"EBUS, single use aspiration needle, 21g"	item	420.92	2	0	000
31653	CMS	"Accessory, Procedure"	SD121	"suction specimen trap, sterile"	item	2.47	2	0	000
31653	CMS	"Accessory, Procedure"	SD294	Balloon for Bronchoscopy Fiberscope	item	25.5	1	0	000
31653	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
31653	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	40	0	000
31653	CMS	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	1.04	5	0	000
31653	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	20	0	000
31653	CMS	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.47	1	0	000
31653	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
31653	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1	0	000
31653	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	2	0	000
31653	CMS	Infection Control	SM016	"eye shield, splash protection"	item	3.18	2	0	000
31654	CMS	"Accessory, Procedure"	SD070	endosheath	item	15.28	1	0	ZZZ
31717	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
31717	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
31717	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
31717	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	3	0	000
31717	CMS	"Accessory, Procedure"	SD141	"brush, protected airway specimen"	item	20	2	0	000
31717	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
31717	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	40	0	000
31717	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	20	0	000
31717	CMS	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.47	1	0	000
31717	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
31717	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	000
31717	CMS	Infection Control	SM016	"eye shield, splash protection"	item	3.18	1	0	000
31730	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
31730	CMS	"Kit, Pack, Tray"	SA091	"tray, scoop, fast track system"	tray	750	1	0	000
31730	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
31730	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
31730	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
31730	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1	0	000
31730	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	000
31730	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	5	0	000
31730	CMS	Infection Control	SM016	"eye shield, splash protection"	item	3.18	2	0	000
31750	CMS	"Kit, Pack, Tray"	SA035	"kit, tracheostomy care"	kit	2.085		2	090
31750	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		4	090
31750	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
31750	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
31750	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
31750	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
31750	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
31750	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		4	090
31750	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
31750	CMS	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		4	090
31750	CMS	"Accessory, Procedure"	SD070	endosheath	item	15.28		4	090
31750	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
31750	CMS	"Accessory, Procedure"	SD209	tracheostomy tube	item	20.93		1	090
31750	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		16	090
31750	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		8	090
31750	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
31750	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		4	090
31755	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		5	090
31755	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		7	090
31755	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
31755	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		6	090
31755	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		7	090
31755	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		7	090
31755	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		7	090
31755	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		7	090
31755	CMS	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		7	090
31755	CMS	"Accessory, Procedure"	SD070	endosheath	item	15.28		7	090
31755	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		7	090
31755	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		20	090
31755	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		10	090
31755	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
31755	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		5	090
31760	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
31760	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
31766	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
31766	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
31770	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
31770	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
31775	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
31775	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
31780	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
31780	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
31781	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
31781	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
31785	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
31785	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
31786	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
31786	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
31800	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		2	090
31800	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2.5	090
31800	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
31800	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1.5	090
31800	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2.5	090
31800	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		2.5	090
31800	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		2.5	090
31800	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		2.5	090
31800	CMS	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		2.5	090
31800	CMS	"Accessory, Procedure"	SD070	endosheath	item	15.28		2.5	090
31800	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		2.5	090
31800	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		8	090
31800	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		4	090
31800	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		15	090
31800	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		2	090
31805	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
31805	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
31820	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
31820	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3	2	090
31820	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
31820	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
31820	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	090
31820	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	3	1	090
31820	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
31820	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
31820	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
31820	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1	0	090
31820	CMS	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.78	1	0	090
31820	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
31820	CMS	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.41	1	0	090
31820	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	090
31820	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
31820	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
31820	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
31820	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
31820	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
31820	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
31820	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	1	090
31820	CMS	"Wound Care, Dressings"	SG088	"tape, foam, elastic, 2in (Microfoam)"	inch	0.01	12	0	090
31820	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	090
31820	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
31820	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	30	20	090
31820	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
31820	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33	1	0	090
31825	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
31825	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
31825	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
31825	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
31825	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	090
31825	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	3	1	090
31825	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
31825	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
31825	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
31825	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1	0	090
31825	CMS	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.78	1	0	090
31825	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
31825	CMS	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.41	1	0	090
31825	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	090
31825	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
31825	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
31825	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
31825	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
31825	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
31825	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
31825	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	1	090
31825	CMS	"Wound Care, Dressings"	SG088	"tape, foam, elastic, 2in (Microfoam)"	inch	0.01	12	0	090
31825	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	090
31825	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
31825	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	30	20	090
31825	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
31825	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33	1	0	090
31830	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
31830	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3.5	2.5	090
31830	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
31830	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
31830	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	090
31830	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	3	1	090
31830	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
31830	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
31830	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
31830	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	1	090
31830	CMS	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.78	2	1	090
31830	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
31830	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
31830	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
31830	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
31830	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
31830	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
31830	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	1	090
31830	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
31830	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	090
31830	CMS	"Pharmacy, Rx"	SH084	Kenalog 40 inj	ml	10.5775	4	2	090
31830	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
31830	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	30	20	090
31830	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
31830	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33	1	0	090
32035	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
32035	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
32035	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
32035	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
32035	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
32035	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
32035	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		12	090
32035	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34		1	090
32035	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		20	090
32035	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		1	090
32035	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
32036	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
32036	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
32036	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
32036	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
32036	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
32036	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
32036	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		12	090
32036	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34		1	090
32036	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		20	090
32036	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		1	090
32036	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
32096	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
32096	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
32097	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
32097	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
32098	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
32098	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
32100	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
32100	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
32110	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
32110	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
32120	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
32120	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
32124	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
32124	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
32140	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
32140	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
32141	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
32141	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
32150	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
32150	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
32151	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
32151	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
32160	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
32160	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
32200	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
32200	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
32215	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
32215	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
32220	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
32220	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
32225	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
32225	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
32310	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
32310	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
32320	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
32320	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
32400	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
32400	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	000
32400	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
32400	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1	0	000
32400	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
32400	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
32400	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
32400	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
32400	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
32400	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	000
32400	CMS	Infection Control	SM011	"cleaning brush, instruments"	item	5.6	1	0	000
32400	CMS	Infection Control	SM016	"eye shield, splash protection"	item	3.18	2	0	000
32400	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	3	0	000
32408	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
32408	CMS	"Kit, Pack, Tray"	SA061	"tray, biopsy procedure"	tray	21.58	1	0	000
32408	CMS	"Kit, Pack, Tray"	SA132	Pleural Plug kit	item	315	1	0	000
32408	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
32408	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
32408	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
32408	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
32408	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
32408	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
32408	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
32408	CMS	"Hypodermic, IV"	SC108	Coaxial Biopsy Set	item	49	1	0	000
32408	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	30	0	000
32408	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
32440	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
32440	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
32442	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
32442	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
32445	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
32445	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
32480	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
32480	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
32482	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
32482	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
32484	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
32484	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
32486	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
32486	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
32488	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
32488	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
32491	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
32491	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
32503	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
32503	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
32504	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
32504	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
32505	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
32505	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
32540	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
32540	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
32550	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
32550	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	0	000
32550	CMS	"Kit, Pack, Tray"	SA077	"kit, pleural catheter insertion"	kit	550.76	1	0	000
32550	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
32550	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
32550	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2	0	000
32550	CMS	"Accessory, Procedure"	SD144	"canister, vacuum, pleural (w-drainage line)"	item	15.16	2	0	000
32550	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	32	0	000
32552	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
32552	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	010
32552	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	2	0	010
32552	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
32552	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
32552	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
32552	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
32552	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
32552	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	010
32552	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	010
32552	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
32553	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
32553	CMS	"Kit, Pack, Tray"	SA061	"tray, biopsy procedure"	tray	21.58	1	0	000
32553	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
32553	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
32553	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	000
32553	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	000
32553	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
32553	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
32553	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
32553	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
32553	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
32553	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
32553	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	3	0	000
32553	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	000
32553	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
32553	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	30	0	000
32553	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
32553	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	30	0	000
32553	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	000
32553	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33	1	0	000
32553	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	000
32553	CMS	Lab	SL038	"cup-container, sterile, graduated 1000ml"	item	1.15	1	0	000
32553	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
32554	CMS	"Kit, Pack, Tray"	SA070	"tray, thoracentesis"	tray	36.93	1	0	000
32554	CMS	"Kit, Pack, Tray"	SA113	"Kit, thoracentesis"	kit	69.91	1	0	000
32554	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
32554	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
32554	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
32554	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
32554	CMS	"Wound Care, Dressings"	SG078	"tape, surgical occlusive 1in (Blenderm)"	inch	0.007	15	0	000
32555	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
32555	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
32555	CMS	"Kit, Pack, Tray"	SA070	"tray, thoracentesis"	tray	36.93	1	0	000
32555	CMS	"Kit, Pack, Tray"	SA113	"Kit, thoracentesis"	kit	69.91	1	0	000
32555	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
32555	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	000
32555	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
32555	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
32555	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
32555	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
32555	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
32555	CMS	"Wound Care, Dressings"	SG078	"tape, surgical occlusive 1in (Blenderm)"	inch	0.007	15	0	000
32555	CMS	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.57	3	0	000
32556	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
32556	CMS	"Kit, Pack, Tray"	SA077	"kit, pleural catheter insertion"	kit	550.76	1	0	000
32556	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
32556	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
32556	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
32556	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
32556	CMS	"Wound Care, Dressings"	SG078	"tape, surgical occlusive 1in (Blenderm)"	inch	0.007	25	0	000
32556	CMS	Lab	SL157	"cup, sterile, 8 oz"	item	0.58	1	0	000
32557	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
32557	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
32557	CMS	"Kit, Pack, Tray"	SA113	"Kit, thoracentesis"	kit	69.91	1	0	000
32557	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
32557	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
32557	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	1	0	000
32557	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
32557	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
32557	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
32557	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
32557	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
32557	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	1	0	000
32557	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
32557	CMS	Lab	SL157	"cup, sterile, 8 oz"	item	0.58	1	0	000
32560	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
32560	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
32560	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
32560	CMS	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.54	1	0	000
32560	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	000
32560	CMS	"Pharmacy, Rx"	SH070	"talc, sterile (Sclerosol) (4gm uou)"	item	144.69	1	0	000
32561	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
32561	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
32561	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
32561	CMS	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.54	1	0	000
32561	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	000
32562	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
32562	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
32562	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
32562	CMS	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.54	1	0	000
32562	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	000
32650	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
32650	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
32651	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
32651	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
32652	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
32652	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
32653	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
32653	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
32654	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
32654	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
32655	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
32655	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
32656	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
32656	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
32658	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
32658	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
32659	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
32659	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
32661	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
32661	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
32662	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
32662	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
32663	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
32663	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
32664	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
32664	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
32665	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
32665	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
32666	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
32666	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
32669	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
32669	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
32670	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
32670	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
32671	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
32671	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
32672	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
32672	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
32673	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
32673	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
32800	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
32800	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
32810	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
32810	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
32815	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
32815	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
32820	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
32820	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
32851	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
32851	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
32852	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
32852	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
32853	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
32853	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
32854	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
32854	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
32900	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
32900	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
32905	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
32905	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
32906	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
32906	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
32940	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
32940	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
32960	CMS	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1	0	000
32960	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
32960	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	000
32960	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
32960	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
32960	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
32960	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	000
32960	CMS	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.54	1	0	000
32960	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1	0	000
32960	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	000
32960	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	10	0	000
32960	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
32994	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
32994	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
32994	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
32994	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
32994	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	000
32994	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	000
32994	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
32994	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
32994	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
32994	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
32994	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
32994	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
32994	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
32994	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	000
32994	CMS	"Accessory, Procedure"	SD079	"gas, helium"	cu ft	1.02	455	0	000
32994	CMS	"Accessory, Procedure"	SD227	"gas, argon"	cu ft	0.53	575	0	000
32994	CMS	"Accessory, Procedure"	SD233	"probe, cryoablation, renal"	item	1170.22	3	0	000
32994	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
32994	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	000
32994	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
32994	CMS	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	1	0	000
32994	CMS	"Wound Care, Dressings"	SG057	"gauze, x-ray detectable, sterile 4in x 4in (10 pack uou)"	item	2.64	1	0	000
32994	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	000
32994	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
32994	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
32994	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
32994	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
32994	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33	1	0	000
32994	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	000
32994	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	3	0	000
32998	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
32998	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
32998	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
32998	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
32998	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	000
32998	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	000
32998	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
32998	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
32998	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
32998	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
32998	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
32998	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
32998	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
32998	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	000
32998	CMS	"Accessory, Procedure"	SD109	"probe, radiofrequency, 3 array (StarBurstSDE)"	item	2289	1	0	000
32998	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
32998	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	000
32998	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
32998	CMS	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	1	0	000
32998	CMS	"Wound Care, Dressings"	SG057	"gauze, x-ray detectable, sterile 4in x 4in (10 pack uou)"	item	2.64	1	0	000
32998	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
32998	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
32998	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
32998	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
32998	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33	1	0	000
32998	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	000
32998	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	3	0	000
33020	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
33020	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
33025	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
33025	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
33030	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2.5	090
33030	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
33031	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33031	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		2	090
33050	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33050	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
33120	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1.5	090
33120	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
33130	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33130	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
33140	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
33140	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
33202	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
33202	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33203	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
33206	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33206	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
33207	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
33207	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
33208	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
33208	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
33212	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33212	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
33213	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33213	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
33214	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33214	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
33215	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
33216	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33216	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
33217	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33217	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
33218	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33218	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
33220	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33220	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
33221	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33221	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
33222	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
33222	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
33223	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33223	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
33227	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33227	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
33228	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33228	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
33229	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33229	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
33230	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33230	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
33231	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33231	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
33233	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33233	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
33234	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33234	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
33235	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33235	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
33236	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
33236	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
33237	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
33237	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
33238	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
33238	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
33240	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33240	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
33241	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
33241	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
33243	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
33243	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
33244	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
33244	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
33249	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
33249	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
33250	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33250	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
33251	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33251	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
33254	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33254	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33255	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33255	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33256	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33256	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33257	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	ZZZ
33257	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	ZZZ
33258	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	ZZZ
33258	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	ZZZ
33259	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	ZZZ
33259	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	ZZZ
33261	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33261	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
33262	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33262	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
33263	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33263	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
33264	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33264	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
33265	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33265	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33266	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33266	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33267	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
33267	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33269	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
33269	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33270	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
33270	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
33271	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
33271	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
33272	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
33272	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
33273	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
33273	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
33274	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
33274	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
33275	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
33275	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
33276	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
33278	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
33279	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
33280	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
33281	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
33285	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
33285	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	000
33285	CMS	"Kit, Pack, Tray"	SA127	subcutaneous cardiac rhythm monitor system	item	5032.5	1	0	000
33285	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
33285	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
33285	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
33285	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
33285	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
33285	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
33285	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
33285	CMS	"Accessory, Procedure"	SD169	"forceps, Kelly"	item	1.51	1	0	000
33285	CMS	"Accessory, Procedure"	SD226	"forceps, sterile, blunt tip, polystyrene"	item	1.55	1	0	000
33285	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	000
33285	CMS	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	1	0	000
33285	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	000
33285	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	000
33285	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	1	0	000
33285	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
33285	CMS	"Pharmacy, NonRx"	SJ081	"swab, patient prep, 1.5 ml  (chloraprep)"	item	1.09	1	0	000
33285	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
33286	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
33286	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	000
33286	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
33286	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
33286	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
33286	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
33286	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
33286	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
33286	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
33286	CMS	"Accessory, Procedure"	SD169	"forceps, Kelly"	item	1.51	1	0	000
33286	CMS	"Accessory, Procedure"	SD226	"forceps, sterile, blunt tip, polystyrene"	item	1.55	1	0	000
33286	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
33286	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	000
33286	CMS	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	1	0	000
33286	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	000
33286	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	000
33286	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	1	0	000
33286	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
33286	CMS	"Pharmacy, NonRx"	SJ081	"swab, patient prep, 1.5 ml  (chloraprep)"	item	1.09	1	0	000
33287	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
33288	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
33300	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
33300	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
33305	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
33305	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
33310	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33310	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
33315	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1.5	090
33315	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
33320	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33320	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
33321	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33321	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
33322	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33322	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
33330	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33330	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
33335	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33335	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
33390	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33390	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33391	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33391	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33404	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33404	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
33405	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33405	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
33406	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33406	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
33410	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33410	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
33411	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33411	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
33412	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
33412	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
33413	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33413	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
33414	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
33414	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33415	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
33415	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33416	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33416	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33417	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33417	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33418	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33420	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33420	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
33422	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33422	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
33425	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33425	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
33426	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33426	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
33427	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33427	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
33430	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
33430	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
33440	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
33440	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
33460	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
33460	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
33463	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33463	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
33464	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33464	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
33465	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33465	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
33468	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1.5	090
33468	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33474	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33474	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
33475	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
33475	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
33476	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33476	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
33478	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33478	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
33496	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33496	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
33500	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33500	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
33501	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33501	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
33502	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33502	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
33503	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33503	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33504	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33504	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33505	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
33505	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33506	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
33506	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33507	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
33507	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33510	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33510	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
33511	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33511	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
33512	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
33512	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
33513	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33513	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
33514	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33514	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
33516	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33516	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		2	090
33533	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33533	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
33534	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33534	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
33535	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33535	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
33536	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33536	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
33542	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33542	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
33545	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33545	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
33548	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
33548	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33600	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33600	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33602	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33602	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33606	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33606	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33608	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33608	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33610	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33610	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33611	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
33611	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33612	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
33612	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33615	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33615	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33617	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33617	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33619	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		7	090
33619	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33620	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
33620	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33621	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
33621	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33622	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
33622	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33641	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
33641	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33645	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1.5	090
33645	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33647	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
33647	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33660	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
33660	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33665	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
33665	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33670	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
33670	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33675	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
33675	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33676	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
33676	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33677	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
33677	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33681	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
33681	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33684	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
33684	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33688	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
33688	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33690	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33690	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33692	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
33692	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33694	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
33694	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33697	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
33697	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33702	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33702	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33710	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
33710	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33720	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33720	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33724	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
33724	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33726	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
33726	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33730	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33730	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33732	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33732	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33735	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33735	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33736	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33736	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33750	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33750	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33755	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33755	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33762	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33762	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33764	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33764	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33766	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33766	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33767	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33767	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33770	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
33770	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33771	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
33771	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33774	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33774	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33775	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33775	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33776	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33776	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33777	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33777	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33778	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33778	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33779	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
33779	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33780	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
33780	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33781	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
33781	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33782	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
33782	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33783	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
33783	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33786	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33786	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33788	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33788	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33800	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
33800	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33802	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33802	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33803	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33803	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33814	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33814	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33820	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
33820	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33822	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
33822	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33824	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33824	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
33840	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33840	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33845	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33845	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33851	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33851	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33852	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33852	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33853	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33853	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33858	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33858	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
33859	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
33859	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
33863	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
33863	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
33864	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
33864	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
33871	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
33871	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
33875	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33875	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
33877	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
33877	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
33880	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33880	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
33881	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33881	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
33882	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33882	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
33883	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33883	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
33886	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33886	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
33910	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2.5	090
33910	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
33915	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33915	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
33916	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2.5	090
33916	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
33917	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33917	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33920	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33920	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33922	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33922	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33925	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
33925	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33926	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
33926	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33935	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
33935	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33945	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
33945	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
33971	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
33971	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
33974	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
33974	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
34001	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
34001	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
34051	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
34051	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
34101	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
34101	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
34111	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
34111	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
34151	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
34151	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
34201	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
34201	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
34203	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
34203	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
34401	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
34401	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
34421	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
34421	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
34451	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
34451	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
34471	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
34471	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
34490	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
34490	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
34501	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
34501	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
34502	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
34502	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
34510	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
34510	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
34520	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
34520	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
34520	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
34520	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
34530	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
34530	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
34530	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
34530	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
34701	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
34701	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
34702	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
34702	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
34703	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
34703	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
34704	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
34704	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
34705	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
34705	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
34706	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
34706	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
34707	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
34707	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
34708	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
34708	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
34710	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
34710	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
34712	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
34712	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
34718	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
34718	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
34830	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
34830	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
34831	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
34831	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
34832	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
34832	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
35001	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
35001	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
35002	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
35002	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
35005	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
35005	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
35011	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
35011	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
35013	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
35013	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
35021	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
35021	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
35022	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
35022	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
35045	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
35045	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
35045	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
35045	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
35081	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
35081	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
35082	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
35082	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
35091	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
35091	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
35092	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
35092	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
35102	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
35102	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
35103	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
35103	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
35111	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
35111	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
35112	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
35112	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
35121	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
35121	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
35122	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
35122	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
35131	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
35131	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
35132	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
35132	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
35141	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
35141	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
35142	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
35142	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
35151	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
35151	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
35152	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
35152	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
35180	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
35180	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
35182	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
35182	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
35184	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
35184	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
35188	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
35188	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
35189	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
35189	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
35190	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
35190	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
35201	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
35201	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
35206	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
35206	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
35206	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
35206	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
35207	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
35207	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
35207	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
35207	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
35211	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
35211	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
35216	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
35216	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
35221	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
35221	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
35226	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
35226	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
35226	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
35226	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
35231	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
35231	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
35236	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
35236	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
35236	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
35236	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
35241	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
35241	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
35246	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
35246	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
35251	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
35251	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
35256	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
35256	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		2	090
35256	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
35256	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
35261	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
35261	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
35266	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
35266	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
35266	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
35266	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
35271	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
35271	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
35276	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
35276	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
35281	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
35281	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
35286	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
35286	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
35286	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
35286	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
35301	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
35301	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
35302	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
35302	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
35303	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
35303	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
35304	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
35304	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
35305	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
35305	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
35311	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
35311	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
35321	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
35321	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
35331	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
35331	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
35341	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
35341	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
35351	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
35351	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
35355	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
35355	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
35361	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
35361	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
35363	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
35363	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
35371	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
35371	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
35372	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
35372	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
35501	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
35501	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
35501	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
35506	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
35506	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
35508	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
35508	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
35509	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
35509	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
35509	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
35510	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
35510	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
35511	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
35511	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
35512	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
35512	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
35515	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
35515	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
35516	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
35516	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
35518	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
35518	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
35521	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
35521	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
35522	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
35522	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
35523	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
35523	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
35523	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
35525	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
35525	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
35526	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
35526	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
35531	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
35531	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
35533	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
35533	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
35535	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
35535	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
35536	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
35536	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
35537	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
35537	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
35538	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
35538	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
35539	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
35539	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
35540	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
35540	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
35556	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
35556	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
35558	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
35558	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
35560	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
35560	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
35563	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
35563	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
35565	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
35565	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
35566	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
35566	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
35570	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
35570	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
35571	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
35571	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
35583	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
35583	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
35585	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
35585	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
35585	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
35585	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		1	090
35585	CMS	"Wound Care, Dressings"	SG065	"packing, gauze w-iodoform 1in (5 yd uou)"	item	5.215		1	090
35585	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48		4	090
35587	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
35587	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
35587	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		1	090
35587	CMS	"Wound Care, Dressings"	SG065	"packing, gauze w-iodoform 1in (5 yd uou)"	item	5.215		1	090
35601	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
35601	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
35601	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
35602	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
35602	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
35606	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
35606	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
35612	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
35612	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
35616	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
35616	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
35621	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
35621	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
35623	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
35623	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
35626	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
35626	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
35631	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
35631	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
35632	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
35632	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
35633	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
35633	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
35634	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
35634	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
35636	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
35636	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
35637	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
35637	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
35638	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
35638	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
35642	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
35642	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
35645	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
35645	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
35646	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
35646	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
35647	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
35647	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
35650	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
35650	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
35654	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
35654	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
35656	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
35656	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
35661	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
35661	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
35663	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
35663	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
35665	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
35665	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
35666	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
35666	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
35666	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		10	090
35666	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		20	090
35666	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		1	090
35666	CMS	"Wound Care, Dressings"	SG065	"packing, gauze w-iodoform 1in (5 yd uou)"	item	5.215		1	090
35666	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		6	090
35666	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		60	090
35666	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		100	090
35666	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		10	090
35666	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		2	090
35671	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
35671	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
35671	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		9	090
35671	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		18	090
35671	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		3	090
35671	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		54	090
35671	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		90	090
35671	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		9	090
35691	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
35691	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
35693	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
35693	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
35694	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
35694	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
35695	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
35695	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
35701	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
35701	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
35702	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
35702	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
35703	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
35703	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
35800	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
35800	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
35820	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
35840	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
35840	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
35860	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
35860	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
35870	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
35870	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
35875	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
35875	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
35875	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
35875	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
35876	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
35876	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
35876	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
35876	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
35879	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
35879	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
35879	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
35881	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
35881	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
35881	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
35881	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		360	090
35881	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48		2	090
35883	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
35883	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
35884	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
35884	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
35901	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
35901	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
35901	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
35901	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
35903	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
35903	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
35903	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
35903	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		11	090
35903	CMS	"Wound Care, Dressings"	SG065	"packing, gauze w-iodoform 1in (5 yd uou)"	item	5.215		1	090
35903	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
35905	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
35905	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
35907	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
35907	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
36000	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	XXX
36000	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	XXX
36000	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1	0	XXX
36000	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1	0	XXX
36000	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	XXX
36000	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	3	0	XXX
36000	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	XXX
36000	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	XXX
36002	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
36002	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	000
36002	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	4	0	000
36002	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	3	0	000
36002	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	3	0	000
36002	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1	0	000
36002	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	5	0	000
36002	CMS	"Pharmacy, Rx"	SH004	albumin saline	ml	0.15	2	0	000
36002	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	1	0	000
36002	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	000
36002	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
36005	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
36005	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
36005	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
36005	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
36005	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1	0	000
36005	CMS	"Hypodermic, IV"	SC018	iv infusion set	item	1.27	1	0	000
36005	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1	0	000
36005	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
36005	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1	0	000
36005	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
36005	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	000
36005	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	1	0	000
36005	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
36005	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	30	0	000
36010	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	XXX
36010	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	XXX
36010	CMS	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	XXX
36010	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	XXX
36010	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	XXX
36010	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	XXX
36010	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	XXX
36010	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	XXX
36010	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	XXX
36010	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	XXX
36010	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2	0	XXX
36010	CMS	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	XXX
36010	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	XXX
36010	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	XXX
36010	CMS	"Accessory, Procedure"	SD088	guidewire	item	15.85	1	0	XXX
36010	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	XXX
36010	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	XXX
36010	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	XXX
36010	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	XXX
36010	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	XXX
36010	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	XXX
36010	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	XXX
36010	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	1	0	XXX
36010	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	XXX
36011	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	XXX
36011	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	XXX
36011	CMS	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	XXX
36011	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	XXX
36011	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	XXX
36011	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	XXX
36011	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	XXX
36011	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	1	0	XXX
36011	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	XXX
36011	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	XXX
36011	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	XXX
36011	CMS	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	XXX
36011	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	XXX
36011	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	XXX
36011	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	XXX
36011	CMS	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	13.22	1	0	XXX
36011	CMS	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	XXX
36011	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	XXX
36011	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	XXX
36011	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	XXX
36011	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	XXX
36011	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	XXX
36011	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	XXX
36011	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	XXX
36011	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	XXX
36011	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	XXX
36012	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	XXX
36012	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	XXX
36012	CMS	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	XXX
36012	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	XXX
36012	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	XXX
36012	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	XXX
36012	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	XXX
36012	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	1	0	XXX
36012	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	XXX
36012	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	XXX
36012	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	XXX
36012	CMS	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	XXX
36012	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	XXX
36012	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	XXX
36012	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	XXX
36012	CMS	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	13.22	1	0	XXX
36012	CMS	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	XXX
36012	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	XXX
36012	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	XXX
36012	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	XXX
36012	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	XXX
36012	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	XXX
36012	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	XXX
36012	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	XXX
36012	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	XXX
36012	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	XXX
36013	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	XXX
36013	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	XXX
36013	CMS	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	XXX
36013	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	XXX
36013	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	XXX
36013	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	XXX
36013	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	XXX
36013	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	1	0	XXX
36013	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	XXX
36013	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	XXX
36013	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	XXX
36013	CMS	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	XXX
36013	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	XXX
36013	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	XXX
36013	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	XXX
36013	CMS	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	13.22	1	0	XXX
36013	CMS	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	XXX
36013	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	XXX
36013	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	XXX
36013	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	XXX
36013	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	XXX
36013	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	XXX
36013	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	XXX
36013	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	XXX
36013	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	XXX
36013	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	XXX
36014	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	XXX
36014	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	XXX
36014	CMS	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	XXX
36014	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	XXX
36014	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	XXX
36014	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	XXX
36014	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	XXX
36014	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	1	0	XXX
36014	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	XXX
36014	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	XXX
36014	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	XXX
36014	CMS	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	XXX
36014	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	XXX
36014	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	XXX
36014	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	XXX
36014	CMS	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	13.22	1	0	XXX
36014	CMS	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	XXX
36014	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	XXX
36014	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	XXX
36014	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	XXX
36014	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	XXX
36014	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	XXX
36014	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	XXX
36014	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	XXX
36014	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	XXX
36014	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	XXX
36015	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	XXX
36015	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	XXX
36015	CMS	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	XXX
36015	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	XXX
36015	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	XXX
36015	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	XXX
36015	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	XXX
36015	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	1	0	XXX
36015	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	XXX
36015	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	XXX
36015	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	XXX
36015	CMS	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	XXX
36015	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	XXX
36015	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	XXX
36015	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	XXX
36015	CMS	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	13.22	1	0	XXX
36015	CMS	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	XXX
36015	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	XXX
36015	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	XXX
36015	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	XXX
36015	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	XXX
36015	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	XXX
36015	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	XXX
36015	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	XXX
36015	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	XXX
36015	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	XXX
36100	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	XXX
36100	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	XXX
36100	CMS	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	XXX
36100	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	XXX
36100	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	XXX
36100	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	XXX
36100	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	XXX
36100	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	1	0	XXX
36100	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	XXX
36100	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	XXX
36100	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	XXX
36100	CMS	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	XXX
36100	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	XXX
36100	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	XXX
36100	CMS	"Accessory, Procedure"	SD088	guidewire	item	15.85	1	0	XXX
36100	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	XXX
36100	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	XXX
36100	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	XXX
36100	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	XXX
36100	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	XXX
36100	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	XXX
36100	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	XXX
36100	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	1	0	XXX
36100	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	XXX
36140	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	XXX
36140	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	XXX
36140	CMS	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	XXX
36140	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	XXX
36140	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	XXX
36140	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	XXX
36140	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	XXX
36140	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	1	0	XXX
36140	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	XXX
36140	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	XXX
36140	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	XXX
36140	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	XXX
36140	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	XXX
36140	CMS	"Accessory, Procedure"	SD088	guidewire	item	15.85	1	0	XXX
36140	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	XXX
36140	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	XXX
36140	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	XXX
36140	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	XXX
36140	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	XXX
36140	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	XXX
36140	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	XXX
36160	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	XXX
36160	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	XXX
36160	CMS	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	XXX
36160	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	XXX
36160	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	XXX
36160	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	XXX
36160	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	XXX
36160	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	1	0	XXX
36160	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	XXX
36160	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	XXX
36160	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	XXX
36160	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	XXX
36160	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	XXX
36160	CMS	"Accessory, Procedure"	SD088	guidewire	item	15.85	1	0	XXX
36160	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	XXX
36160	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	XXX
36160	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	XXX
36160	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	XXX
36160	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	XXX
36160	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	XXX
36160	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	XXX
36200	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
36200	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
36200	CMS	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	000
36200	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
36200	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	000
36200	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	000
36200	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
36200	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
36200	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
36200	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
36200	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2	0	000
36200	CMS	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	000
36200	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
36200	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
36200	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	000
36200	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
36200	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	000
36200	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	2	0	000
36200	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
36200	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
36215	CMS	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1	0	000
36215	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
36215	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
36215	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
36215	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	000
36215	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	000
36215	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
36215	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
36215	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
36215	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
36215	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
36215	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
36215	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
36215	CMS	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	000
36215	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
36215	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
36215	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	2	0	000
36215	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
36215	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	000
36215	CMS	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	000
36215	CMS	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	13.22	1	0	000
36215	CMS	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	000
36215	CMS	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	189	1	0	000
36215	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	000
36215	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
36215	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	000
36215	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
36215	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	000
36215	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
36215	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
36215	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
36216	CMS	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1	0	000
36216	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
36216	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
36216	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
36216	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	000
36216	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	000
36216	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
36216	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
36216	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
36216	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
36216	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
36216	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
36216	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
36216	CMS	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	000
36216	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
36216	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
36216	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	2	0	000
36216	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
36216	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	000
36216	CMS	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	000
36216	CMS	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	13.22	1	0	000
36216	CMS	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	000
36216	CMS	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	189	1	0	000
36216	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	000
36216	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
36216	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	000
36216	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
36216	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	000
36216	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
36216	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
36216	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
36217	CMS	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1	0	000
36217	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
36217	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
36217	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
36217	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	000
36217	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	000
36217	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
36217	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
36217	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
36217	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
36217	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
36217	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
36217	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
36217	CMS	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	000
36217	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
36217	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
36217	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	2	0	000
36217	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	2	0	000
36217	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
36217	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	000
36217	CMS	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	000
36217	CMS	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	13.22	1	0	000
36217	CMS	"Accessory, Procedure"	SD154	"catheter, microcatheter (selective 3rd order)"	item	332.11	1	0	000
36217	CMS	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	000
36217	CMS	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	231.59	1	0	000
36217	CMS	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	189	1	0	000
36217	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	000
36217	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
36217	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	000
36217	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
36217	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	000
36217	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
36217	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
36217	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
36218	CMS	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	50.65	1	0	ZZZ
36218	CMS	"Accessory, Procedure"	SD153	"catheter, curved"	item	18.25	1	0	ZZZ
36221	CMS	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1	0	000
36221	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
36221	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
36221	CMS	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	000
36221	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	000
36221	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	000
36221	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	000
36221	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	000
36221	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
36221	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
36221	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	0	000
36221	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	000
36221	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
36221	CMS	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	000
36221	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
36221	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	4	0	000
36221	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	4	0	000
36221	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	000
36221	CMS	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	000
36221	CMS	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	2	0	000
36221	CMS	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	000
36221	CMS	"Accessory, Procedure"	SD180	manifold (for angiography)	item	20.44	1	0	000
36221	CMS	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	189	1	0	000
36221	CMS	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.26	1	0	000
36221	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	000
36221	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
36221	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	000
36221	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
36221	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	000
36221	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	000
36221	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
36221	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
36221	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
36221	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
36222	CMS	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1	0	000
36222	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
36222	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
36222	CMS	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	000
36222	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	000
36222	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	000
36222	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	000
36222	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	000
36222	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
36222	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
36222	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	0	000
36222	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	000
36222	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
36222	CMS	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	000
36222	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
36222	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	4	0	000
36222	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	4	0	000
36222	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	000
36222	CMS	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	000
36222	CMS	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	13.22	1	0	000
36222	CMS	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	2	0	000
36222	CMS	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	000
36222	CMS	"Accessory, Procedure"	SD180	manifold (for angiography)	item	20.44	1	0	000
36222	CMS	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	189	1	0	000
36222	CMS	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.26	1	0	000
36222	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	000
36222	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
36222	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	000
36222	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
36222	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	000
36222	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	000
36222	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
36222	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
36222	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
36222	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
36223	CMS	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1	0	000
36223	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
36223	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
36223	CMS	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	000
36223	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	000
36223	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	000
36223	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	000
36223	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	000
36223	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
36223	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
36223	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	0	000
36223	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	000
36223	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
36223	CMS	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	000
36223	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
36223	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	4	0	000
36223	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	4	0	000
36223	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	000
36223	CMS	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	000
36223	CMS	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	50.65	1	0	000
36223	CMS	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	13.22	1	0	000
36223	CMS	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	2	0	000
36223	CMS	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	000
36223	CMS	"Accessory, Procedure"	SD180	manifold (for angiography)	item	20.44	1	0	000
36223	CMS	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	189	1	0	000
36223	CMS	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.26	1	0	000
36223	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	000
36223	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
36223	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	000
36223	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
36223	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	000
36223	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	000
36223	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
36223	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
36223	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
36223	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
36224	CMS	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1	0	000
36224	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
36224	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
36224	CMS	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	000
36224	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	000
36224	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	000
36224	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	000
36224	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	000
36224	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
36224	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
36224	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	0	000
36224	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	000
36224	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
36224	CMS	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	000
36224	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
36224	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	4	0	000
36224	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	4	0	000
36224	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	000
36224	CMS	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	000
36224	CMS	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	50.65	1	0	000
36224	CMS	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	13.22	1	0	000
36224	CMS	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	2	0	000
36224	CMS	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	000
36224	CMS	"Accessory, Procedure"	SD180	manifold (for angiography)	item	20.44	1	0	000
36224	CMS	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	189	1	0	000
36224	CMS	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.26	1	0	000
36224	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	000
36224	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
36224	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	000
36224	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
36224	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	000
36224	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	000
36224	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
36224	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
36224	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
36224	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
36225	CMS	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1	0	000
36225	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
36225	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
36225	CMS	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	000
36225	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	000
36225	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	000
36225	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	000
36225	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	000
36225	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
36225	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
36225	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	0	000
36225	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	000
36225	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
36225	CMS	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	000
36225	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
36225	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	4	0	000
36225	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	4	0	000
36225	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	000
36225	CMS	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	000
36225	CMS	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	50.65	1	0	000
36225	CMS	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	13.22	1	0	000
36225	CMS	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	2	0	000
36225	CMS	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	000
36225	CMS	"Accessory, Procedure"	SD180	manifold (for angiography)	item	20.44	1	0	000
36225	CMS	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	189	1	0	000
36225	CMS	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.26	1	0	000
36225	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	000
36225	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
36225	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	000
36225	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
36225	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	000
36225	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	000
36225	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
36225	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
36225	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
36225	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
36226	CMS	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1	0	000
36226	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
36226	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
36226	CMS	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	000
36226	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	000
36226	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	000
36226	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	000
36226	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	000
36226	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
36226	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
36226	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	0	000
36226	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	000
36226	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
36226	CMS	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	000
36226	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
36226	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	4	0	000
36226	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	4	0	000
36226	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	000
36226	CMS	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	000
36226	CMS	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	50.65	1	0	000
36226	CMS	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	13.22	1	0	000
36226	CMS	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	2	0	000
36226	CMS	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	000
36226	CMS	"Accessory, Procedure"	SD180	manifold (for angiography)	item	20.44	1	0	000
36226	CMS	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	189	1	0	000
36226	CMS	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.26	1	0	000
36226	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	000
36226	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
36226	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	000
36226	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
36226	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	000
36226	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	000
36226	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
36226	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
36226	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
36226	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
36228	CMS	"Hypodermic, IV"	SC075	"needle, acupuncture"	item	0.199	4	0	ZZZ
36228	CMS	"Accessory, Procedure"	SD154	"catheter, microcatheter (selective 3rd order)"	item	332.11	1	0	ZZZ
36228	CMS	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	231.59	1	0	ZZZ
36245	CMS	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1	0	XXX
36245	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	XXX
36245	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	XXX
36245	CMS	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	XXX
36245	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	XXX
36245	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	XXX
36245	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	XXX
36245	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	XXX
36245	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	XXX
36245	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	0	XXX
36245	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	XXX
36245	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	XXX
36245	CMS	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	XXX
36245	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	XXX
36245	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	4	0	XXX
36245	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	4	0	XXX
36245	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	XXX
36245	CMS	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	XXX
36245	CMS	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	13.22	1	0	XXX
36245	CMS	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	2	0	XXX
36245	CMS	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	XXX
36245	CMS	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	189	1	0	XXX
36245	CMS	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.26	1	0	XXX
36245	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	XXX
36245	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	XXX
36245	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	XXX
36245	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	XXX
36245	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	XXX
36245	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	XXX
36245	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	XXX
36245	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	XXX
36245	CMS	"Pharmacy, Rx"	SH096	nitroglycerin injection USP 5 mg/mL (10ml uou vial)	item	182.14	1	0	XXX
36245	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	XXX
36245	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	XXX
36246	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
36246	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
36246	CMS	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	000
36246	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
36246	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	000
36246	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	000
36246	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
36246	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	1	0	000
36246	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
36246	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
36246	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
36246	CMS	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	000
36246	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
36246	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
36246	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	000
36246	CMS	"Accessory, Procedure"	SD141	"brush, protected airway specimen"	item	20	1	0	000
36246	CMS	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	000
36246	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	000
36246	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
36246	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	000
36246	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	000
36246	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	000
36246	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	000
36246	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
36246	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
36246	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
36247	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
36247	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
36247	CMS	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	000
36247	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
36247	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	000
36247	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	000
36247	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
36247	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	1	0	000
36247	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
36247	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
36247	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
36247	CMS	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	000
36247	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
36247	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
36247	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	000
36247	CMS	"Accessory, Procedure"	SD141	"brush, protected airway specimen"	item	20	1	0	000
36247	CMS	"Accessory, Procedure"	SD154	"catheter, microcatheter (selective 3rd order)"	item	332.11	1	0	000
36247	CMS	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	000
36247	CMS	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	231.59	1	0	000
36247	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	000
36247	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
36247	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	000
36247	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	000
36247	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	000
36247	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	000
36247	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
36247	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
36247	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
36248	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	ZZZ
36248	CMS	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	50.65	1	0	ZZZ
36251	CMS	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1	0	000
36251	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
36251	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
36251	CMS	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	000
36251	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	000
36251	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	000
36251	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	000
36251	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	000
36251	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
36251	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
36251	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	0	000
36251	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	000
36251	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
36251	CMS	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	000
36251	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
36251	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	4	0	000
36251	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	4	0	000
36251	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	000
36251	CMS	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	000
36251	CMS	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	13.22	1	0	000
36251	CMS	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	2	0	000
36251	CMS	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	000
36251	CMS	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	189	1	0	000
36251	CMS	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.26	1	0	000
36251	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	000
36251	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
36251	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	000
36251	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
36251	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	000
36251	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	000
36251	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
36251	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
36251	CMS	"Pharmacy, Rx"	SH096	nitroglycerin injection USP 5 mg/mL (10ml uou vial)	item	182.14	1	0	000
36251	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
36251	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
36252	CMS	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1	0	000
36252	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
36252	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
36252	CMS	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	000
36252	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	000
36252	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	000
36252	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	000
36252	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	000
36252	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
36252	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
36252	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	0	000
36252	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	000
36252	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
36252	CMS	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	000
36252	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
36252	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	4	0	000
36252	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	4	0	000
36252	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	000
36252	CMS	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	000
36252	CMS	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	13.22	1	0	000
36252	CMS	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	2	0	000
36252	CMS	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	000
36252	CMS	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	189	1	0	000
36252	CMS	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.26	1	0	000
36252	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	000
36252	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
36252	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	000
36252	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
36252	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	000
36252	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	000
36252	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
36252	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
36252	CMS	"Pharmacy, Rx"	SH096	nitroglycerin injection USP 5 mg/mL (10ml uou vial)	item	182.14	1	0	000
36252	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
36252	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
36253	CMS	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1	0	000
36253	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
36253	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
36253	CMS	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	000
36253	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	000
36253	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	000
36253	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	000
36253	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	000
36253	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
36253	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
36253	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	0	000
36253	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	000
36253	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
36253	CMS	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	000
36253	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
36253	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	4	0	000
36253	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	4	0	000
36253	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	000
36253	CMS	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	000
36253	CMS	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	13.22	1	0	000
36253	CMS	"Accessory, Procedure"	SD154	"catheter, microcatheter (selective 3rd order)"	item	332.11	1	0	000
36253	CMS	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	2	0	000
36253	CMS	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	000
36253	CMS	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	231.59	1	0	000
36253	CMS	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	189	1	0	000
36253	CMS	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.26	1	0	000
36253	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	000
36253	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
36253	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	000
36253	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
36253	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	000
36253	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	000
36253	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
36253	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
36253	CMS	"Pharmacy, Rx"	SH096	nitroglycerin injection USP 5 mg/mL (10ml uou vial)	item	182.14	1	0	000
36253	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
36253	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
36254	CMS	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1	0	000
36254	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
36254	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
36254	CMS	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	000
36254	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	000
36254	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	000
36254	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	000
36254	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	000
36254	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
36254	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
36254	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	0	000
36254	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	000
36254	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
36254	CMS	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	000
36254	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
36254	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	4	0	000
36254	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	4	0	000
36254	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	000
36254	CMS	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	000
36254	CMS	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	13.22	1	0	000
36254	CMS	"Accessory, Procedure"	SD154	"catheter, microcatheter (selective 3rd order)"	item	332.11	1	0	000
36254	CMS	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	2	0	000
36254	CMS	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	000
36254	CMS	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	231.59	1	0	000
36254	CMS	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	189	1	0	000
36254	CMS	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.26	1	0	000
36254	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	000
36254	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
36254	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	000
36254	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
36254	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	000
36254	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	000
36254	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
36254	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
36254	CMS	"Pharmacy, Rx"	SH096	nitroglycerin injection USP 5 mg/mL (10ml uou vial)	item	182.14	1	0	000
36254	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
36254	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
36260	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
36260	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
36260	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
36260	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
36261	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
36261	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
36262	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
36262	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
36400	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	XXX
36400	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	XXX
36400	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1	0	XXX
36400	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	XXX
36400	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	XXX
36405	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	XXX
36405	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	XXX
36405	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1	0	XXX
36405	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	XXX
36405	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	XXX
36406	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	XXX
36406	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	XXX
36406	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1	0	XXX
36406	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	XXX
36406	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	XXX
36410	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	XXX
36410	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	XXX
36410	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1	0	XXX
36410	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	XXX
36410	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	XXX
36430	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
36430	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
36430	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
36430	CMS	"Hypodermic, IV"	SC039	"needle, Huber point"	item	3.97	1		XXX
36430	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1		XXX
36430	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
36430	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	1		XXX
36430	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	1		XXX
36430	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	1		XXX
36430	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1		XXX
36430	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
36465	CMS	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1	0	000
36465	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
36465	CMS	"Kit, Pack, Tray"	SA125	Varithena admin pack	pack	40	1	0	000
36465	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
36465	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
36465	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	000
36465	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	000
36465	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
36465	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
36465	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
36465	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
36465	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
36465	CMS	"Gown, Drape"	SB048	"sheath-cover, sterile, 96in x 6in (transducer)"	item	9.583	1	0	000
36465	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
36465	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	2	0	000
36465	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	000
36465	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	000
36465	CMS	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	000
36465	CMS	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	1	0	000
36465	CMS	"Accessory, Procedure"	SD324	Varithena (foam)	item	3195	0.33	0	000
36465	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
36465	CMS	"Wound Care, Dressings"	SG012	"bandage, elastic wrap 4in (Ace)"	item	0.52	2	0	000
36465	CMS	"Wound Care, Dressings"	SG013	"bandage, elastic wrap 6in (Ace)"	item	0.8	2	0	000
36465	CMS	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	1	0	000
36465	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
36465	CMS	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	12	0	000
36465	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
36465	CMS	"Pharmacy, Rx"	SH090	sodium bicarbonate 8.4% inj w-needle (1ml uou)	item	2.2	2	0	000
36465	CMS	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.02	100	0	000
36465	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
36465	CMS	"Pharmacy, NonRx"	SJ089	"ultrasound transmission gel, sterile (single use)"	item	2.28	2	0	000
36465	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
36465	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
36465	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1	0	000
36465	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1	0	000
36466	CMS	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1	0	000
36466	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
36466	CMS	"Kit, Pack, Tray"	SA125	Varithena admin pack	pack	40	1	0	000
36466	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
36466	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
36466	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	000
36466	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	000
36466	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
36466	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
36466	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
36466	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
36466	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
36466	CMS	"Gown, Drape"	SB048	"sheath-cover, sterile, 96in x 6in (transducer)"	item	9.583	1	0	000
36466	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	4	0	000
36466	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	2	0	000
36466	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	000
36466	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	000
36466	CMS	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	2	0	000
36466	CMS	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	1	0	000
36466	CMS	"Accessory, Procedure"	SD324	Varithena (foam)	item	3195	0.33	0	000
36466	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
36466	CMS	"Wound Care, Dressings"	SG012	"bandage, elastic wrap 4in (Ace)"	item	0.52	2	0	000
36466	CMS	"Wound Care, Dressings"	SG013	"bandage, elastic wrap 6in (Ace)"	item	0.8	2	0	000
36466	CMS	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	2	0	000
36466	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
36466	CMS	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	12	0	000
36466	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	15	0	000
36466	CMS	"Pharmacy, Rx"	SH090	sodium bicarbonate 8.4% inj w-needle (1ml uou)	item	2.2	2	0	000
36466	CMS	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.02	100	0	000
36466	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
36466	CMS	"Pharmacy, NonRx"	SJ089	"ultrasound transmission gel, sterile (single use)"	item	2.28	2	0	000
36466	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
36466	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
36466	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1	0	000
36466	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1	0	000
36470	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
36470	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	000
36470	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
36470	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
36470	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
36470	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	1	0	000
36470	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
36470	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	000
36470	CMS	"Wound Care, Dressings"	SG012	"bandage, elastic wrap 4in (Ace)"	item	0.52	1	0	000
36470	CMS	"Wound Care, Dressings"	SG013	"bandage, elastic wrap 6in (Ace)"	item	0.8	1	0	000
36470	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
36470	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	000
36470	CMS	"Pharmacy, Rx"	SH062	sclerosing solution inj	ml	2.98	10	0	000
36470	CMS	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.02	100	0	000
36470	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
36470	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
36470	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1	0	000
36471	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
36471	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	000
36471	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
36471	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
36471	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
36471	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	1	0	000
36471	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
36471	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	000
36471	CMS	"Wound Care, Dressings"	SG012	"bandage, elastic wrap 4in (Ace)"	item	0.52	1	0	000
36471	CMS	"Wound Care, Dressings"	SG013	"bandage, elastic wrap 6in (Ace)"	item	0.8	1	0	000
36471	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
36471	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	40	0	000
36471	CMS	"Pharmacy, Rx"	SH062	sclerosing solution inj	ml	2.98	20	0	000
36471	CMS	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.02	100	0	000
36471	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
36471	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
36471	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1	0	000
36473	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
36473	CMS	"Kit, Pack, Tray"	SA122	Claravein Kit	kit	883.33	1	0	000
36473	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
36473	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
36473	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	000
36473	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	000
36473	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
36473	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
36473	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
36473	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
36473	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
36473	CMS	"Gown, Drape"	SB048	"sheath-cover, sterile, 96in x 6in (transducer)"	item	9.583	1	0	000
36473	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
36473	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	2	0	000
36473	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1	0	000
36473	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	000
36473	CMS	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	000
36473	CMS	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	1	0	000
36473	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
36473	CMS	"Wound Care, Dressings"	SG012	"bandage, elastic wrap 4in (Ace)"	item	0.52	1	0	000
36473	CMS	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	1	0	000
36473	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	000
36473	CMS	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	12	0	000
36473	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
36473	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
36473	CMS	"Pharmacy, Rx"	SH090	sodium bicarbonate 8.4% inj w-needle (1ml uou)	item	2.2	2	0	000
36473	CMS	"Pharmacy, Rx"	SH108	Sotradecol Sclerosing Agent	Vial	128.09	1	0	000
36473	CMS	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.02	100	0	000
36473	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
36473	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60	0	000
36473	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
36473	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
36473	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1	0	000
36473	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1	0	000
36474	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	ZZZ
36474	CMS	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	ZZZ
36474	CMS	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	1	0	ZZZ
36474	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	ZZZ
36474	CMS	"Pharmacy, Rx"	SH108	Sotradecol Sclerosing Agent	Vial	128.09	1	0	ZZZ
36475	CMS	"Kit, Pack, Tray"	SA026	"kit, radiofrequency introducer"	kit	28.575	1	0	000
36475	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
36475	CMS	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	1.27	1	0	000
36475	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
36475	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
36475	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	000
36475	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	000
36475	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
36475	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	0	000
36475	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
36475	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
36475	CMS	"Gown, Drape"	SB048	"sheath-cover, sterile, 96in x 6in (transducer)"	item	9.583	1	0	000
36475	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	000
36475	CMS	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.54	1	0	000
36475	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	0	000
36475	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	000
36475	CMS	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.95	1	0	000
36475	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1	0	000
36475	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1	0	000
36475	CMS	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	11.51	1	0	000
36475	CMS	"Hypodermic, IV"	SC074	iv pressure infusor bag	item	15.75	1	0	000
36475	CMS	"Accessory, Procedure"	SD043	"dilator, vessel, angiographic"	item	7.34	1	0	000
36475	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	000
36475	CMS	"Accessory, Procedure"	SD131	"tubing, pressure"	item	2.9	1	0	000
36475	CMS	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	000
36475	CMS	"Accessory, Procedure"	SD155	"catheter, RF endovenous occlusion"	item	487.92	1	0	000
36475	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
36475	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	000
36475	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	000
36475	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	000
36475	CMS	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	12	0	000
36475	CMS	"Wound Care, Dressings"	SG087	"stockings, knee length, 20-30mm compression"	pair	41.2	1	0	000
36475	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	60	0	000
36475	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
36475	CMS	"Pharmacy, Rx"	SH090	sodium bicarbonate 8.4% inj w-needle (1ml uou)	item	2.2	2	0	000
36475	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	000
36475	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
36475	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	100	0	000
36475	CMS	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.02	100	0	000
36475	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
36475	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60	0	000
36475	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	10	0	000
36475	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
36475	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1	0	000
36476	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	ZZZ
36476	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	ZZZ
36476	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	ZZZ
36476	CMS	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	11.51	1	0	ZZZ
36476	CMS	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	ZZZ
36476	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	ZZZ
36476	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	ZZZ
36476	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	ZZZ
36476	CMS	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	12	0	ZZZ
36476	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	ZZZ
36476	CMS	"Pharmacy, Rx"	SH090	sodium bicarbonate 8.4% inj w-needle (1ml uou)	item	2.2	2	0	ZZZ
36476	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	100	0	ZZZ
36476	CMS	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.02	100	0	ZZZ
36476	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60	0	ZZZ
36476	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	10	0	ZZZ
36476	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1	0	ZZZ
36478	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
36478	CMS	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	1.27	1	0	000
36478	CMS	"Kit, Pack, Tray"	SA074	"kit, endovascular laser treatment"	kit	438.6	1	0	000
36478	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
36478	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	000
36478	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	000
36478	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
36478	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	0	000
36478	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
36478	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
36478	CMS	"Gown, Drape"	SB048	"sheath-cover, sterile, 96in x 6in (transducer)"	item	9.583	1	0	000
36478	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	000
36478	CMS	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.54	1	0	000
36478	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	0	000
36478	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	000
36478	CMS	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.95	1	0	000
36478	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1	0	000
36478	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1	0	000
36478	CMS	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	11.51	1	0	000
36478	CMS	"Accessory, Procedure"	SD131	"tubing, pressure"	item	2.9	1	0	000
36478	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
36478	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	000
36478	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	000
36478	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	000
36478	CMS	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	12	0	000
36478	CMS	"Wound Care, Dressings"	SG087	"stockings, knee length, 20-30mm compression"	pair	41.2	1	0	000
36478	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	60	0	000
36478	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
36478	CMS	"Pharmacy, Rx"	SH090	sodium bicarbonate 8.4% inj w-needle (1ml uou)	item	2.2	2	0	000
36478	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	000
36478	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
36478	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	100	0	000
36478	CMS	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.02	100	0	000
36478	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
36478	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60	0	000
36478	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	10	0	000
36478	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
36478	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1	0	000
36479	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	ZZZ
36479	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	ZZZ
36479	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	ZZZ
36479	CMS	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	11.51	1	0	ZZZ
36479	CMS	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	ZZZ
36479	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	ZZZ
36479	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	ZZZ
36479	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	ZZZ
36479	CMS	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	12	0	ZZZ
36479	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	ZZZ
36479	CMS	"Pharmacy, Rx"	SH090	sodium bicarbonate 8.4% inj w-needle (1ml uou)	item	2.2	2	0	ZZZ
36479	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	100	0	ZZZ
36479	CMS	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.02	100	0	ZZZ
36479	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60	0	ZZZ
36479	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	10	0	ZZZ
36479	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1	0	ZZZ
36481	CMS	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1	0	000
36481	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1	0	000
36481	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
36481	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
36481	CMS	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	000
36481	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
36481	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	000
36481	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	000
36481	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	000
36481	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	3	0	000
36481	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
36481	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
36481	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
36481	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
36481	CMS	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	000
36481	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
36481	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
36481	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	000
36481	CMS	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	000
36481	CMS	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	50.65	1	0	000
36481	CMS	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	13.22	1	0	000
36481	CMS	"Accessory, Procedure"	SD153	"catheter, curved"	item	18.25	1	0	000
36481	CMS	"Accessory, Procedure"	SD154	"catheter, microcatheter (selective 3rd order)"	item	332.11	1	0	000
36481	CMS	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	2	0	000
36481	CMS	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	000
36481	CMS	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	231.59	1	0	000
36481	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	000
36481	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
36481	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	000
36481	CMS	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	1	0	000
36481	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	000
36481	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	000
36481	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	000
36481	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	000
36481	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
36481	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
36481	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
36481	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
36482	CMS	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1	0	000
36482	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
36482	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
36482	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
36482	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	000
36482	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	000
36482	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
36482	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
36482	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
36482	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
36482	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
36482	CMS	"Gown, Drape"	SB048	"sheath-cover, sterile, 96in x 6in (transducer)"	item	9.583	1	0	000
36482	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
36482	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	2	0	000
36482	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	000
36482	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	000
36482	CMS	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	000
36482	CMS	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	1	0	000
36482	CMS	"Accessory, Procedure"	SD323	Venaseal (glue)	item	1495	1	0	000
36482	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
36482	CMS	"Wound Care, Dressings"	SG012	"bandage, elastic wrap 4in (Ace)"	item	0.52	2	0	000
36482	CMS	"Wound Care, Dressings"	SG013	"bandage, elastic wrap 6in (Ace)"	item	0.8	2	0	000
36482	CMS	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	1	0	000
36482	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
36482	CMS	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	12	0	000
36482	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
36482	CMS	"Pharmacy, Rx"	SH090	sodium bicarbonate 8.4% inj w-needle (1ml uou)	item	2.2	2	0	000
36482	CMS	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.02	100	0	000
36482	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
36482	CMS	"Pharmacy, NonRx"	SJ089	"ultrasound transmission gel, sterile (single use)"	item	2.28	2	0	000
36482	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
36482	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
36482	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1	0	000
36482	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1	0	000
36483	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	ZZZ
36483	CMS	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	ZZZ
36483	CMS	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	1	0	ZZZ
36483	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	ZZZ
36510	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
36510	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	000
36510	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1	0	000
36510	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
36510	CMS	"Hypodermic, IV"	SC039	"needle, Huber point"	item	3.97	1	0	000
36510	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	000
36510	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	000
36510	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	1	0	000
36510	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	1	0	000
36510	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	1	0	000
36510	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	000
36510	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
36514	RUC	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	2	0	000
36514	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	4	0	000
36514	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
36514	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
36514	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	000
36514	RUC	"Gown, Drape"	SB037	pillow case	item	0.47	1	0	000
36514	RUC	"Hypodermic, IV"	SC006	blood collection tube (Vacutainer)	item	0.18	1	0	000
36514	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
36514	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	3	0	000
36514	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	8	0	000
36514	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	2	0	000
36514	RUC	"Hypodermic, IV"	SC063	syringe-needle 10ml 26g	item	0.34	8	0	000
36514	RUC	"Hypodermic, IV"	SC068	blood collection tube needle	item	0.59	1	0	000
36514	RUC	"Hypodermic, IV"	SC084	"tubing set, blood warmer"	item	16.27	1	0	000
36514	RUC	"Hypodermic, IV"	SC085	"tubing set, plasma exchange"	item	277.2	1	0	000
36514	RUC	"Hypodermic, IV"	SC089	"needle, Vacutainer"	item	0.32	1	0	000
36514	RUC	"Hypodermic, IV"	SC091	Vacutainer	item	6.89	1	0	000
36514	RUC	"Wound Care, Dressings"	SG014	"bandage, elastic, self-adherent wrap 1in (Coban)"	item	1.59	12	0	000
36514	RUC	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.14	4	0	000
36514	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	12	0	000
36514	RUC	"Pharmacy, Rx"	SH093	"heparin 5,000 units-ml inj"	ml	0.53	4	0	000
36514	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	14	0	000
36514	RUC	"Pharmacy, NonRx"	SJ071	ACD-A anticoagulant	item	8.64	1	0	000
36514	RUC	"Pharmacy, NonRx"	SJ081	"swab, patient prep, 1.5 ml  (chloraprep)"	item	1.09	2	0	000
36514	RUC	Lab	SL180	phosphate buffered saline (PBS)	ml	0.01	1000	0	000
36514	RUC	Lab	SL197	label for blood tube	item	0.0035	2	0	000
36516	RUC	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	2	0	000
36516	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	4	0	000
36516	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
36516	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
36516	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	000
36516	RUC	"Gown, Drape"	SB037	pillow case	item	0.47	1	0	000
36516	RUC	"Hypodermic, IV"	SC006	blood collection tube (Vacutainer)	item	0.18	1	0	000
36516	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
36516	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	3	0	000
36516	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	8	0	000
36516	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	2	0	000
36516	RUC	"Hypodermic, IV"	SC063	syringe-needle 10ml 26g	item	0.34	8	0	000
36516	RUC	"Hypodermic, IV"	SC068	blood collection tube needle	item	0.59	1	0	000
36516	RUC	"Hypodermic, IV"	SC083	tubing set (Liposorber)	item	87.52	1	0	000
36516	RUC	"Hypodermic, IV"	SC084	"tubing set, blood warmer"	item	16.27	1	0	000
36516	RUC	"Hypodermic, IV"	SC089	"needle, Vacutainer"	item	0.32	1	0	000
36516	RUC	"Hypodermic, IV"	SC091	Vacutainer	item	6.89	1	0	000
36516	RUC	"Accessory, Procedure"	SD186	plasma LDL adsorption column (Liposorber)	item	1419.04	1	0	000
36516	RUC	"Accessory, Procedure"	SD188	plasma separator (Liposorber)	item	149.7	1	0	000
36516	RUC	"Wound Care, Dressings"	SG014	"bandage, elastic, self-adherent wrap 1in (Coban)"	item	1.59	12	0	000
36516	RUC	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.14	4	0	000
36516	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	12	0	000
36516	RUC	"Pharmacy, Rx"	SH093	"heparin 5,000 units-ml inj"	ml	0.53	4	0	000
36516	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	14	0	000
36516	RUC	"Pharmacy, NonRx"	SJ071	ACD-A anticoagulant	item	8.64	1	0	000
36516	RUC	"Pharmacy, NonRx"	SJ081	"swab, patient prep, 1.5 ml  (chloraprep)"	item	1.09	2	0	000
36516	RUC	Lab	SL180	phosphate buffered saline (PBS)	ml	0.01	1000	0	000
36516	RUC	Lab	SL197	label for blood tube	item	0.0035	2	0	000
36522	RUC	"Kit, Pack, Tray"	SA024	"kit, photopheresis procedure"	kit	863.56	1	0	000
36522	RUC	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	2	0	000
36522	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	4	0	000
36522	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
36522	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
36522	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
36522	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	000
36522	RUC	"Gown, Drape"	SB037	pillow case	item	0.47	1	0	000
36522	RUC	"Hypodermic, IV"	SC006	blood collection tube (Vacutainer)	item	0.18	1	0	000
36522	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
36522	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	3	0	000
36522	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	8	0	000
36522	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1	0	000
36522	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	2	0	000
36522	RUC	"Hypodermic, IV"	SC063	syringe-needle 10ml 26g	item	0.34	8	0	000
36522	RUC	"Hypodermic, IV"	SC068	blood collection tube needle	item	0.59	1	0	000
36522	RUC	"Hypodermic, IV"	SC088	"fistula needle, dialysis, 17g"	item	1.23	2	0	000
36522	RUC	"Hypodermic, IV"	SC089	"needle, Vacutainer"	item	0.32	1	0	000
36522	RUC	"Hypodermic, IV"	SC091	Vacutainer	item	6.89	1	0	000
36522	RUC	"Wound Care, Dressings"	SG014	"bandage, elastic, self-adherent wrap 1in (Coban)"	item	1.59	12	0	000
36522	RUC	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.14	4	0	000
36522	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	12	0	000
36522	RUC	"Pharmacy, Rx"	SH093	"heparin 5,000 units-ml inj"	ml	0.53	4	0	000
36522	RUC	"Pharmacy, NonRx"	SJ027	"goggles, uv-blocking"	item	3.12	1	0	000
36522	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	14	0	000
36522	RUC	"Pharmacy, NonRx"	SJ075	"methoxsalen, 10ml vial"	item	60.43	1	0	000
36522	RUC	"Pharmacy, NonRx"	SJ081	"swab, patient prep, 1.5 ml  (chloraprep)"	item	1.09	2	0	000
36522	RUC	"Office Supply, Grocery"	SK078	sunscreen lotion (spf15)	oz	0.75	1	0	000
36522	RUC	Lab	SL180	phosphate buffered saline (PBS)	ml	0.01	1000	0	000
36522	RUC	Lab	SL197	label for blood tube	item	0.0035	2	0	000
36555	CMS	"Kit, Pack, Tray"	SA009	"kit, CVA catheter, non-tunneled"	kit	75.57	1	0	000
36555	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
36555	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
36555	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
36555	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
36555	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
36555	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
36555	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
36555	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
36555	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1	0	000
36555	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1	0	000
36555	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	000
36555	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	3	0	000
36555	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
36555	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	000
36555	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	000
36555	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	1	0	000
36555	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
36555	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
36556	CMS	"Kit, Pack, Tray"	SA009	"kit, CVA catheter, non-tunneled"	kit	75.57	1	0	000
36556	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
36556	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
36556	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
36556	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
36556	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
36556	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
36556	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
36556	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
36556	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
36556	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1	0	000
36556	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1	0	000
36556	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	000
36556	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	3	0	000
36556	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
36556	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	000
36556	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	000
36556	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	1	0	000
36556	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
36556	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
36557	CMS	"Kit, Pack, Tray"	SA010	"kit, CVA catheter, tunneled, without port-pump"	kit	499.65	1	0	010
36557	CMS	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	2	0	010
36557	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
36557	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	010
36557	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	010
36557	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	010
36557	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
36557	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	010
36557	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
36557	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
36557	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
36557	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1	0	010
36557	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1	0	010
36557	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	010
36557	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
36557	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
36557	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	010
36557	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
36557	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	010
36557	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	1	0	010
36557	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	1	0	010
36557	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
36557	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	010
36557	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
36558	CMS	"Kit, Pack, Tray"	SA010	"kit, CVA catheter, tunneled, without port-pump"	kit	499.65	1	0	010
36558	CMS	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	2	0	010
36558	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
36558	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	010
36558	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	010
36558	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	010
36558	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
36558	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	010
36558	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
36558	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
36558	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
36558	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1	0	010
36558	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1	0	010
36558	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	010
36558	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
36558	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
36558	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	010
36558	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
36558	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	010
36558	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	1	0	010
36558	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	1	0	010
36558	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
36558	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	010
36558	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
36560	CMS	"Kit, Pack, Tray"	SA011	"kit, CVA catheter, tunneled, with subcut port"	kit	510.73	1	0	010
36560	CMS	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	2	0	010
36560	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
36560	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	010
36560	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	010
36560	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	010
36560	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
36560	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	010
36560	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
36560	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
36560	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
36560	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1	0	010
36560	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1	0	010
36560	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	010
36560	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
36560	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
36560	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	010
36560	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
36560	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	010
36560	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	1	0	010
36560	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	1	0	010
36560	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
36560	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	010
36560	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
36561	CMS	"Kit, Pack, Tray"	SA011	"kit, CVA catheter, tunneled, with subcut port"	kit	510.73	1	0	010
36561	CMS	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	2	0	010
36561	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
36561	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	010
36561	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	010
36561	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	010
36561	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
36561	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	010
36561	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
36561	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
36561	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
36561	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1	0	010
36561	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1	0	010
36561	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	010
36561	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
36561	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
36561	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	010
36561	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
36561	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	010
36561	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	1	0	010
36561	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	1	0	010
36561	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
36561	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	010
36561	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
36563	CMS	"Kit, Pack, Tray"	SA011	"kit, CVA catheter, tunneled, with subcut port"	kit	510.73	1	0	010
36563	CMS	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	2	0	010
36563	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
36563	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	010
36563	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	010
36563	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	010
36563	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
36563	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	010
36563	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
36563	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
36563	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
36563	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1	0	010
36563	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1	0	010
36563	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	010
36563	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
36563	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
36563	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	010
36563	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
36563	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	010
36563	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	1	0	010
36563	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	1	0	010
36563	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
36563	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	010
36563	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
36565	CMS	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	2	0	010
36565	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
36565	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	010
36565	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	010
36565	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	010
36565	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
36565	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	010
36565	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
36565	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
36565	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
36565	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1	0	010
36565	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1	0	010
36565	CMS	"Accessory, Procedure"	SD020	"catheter, CVA, tunneled, dual (Tesio)"	item	321.45	1	0	010
36565	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	2	0	010
36565	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
36565	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
36565	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	010
36565	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	9	0	010
36565	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	010
36565	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	1	0	010
36565	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	1	0	010
36565	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
36565	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	010
36565	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
36566	CMS	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	2	0	010
36566	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
36566	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	010
36566	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	010
36566	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	010
36566	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
36566	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	010
36566	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
36566	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
36566	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
36566	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1	0	010
36566	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1	0	010
36566	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	2	0	010
36566	CMS	"Accessory, Procedure"	SD221	"catheter, CVA, system, tunneled w-port, dual (LifeSite)"	item	1750	2	0	010
36566	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
36566	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	010
36566	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	010
36566	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
36566	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	010
36566	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	2	0	010
36566	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	1	0	010
36566	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
36566	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	010
36566	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
36570	CMS	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	2	0	010
36570	CMS	"Kit, Pack, Tray"	SA025	"kit, PICC with subcut port"	kit	718.18	1	0	010
36570	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
36570	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	010
36570	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	010
36570	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	010
36570	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
36570	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	010
36570	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
36570	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
36570	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
36570	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1	0	010
36570	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1	0	010
36570	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	010
36570	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
36570	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
36570	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	010
36570	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
36570	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	010
36570	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	1	0	010
36570	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	1	0	010
36570	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
36570	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	010
36570	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
36571	CMS	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	2	0	010
36571	CMS	"Kit, Pack, Tray"	SA025	"kit, PICC with subcut port"	kit	718.18	1	0	010
36571	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
36571	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	010
36571	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	010
36571	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	010
36571	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
36571	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	010
36571	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
36571	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
36571	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
36571	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1	0	010
36571	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1	0	010
36571	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	010
36571	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
36571	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
36571	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	010
36571	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
36571	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	010
36571	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	1	0	010
36571	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	1	0	010
36571	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
36571	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	010
36571	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
36572	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
36572	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
36572	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	000
36572	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	000
36572	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
36572	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
36572	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
36572	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
36572	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
36572	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
36572	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
36572	CMS	"Accessory, Procedure"	SD331	Turbo-Ject PICC Line	item	170	1	0	000
36572	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	000
36572	CMS	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1	0	000
36572	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
36572	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
36572	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
36572	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
36572	CMS	"Pharmacy, NonRx"	SJ089	"ultrasound transmission gel, sterile (single use)"	item	2.28	1	0	000
36572	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
36572	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	22	0	000
36573	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
36573	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
36573	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	000
36573	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	000
36573	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
36573	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
36573	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
36573	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
36573	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
36573	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
36573	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
36573	CMS	"Accessory, Procedure"	SD331	Turbo-Ject PICC Line	item	170	1	0	000
36573	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	000
36573	CMS	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1	0	000
36573	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
36573	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
36573	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
36573	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
36573	CMS	"Pharmacy, NonRx"	SJ089	"ultrasound transmission gel, sterile (single use)"	item	2.28	1	0	000
36573	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
36573	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	22	0	000
36575	CMS	"Kit, Pack, Tray"	SA012	"kit, CVA device repair"	kit	94.23	1	0	000
36575	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
36575	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	000
36575	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
36575	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
36575	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
36575	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
36575	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	1	0	000
36575	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
36575	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1	0	000
36575	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1	0	000
36575	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	000
36575	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	3	0	000
36575	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
36575	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	000
36575	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	1	0	000
36575	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	1	0	000
36575	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	000
36575	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
36575	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
36576	CMS	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	2	0	010
36576	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
36576	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	010
36576	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	010
36576	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	010
36576	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
36576	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	010
36576	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
36576	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
36576	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
36576	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1	0	010
36576	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1	0	010
36576	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	010
36576	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
36576	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
36576	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	010
36576	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
36576	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	010
36576	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	1	0	010
36576	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	1	0	010
36576	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
36576	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	010
36576	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
36578	CMS	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	2	0	010
36578	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
36578	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	010
36578	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	010
36578	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	010
36578	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
36578	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	010
36578	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
36578	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
36578	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
36578	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1	0	010
36578	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1	0	010
36578	CMS	"Accessory, Procedure"	SD021	"catheter, CVA, non-tunneled"	item	131.17	1	0	010
36578	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	010
36578	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
36578	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
36578	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	010
36578	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
36578	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	010
36578	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	1	0	010
36578	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	1	0	010
36578	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
36578	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	010
36578	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
36580	CMS	"Kit, Pack, Tray"	SA009	"kit, CVA catheter, non-tunneled"	kit	75.57	1	0	000
36580	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
36580	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
36580	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	000
36580	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
36580	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
36580	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
36580	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
36580	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	1	0	000
36580	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
36580	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1	0	000
36580	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1	0	000
36580	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	000
36580	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	000
36580	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	3	0	000
36580	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
36580	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	000
36580	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	1	0	000
36580	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	1	0	000
36580	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	000
36580	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
36580	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
36581	CMS	"Kit, Pack, Tray"	SA010	"kit, CVA catheter, tunneled, without port-pump"	kit	499.65	1	0	010
36581	CMS	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	2	0	010
36581	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
36581	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	010
36581	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	010
36581	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	010
36581	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
36581	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	010
36581	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
36581	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
36581	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
36581	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1	0	010
36581	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1	0	010
36581	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	2	0	010
36581	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
36581	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
36581	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	010
36581	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
36581	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	010
36581	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	1	0	010
36581	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	1	0	010
36581	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
36581	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	010
36581	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
36582	CMS	"Kit, Pack, Tray"	SA011	"kit, CVA catheter, tunneled, with subcut port"	kit	510.73	1	0	010
36582	CMS	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	2	0	010
36582	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
36582	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	010
36582	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	010
36582	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	010
36582	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
36582	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	010
36582	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
36582	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
36582	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
36582	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1	0	010
36582	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1	0	010
36582	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	010
36582	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
36582	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
36582	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	010
36582	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
36582	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	010
36582	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	1	0	010
36582	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	1	0	010
36582	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
36582	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	010
36582	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
36583	CMS	"Kit, Pack, Tray"	SA011	"kit, CVA catheter, tunneled, with subcut port"	kit	510.73	1	0	010
36583	CMS	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	2	0	010
36583	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
36583	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	010
36583	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	010
36583	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	010
36583	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
36583	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	010
36583	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
36583	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
36583	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
36583	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1	0	010
36583	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1	0	010
36583	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	010
36583	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
36583	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
36583	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	010
36583	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
36583	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	010
36583	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	1	0	010
36583	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	1	0	010
36583	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
36583	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	010
36583	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
36584	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
36584	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
36584	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	000
36584	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
36584	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
36584	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
36584	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
36584	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
36584	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
36584	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
36584	CMS	"Accessory, Procedure"	SD331	Turbo-Ject PICC Line	item	170	1	0	000
36584	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	000
36584	CMS	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1	0	000
36584	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
36584	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
36584	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
36584	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
36584	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
36584	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	22	0	000
36585	CMS	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	2	0	010
36585	CMS	"Kit, Pack, Tray"	SA025	"kit, PICC with subcut port"	kit	718.18	1	0	010
36585	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
36585	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	010
36585	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	010
36585	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	010
36585	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
36585	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	010
36585	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
36585	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
36585	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
36585	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1	0	010
36585	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1	0	010
36585	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
36585	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
36585	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	010
36585	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
36585	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	010
36585	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	1	0	010
36585	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	1	0	010
36585	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
36585	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	010
36585	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
36589	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
36589	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	010
36589	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	010
36589	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	010
36589	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
36589	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	010
36589	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	010
36589	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	1	0	010
36589	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
36589	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	010
36589	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
36589	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
36589	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	010
36589	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
36590	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
36590	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	010
36590	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	010
36590	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
36590	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	010
36590	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
36590	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
36590	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
36590	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1	0	010
36590	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1	0	010
36590	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
36590	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
36590	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	010
36590	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
36590	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	1	0	010
36590	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	1	0	010
36590	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	010
36590	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	010
36590	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
36591	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
36591	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1		XXX
36591	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
36591	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
36591	CMS	"Hypodermic, IV"	SC039	"needle, Huber point"	item	3.97	1		XXX
36591	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1		XXX
36591	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66	1		XXX
36591	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2		XXX
36591	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
36591	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1		XXX
36591	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	7		XXX
36591	CMS	Lab	SL027	color coded cap and vial (for antigen)	item	0.63	3		XXX
36591	CMS	Lab	SL085	label for microscope slides	item	0.14	6		XXX
36592	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1		XXX
36592	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
36592	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
36592	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
36592	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
36592	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2		XXX
36592	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1		XXX
36592	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2		XXX
36592	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66	1		XXX
36592	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	4		XXX
36592	CMS	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
36592	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
36592	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	7		XXX
36592	CMS	"Pharmacy, NonRx"	SJ081	"swab, patient prep, 1.5 ml  (chloraprep)"	item	1.09	3		XXX
36592	CMS	Lab	SL027	color coded cap and vial (for antigen)	item	0.63	3		XXX
36592	CMS	Lab	SL085	label for microscope slides	item	0.14	6		XXX
36593	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1		XXX
36593	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
36593	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
36593	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
36593	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
36593	CMS	"Hypodermic, IV"	SC039	"needle, Huber point"	item	3.97	1		XXX
36593	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	3		XXX
36593	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	1		XXX
36593	CMS	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
36593	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
36593	CMS	Lab	SL144	thrombin reagent (Thromboquik)	ml	2.95	1		XXX
36595	CMS	"Kit, Pack, Tray"	SA020	"kit, loop snare (Microvena)"	kit	379.5	1	0	000
36595	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	000
36596	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	3	0	000
36596	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
36596	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
36596	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	000
36596	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	000
36596	CMS	"Accessory, Procedure"	SD008	"brush, ureteral"	item	37.79	1	0	000
36596	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	000
36596	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	30	0	000
36597	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
36597	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
36597	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	000
36597	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
36597	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
36597	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
36597	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
36597	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
36597	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	1	0	000
36597	CMS	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.54	1	0	000
36597	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1	0	000
36597	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	000
36597	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	000
36597	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	000
36597	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	3	0	000
36597	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
36597	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	000
36597	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	1	0	000
36597	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	1	0	000
36597	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	000
36597	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
36597	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
36598	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	000
36598	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	000
36598	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	000
36598	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
36598	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
36598	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
36598	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	000
36598	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
36598	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1	0	000
36598	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	1	0	000
36598	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	000
36598	CMS	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1	0	000
36598	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
36598	CMS	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	30	0	000
36600	CMS	"Kit, Pack, Tray"	SA003	"kit, arterial blood gas (ABG)"	kit	1.06	1	0	XXX
36600	CMS	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1	0	XXX
36600	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	XXX
36600	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	XXX
36600	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	XXX
36600	CMS	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	1.13	1	0	XXX
36600	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	XXX
36818	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
36818	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
36819	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
36819	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
36820	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
36820	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
36821	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
36821	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
36823	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
36823	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
36825	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
36825	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
36830	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
36830	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
36831	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
36831	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
36832	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
36832	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
36833	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
36833	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
36835	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
36835	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
36835	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
36835	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
36836	CMS	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1	0	000
36836	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1	0	000
36836	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
36836	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
36836	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
36836	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	000
36836	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	000
36836	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	000
36836	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
36836	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
36836	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
36836	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
36836	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
36836	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
36836	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
36836	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
36836	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
36836	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	2	0	000
36836	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1	0	000
36836	CMS	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	000
36836	CMS	"Accessory, Procedure"	SD149	"catheter, balloon inflation device"	item	73.36	1	0	000
36836	CMS	"Accessory, Procedure"	SD152	"catheter, balloon, PTA"	item	189.86	1	0	000
36836	CMS	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	1	0	000
36836	CMS	"Accessory, Procedure"	SD173	"guidewire, low profile (SpartaCore)"	item	75	1	0	000
36836	CMS	"Accessory, Procedure"	SD351	Ellipsys Vascular Access Catheter	item	7378.75	1	0	000
36836	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	000
36836	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
36836	CMS	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	1	0	000
36836	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	000
36836	CMS	"Wound Care, Dressings"	SG095	Hemostatic patch	item	40.33	1	0	000
36836	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	000
36836	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
36836	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
36836	CMS	"Pharmacy, NonRx"	SJ088	"swab, patient prep, 3.0 ml  (chloraprep)"	item	2.18	1	0	000
36836	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	2	0	000
36836	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1	0	000
36837	CMS	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	2	0	000
36837	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1	0	000
36837	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
36837	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
36837	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
36837	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	000
36837	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	000
36837	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	000
36837	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
36837	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
36837	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
36837	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
36837	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
36837	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
36837	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
36837	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
36837	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
36837	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
36837	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	2	0	000
36837	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1	0	000
36837	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	000
36837	CMS	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	2	0	000
36837	CMS	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	50.65	1	0	000
36837	CMS	"Accessory, Procedure"	SD149	"catheter, balloon inflation device"	item	73.36	1	0	000
36837	CMS	"Accessory, Procedure"	SD152	"catheter, balloon, PTA"	item	189.86	1	0	000
36837	CMS	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	1	0	000
36837	CMS	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	000
36837	CMS	"Accessory, Procedure"	SD173	"guidewire, low profile (SpartaCore)"	item	75	2	0	000
36837	CMS	"Accessory, Procedure"	SD176	"guidewire, torque"	item	59.22	1	0	000
36837	CMS	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.26	1	0	000
36837	CMS	"Accessory, Procedure"	SD350	Wavelinq EndoAVF catheters	item	7000	1	0	000
36837	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	000
36837	CMS	"Cutters, Closures, Cautery"	SF056	Detachable coil	item	1199.3	1	0	000
36837	CMS	"Cutters, Closures, Cautery"	SF057	Non-detachable embolization coil	item	260.53	2	0	000
36837	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
36837	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
36837	CMS	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	2	0	000
36837	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	12	0	000
36837	CMS	"Wound Care, Dressings"	SG095	Hemostatic patch	item	40.33	2	0	000
36837	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	000
36837	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	000
36837	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
36837	CMS	"Pharmacy, NonRx"	SJ088	"swab, patient prep, 3.0 ml  (chloraprep)"	item	2.18	2	0	000
36837	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	3	0	000
36837	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1	0	000
36838	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
36838	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
36860	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
36860	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
36860	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
36860	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	000
36860	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	000
36860	CMS	"Accessory, Procedure"	SD008	"brush, ureteral"	item	37.79	1	0	000
36860	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	000
36860	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
36901	CMS	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1	0	000
36901	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1	0	000
36901	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
36901	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
36901	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	000
36901	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	000
36901	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
36901	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
36901	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
36901	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
36901	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
36901	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
36901	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
36901	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
36901	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
36901	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
36901	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	2	0	000
36901	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
36901	CMS	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	000
36901	CMS	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	1	0	000
36901	CMS	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	000
36901	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	000
36901	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
36901	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	000
36901	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
36901	CMS	"Wound Care, Dressings"	SG095	Hemostatic patch	item	40.33	1	0	000
36901	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
36901	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
36901	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
36901	CMS	"Pharmacy, NonRx"	SJ088	"swab, patient prep, 3.0 ml  (chloraprep)"	item	2.18	2	0	000
36901	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
36901	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1	0	000
36902	CMS	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1	0	000
36902	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1	0	000
36902	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
36902	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
36902	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	000
36902	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	000
36902	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
36902	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
36902	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
36902	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
36902	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
36902	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
36902	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
36902	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
36902	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
36902	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
36902	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	2	0	000
36902	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
36902	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	000
36902	CMS	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	000
36902	CMS	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	50.65	1	0	000
36902	CMS	"Accessory, Procedure"	SD149	"catheter, balloon inflation device"	item	73.36	1	0	000
36902	CMS	"Accessory, Procedure"	SD152	"catheter, balloon, PTA"	item	189.86	1	0	000
36902	CMS	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	1	0	000
36902	CMS	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	000
36902	CMS	"Accessory, Procedure"	SD252	"guidewire, Amplatz wire 260 cm"	item	34.91	1	0	000
36902	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	000
36902	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
36902	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	000
36902	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
36902	CMS	"Wound Care, Dressings"	SG095	Hemostatic patch	item	40.33	1	0	000
36902	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	000
36902	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
36902	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
36902	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
36902	CMS	"Pharmacy, NonRx"	SJ088	"swab, patient prep, 3.0 ml  (chloraprep)"	item	2.18	2	0	000
36902	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
36902	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1	0	000
36903	CMS	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1	0	000
36903	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1	0	000
36903	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
36903	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
36903	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	000
36903	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	000
36903	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
36903	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
36903	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
36903	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
36903	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
36903	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
36903	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
36903	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
36903	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
36903	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
36903	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	2	0	000
36903	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
36903	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	000
36903	CMS	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	000
36903	CMS	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	50.65	1	0	000
36903	CMS	"Accessory, Procedure"	SD149	"catheter, balloon inflation device"	item	73.36	1	0	000
36903	CMS	"Accessory, Procedure"	SD152	"catheter, balloon, PTA"	item	189.86	1	0	000
36903	CMS	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	1	0	000
36903	CMS	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	000
36903	CMS	"Accessory, Procedure"	SD249	"Sterile Radio-opaque ruler (le Maitre, documentation available)"	item	172.67	1	0	000
36903	CMS	"Accessory, Procedure"	SD252	"guidewire, Amplatz wire 260 cm"	item	34.91	1	0	000
36903	CMS	"Accessory, Procedure"	SD254	"covered stent (VIABAHN, Gore)"	item	3931.17	1	0	000
36903	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	000
36903	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
36903	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	000
36903	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
36903	CMS	"Wound Care, Dressings"	SG095	Hemostatic patch	item	40.33	1	0	000
36903	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	000
36903	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
36903	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
36903	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
36903	CMS	"Pharmacy, NonRx"	SJ088	"swab, patient prep, 3.0 ml  (chloraprep)"	item	2.18	2	0	000
36903	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
36903	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1	0	000
36904	CMS	"Kit, Pack, Tray"	SA015	"kit, for percutaneous thrombolytic device (Trerotola)"	kit	696.37	1	0	000
36904	CMS	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1	0	000
36904	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1	0	000
36904	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
36904	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
36904	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	000
36904	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	000
36904	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
36904	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
36904	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
36904	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
36904	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
36904	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
36904	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
36904	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
36904	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
36904	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
36904	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	2	0	000
36904	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	000
36904	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
36904	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	000
36904	CMS	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	000
36904	CMS	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	50.65	1	0	000
36904	CMS	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	1	0	000
36904	CMS	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	000
36904	CMS	"Accessory, Procedure"	SD252	"guidewire, Amplatz wire 260 cm"	item	34.91	1	0	000
36904	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	000
36904	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	000
36904	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
36904	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	000
36904	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
36904	CMS	"Wound Care, Dressings"	SG095	Hemostatic patch	item	40.33	2	0	000
36904	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	000
36904	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
36904	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
36904	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
36904	CMS	"Pharmacy, NonRx"	SJ088	"swab, patient prep, 3.0 ml  (chloraprep)"	item	2.18	2	0	000
36904	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
36904	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1	0	000
36905	CMS	"Kit, Pack, Tray"	SA015	"kit, for percutaneous thrombolytic device (Trerotola)"	kit	696.37	1	0	000
36905	CMS	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1	0	000
36905	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1	0	000
36905	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
36905	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
36905	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	000
36905	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	000
36905	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
36905	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
36905	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
36905	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
36905	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
36905	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
36905	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
36905	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
36905	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
36905	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
36905	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	2	0	000
36905	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	000
36905	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
36905	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	000
36905	CMS	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	000
36905	CMS	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	50.65	1	0	000
36905	CMS	"Accessory, Procedure"	SD149	"catheter, balloon inflation device"	item	73.36	1	0	000
36905	CMS	"Accessory, Procedure"	SD152	"catheter, balloon, PTA"	item	189.86	1	0	000
36905	CMS	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	1	0	000
36905	CMS	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	000
36905	CMS	"Accessory, Procedure"	SD252	"guidewire, Amplatz wire 260 cm"	item	34.91	1	0	000
36905	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	000
36905	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	000
36905	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
36905	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	000
36905	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
36905	CMS	"Wound Care, Dressings"	SG095	Hemostatic patch	item	40.33	2	0	000
36905	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	000
36905	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
36905	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
36905	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
36905	CMS	"Pharmacy, NonRx"	SJ088	"swab, patient prep, 3.0 ml  (chloraprep)"	item	2.18	2	0	000
36905	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
36905	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1	0	000
36906	CMS	"Kit, Pack, Tray"	SA015	"kit, for percutaneous thrombolytic device (Trerotola)"	kit	696.37	1	0	000
36906	CMS	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1	0	000
36906	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1	0	000
36906	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
36906	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
36906	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	000
36906	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	000
36906	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
36906	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
36906	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
36906	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
36906	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
36906	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
36906	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
36906	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
36906	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
36906	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
36906	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	2	0	000
36906	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	000
36906	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
36906	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	000
36906	CMS	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	000
36906	CMS	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	50.65	1	0	000
36906	CMS	"Accessory, Procedure"	SD149	"catheter, balloon inflation device"	item	73.36	1	0	000
36906	CMS	"Accessory, Procedure"	SD152	"catheter, balloon, PTA"	item	189.86	1	0	000
36906	CMS	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	1	0	000
36906	CMS	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	000
36906	CMS	"Accessory, Procedure"	SD249	"Sterile Radio-opaque ruler (le Maitre, documentation available)"	item	172.67	1	0	000
36906	CMS	"Accessory, Procedure"	SD252	"guidewire, Amplatz wire 260 cm"	item	34.91	1	0	000
36906	CMS	"Accessory, Procedure"	SD254	"covered stent (VIABAHN, Gore)"	item	3931.17	1	0	000
36906	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	000
36906	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	000
36906	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
36906	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	000
36906	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
36906	CMS	"Wound Care, Dressings"	SG095	Hemostatic patch	item	40.33	2	0	000
36906	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	000
36906	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
36906	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
36906	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
36906	CMS	"Pharmacy, NonRx"	SJ088	"swab, patient prep, 3.0 ml  (chloraprep)"	item	2.18	2	0	000
36906	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
36906	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1	0	000
36907	CMS	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	50.65	1	0	ZZZ
36907	CMS	"Accessory, Procedure"	SD149	"catheter, balloon inflation device"	item	73.36	1	0	ZZZ
36907	CMS	"Accessory, Procedure"	SD152	"catheter, balloon, PTA"	item	189.86	1	0	ZZZ
36907	CMS	"Accessory, Procedure"	SD252	"guidewire, Amplatz wire 260 cm"	item	34.91	1	0	ZZZ
36907	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	2	0	ZZZ
36908	CMS	"Kit, Pack, Tray"	SA103	"stent, vascular, deployment system, Cordis SMART"	kit	803.58	1	0	ZZZ
36908	CMS	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	50.65	1	0	ZZZ
36908	CMS	"Accessory, Procedure"	SD149	"catheter, balloon inflation device"	item	73.36	1	0	ZZZ
36908	CMS	"Accessory, Procedure"	SD152	"catheter, balloon, PTA"	item	189.86	1	0	ZZZ
36908	CMS	"Accessory, Procedure"	SD252	"guidewire, Amplatz wire 260 cm"	item	34.91	1	0	ZZZ
36908	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	2	0	ZZZ
36909	CMS	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	50.65	1	0	ZZZ
36909	CMS	"Cutters, Closures, Cautery"	SF056	Detachable coil	item	1199.3	1	0	ZZZ
36909	CMS	"Cutters, Closures, Cautery"	SF057	Non-detachable embolization coil	item	260.53	2	0	ZZZ
37140	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3.5	090
37140	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
37145	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3.5	090
37145	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
37160	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3.5	090
37160	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
37180	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
37180	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
37181	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3.5	090
37181	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
37183	CMS	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1	0	000
37183	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
37183	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
37183	CMS	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	000
37183	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
37183	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	000
37183	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	000
37183	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	000
37183	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	3	0	000
37183	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
37183	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
37183	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
37183	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
37183	CMS	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	000
37183	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
37183	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
37183	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	000
37183	CMS	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	2	0	000
37183	CMS	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	50.65	1	0	000
37183	CMS	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	13.22	1	0	000
37183	CMS	"Accessory, Procedure"	SD153	"catheter, curved"	item	18.25	1	0	000
37183	CMS	"Accessory, Procedure"	SD154	"catheter, microcatheter (selective 3rd order)"	item	332.11	1	0	000
37183	CMS	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	2	0	000
37183	CMS	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	000
37183	CMS	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	231.59	1	0	000
37183	CMS	"Accessory, Procedure"	SD238	"stent, GORE VIATORR TIPS Endoprosthesis"	item	4523	1	0	000
37183	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	000
37183	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
37183	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	000
37183	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	000
37183	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	000
37183	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	000
37183	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	000
37183	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
37183	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
37183	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
37183	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
37184	CMS	"Kit, Pack, Tray"	SA015	"kit, for percutaneous thrombolytic device (Trerotola)"	kit	696.37	1	0	000
37184	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
37184	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
37184	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	000
37184	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
37184	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	000
37184	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
37184	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
37184	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
37184	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
37184	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
37184	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	000
37184	CMS	"Accessory, Procedure"	SD173	"guidewire, low profile (SpartaCore)"	item	75	1	0	000
37184	CMS	"Accessory, Procedure"	SD174	"guidewire, steerable (Hi-Torque)"	item	40.47	1	0	000
37184	CMS	"Accessory, Procedure"	SD176	"guidewire, torque"	item	59.22	1	0	000
37184	CMS	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	189	1	0	000
37184	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	000
37184	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	000
37184	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
37184	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
37185	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	ZZZ
37185	CMS	"Accessory, Procedure"	SD173	"guidewire, low profile (SpartaCore)"	item	75	1	0	ZZZ
37185	CMS	"Accessory, Procedure"	SD174	"guidewire, steerable (Hi-Torque)"	item	40.47	1	0	ZZZ
37185	CMS	"Accessory, Procedure"	SD176	"guidewire, torque"	item	59.22	1	0	ZZZ
37186	CMS	"Kit, Pack, Tray"	SA015	"kit, for percutaneous thrombolytic device (Trerotola)"	kit	696.37	1	0	ZZZ
37186	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	ZZZ
37186	CMS	"Accessory, Procedure"	SD173	"guidewire, low profile (SpartaCore)"	item	75	1	0	ZZZ
37186	CMS	"Accessory, Procedure"	SD174	"guidewire, steerable (Hi-Torque)"	item	40.47	1	0	ZZZ
37186	CMS	"Accessory, Procedure"	SD176	"guidewire, torque"	item	59.22	1	0	ZZZ
37187	CMS	"Kit, Pack, Tray"	SA015	"kit, for percutaneous thrombolytic device (Trerotola)"	kit	696.37	1	0	000
37187	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
37187	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
37187	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	000
37187	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
37187	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	000
37187	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
37187	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
37187	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
37187	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
37187	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
37187	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	000
37187	CMS	"Accessory, Procedure"	SD173	"guidewire, low profile (SpartaCore)"	item	75	1	0	000
37187	CMS	"Accessory, Procedure"	SD174	"guidewire, steerable (Hi-Torque)"	item	40.47	1	0	000
37187	CMS	"Accessory, Procedure"	SD176	"guidewire, torque"	item	59.22	1	0	000
37187	CMS	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	189	1	0	000
37187	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	000
37187	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	000
37187	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
37187	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
37188	CMS	"Kit, Pack, Tray"	SA015	"kit, for percutaneous thrombolytic device (Trerotola)"	kit	696.37	1	0	000
37188	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
37188	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
37188	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	000
37188	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
37188	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	000
37188	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
37188	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
37188	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
37188	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
37188	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
37188	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	000
37188	CMS	"Accessory, Procedure"	SD173	"guidewire, low profile (SpartaCore)"	item	75	1	0	000
37188	CMS	"Accessory, Procedure"	SD174	"guidewire, steerable (Hi-Torque)"	item	40.47	1	0	000
37188	CMS	"Accessory, Procedure"	SD176	"guidewire, torque"	item	59.22	1	0	000
37188	CMS	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	189	1	0	000
37188	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	000
37188	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	000
37188	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
37188	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
37191	CMS	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1	0	000
37191	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
37191	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
37191	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	000
37191	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	000
37191	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	000
37191	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	000
37191	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	000
37191	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	4	0	000
37191	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	4	0	000
37191	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	0	000
37191	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	000
37191	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
37191	CMS	"Gown, Drape"	SB048	"sheath-cover, sterile, 96in x 6in (transducer)"	item	9.583	1	0	000
37191	CMS	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	000
37191	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
37191	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	4	0	000
37191	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	4	0	000
37191	CMS	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	000
37191	CMS	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	2	0	000
37191	CMS	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	000
37191	CMS	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.26	1	0	000
37191	CMS	"Accessory, Procedure"	SD249	"Sterile Radio-opaque ruler (le Maitre, documentation available)"	item	172.67	1	0	000
37191	CMS	"Accessory, Procedure"	SD267	IVC filter	item	1195.25	1	0	000
37191	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	000
37191	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
37191	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	000
37191	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
37191	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	000
37191	CMS	"Wound Care, Dressings"	SG095	Hemostatic patch	item	40.33	1	0	000
37191	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
37191	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
37191	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
37191	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
37192	CMS	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1	0	000
37192	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
37192	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
37192	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	000
37192	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	000
37192	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	000
37192	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	000
37192	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	000
37192	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	4	0	000
37192	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	4	0	000
37192	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	0	000
37192	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	000
37192	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
37192	CMS	"Gown, Drape"	SB048	"sheath-cover, sterile, 96in x 6in (transducer)"	item	9.583	1	0	000
37192	CMS	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	000
37192	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
37192	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	4	0	000
37192	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	4	0	000
37192	CMS	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	000
37192	CMS	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	2	0	000
37192	CMS	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	000
37192	CMS	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.26	1	0	000
37192	CMS	"Accessory, Procedure"	SD249	"Sterile Radio-opaque ruler (le Maitre, documentation available)"	item	172.67	1	0	000
37192	CMS	"Accessory, Procedure"	SD250	"introducer sheath, Ansel [45 cm 6 Fr Ansel]"	item	72.64	1	0	000
37192	CMS	"Accessory, Procedure"	SD268	IVC retrieval set	kit	274.62	1	0	000
37192	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	000
37192	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
37192	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	000
37192	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
37192	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	000
37192	CMS	"Wound Care, Dressings"	SG095	Hemostatic patch	item	40.33	1	0	000
37192	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
37192	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
37192	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
37192	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
37193	CMS	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1	0	000
37193	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
37193	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
37193	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	000
37193	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	000
37193	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	000
37193	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	000
37193	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	000
37193	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	4	0	000
37193	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	4	0	000
37193	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	0	000
37193	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	000
37193	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
37193	CMS	"Gown, Drape"	SB048	"sheath-cover, sterile, 96in x 6in (transducer)"	item	9.583	1	0	000
37193	CMS	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	000
37193	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
37193	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	4	0	000
37193	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	4	0	000
37193	CMS	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	000
37193	CMS	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	2	0	000
37193	CMS	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	000
37193	CMS	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.26	1	0	000
37193	CMS	"Accessory, Procedure"	SD249	"Sterile Radio-opaque ruler (le Maitre, documentation available)"	item	172.67	1	0	000
37193	CMS	"Accessory, Procedure"	SD250	"introducer sheath, Ansel [45 cm 6 Fr Ansel]"	item	72.64	1	0	000
37193	CMS	"Accessory, Procedure"	SD268	IVC retrieval set	kit	274.62	1	0	000
37193	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	000
37193	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
37193	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	000
37193	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
37193	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	000
37193	CMS	"Wound Care, Dressings"	SG095	Hemostatic patch	item	40.33	1	0	000
37193	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
37193	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
37193	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
37193	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
37197	CMS	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1	0	000
37197	CMS	"Kit, Pack, Tray"	SA020	"kit, loop snare (Microvena)"	kit	379.5	1	0	000
37197	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
37197	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
37197	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	000
37197	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	000
37197	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	000
37197	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	000
37197	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
37197	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
37197	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	0	000
37197	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	000
37197	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
37197	CMS	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	000
37197	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
37197	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	4	0	000
37197	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	4	0	000
37197	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	000
37197	CMS	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	000
37197	CMS	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	2	0	000
37197	CMS	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	000
37197	CMS	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.26	1	0	000
37197	CMS	"Accessory, Procedure"	SD249	"Sterile Radio-opaque ruler (le Maitre, documentation available)"	item	172.67	1	0	000
37197	CMS	"Accessory, Procedure"	SD250	"introducer sheath, Ansel [45 cm 6 Fr Ansel]"	item	72.64	1	0	000
37197	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	000
37197	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
37197	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	000
37197	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
37197	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	000
37197	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
37197	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
37197	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
37215	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
37216	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
37217	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
37217	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
37218	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
37236	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
37236	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
37236	CMS	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	000
37236	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	000
37236	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	000
37236	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	000
37236	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	3	0	000
37236	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
37236	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	0	000
37236	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	000
37236	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
37236	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
37236	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	0	000
37236	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
37236	CMS	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.95	1	0	000
37236	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
37236	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	000
37236	CMS	"Accessory, Procedure"	SD149	"catheter, balloon inflation device"	item	73.36	1	0	000
37236	CMS	"Accessory, Procedure"	SD154	"catheter, microcatheter (selective 3rd order)"	item	332.11	1	0	000
37236	CMS	"Accessory, Procedure"	SD173	"guidewire, low profile (SpartaCore)"	item	75	1	0	000
37236	CMS	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	231.59	1	0	000
37236	CMS	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	189	1	0	000
37236	CMS	"Accessory, Procedure"	SD249	"Sterile Radio-opaque ruler (le Maitre, documentation available)"	item	172.67	1	0	000
37236	CMS	"Accessory, Procedure"	SD250	"introducer sheath, Ansel [45 cm 6 Fr Ansel]"	item	72.64	1	0	000
37236	CMS	"Accessory, Procedure"	SD299	"stent, balloon, implantable"	item	812.43	1	0	000
37236	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	000
37236	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
37236	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	000
37236	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	000
37236	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	000
37236	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	000
37236	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
37236	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
37236	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
37236	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	6	0	000
37237	CMS	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	332.11	1	0	ZZZ
37237	CMS	"Accessory, Procedure"	SD299	"stent, balloon, implantable"	item	812.43	1	0	ZZZ
37238	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
37238	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
37238	CMS	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	000
37238	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	000
37238	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	000
37238	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	000
37238	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	3	0	000
37238	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
37238	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	0	000
37238	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	000
37238	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
37238	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
37238	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	0	000
37238	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
37238	CMS	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.95	1	0	000
37238	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
37238	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	000
37238	CMS	"Accessory, Procedure"	SD149	"catheter, balloon inflation device"	item	73.36	1	0	000
37238	CMS	"Accessory, Procedure"	SD152	"catheter, balloon, PTA"	item	189.86	1	0	000
37238	CMS	"Accessory, Procedure"	SD206	"sheath, peel away"	item	42.72	1	0	000
37238	CMS	"Accessory, Procedure"	SD249	"Sterile Radio-opaque ruler (le Maitre, documentation available)"	item	172.67	1	0	000
37238	CMS	"Accessory, Procedure"	SD340	venous stent system	item	1750	1.5	0	000
37238	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	000
37238	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
37238	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	000
37238	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	000
37238	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	000
37238	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	000
37238	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
37238	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
37238	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
37238	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	6	0	000
37239	CMS	"Accessory, Procedure"	SD340	venous stent system	item	1750	1	0	ZZZ
37241	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1	0	000
37241	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
37241	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
37241	CMS	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	000
37241	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	000
37241	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	000
37241	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	000
37241	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	3	0	000
37241	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
37241	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	0	000
37241	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	000
37241	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
37241	CMS	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	000
37241	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
37241	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	4	0	000
37241	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	4	0	000
37241	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	3	0	000
37241	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
37241	CMS	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	11.51	1	0	000
37241	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	000
37241	CMS	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	000
37241	CMS	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	50.65	1	0	000
37241	CMS	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	13.22	1	0	000
37241	CMS	"Accessory, Procedure"	SD154	"catheter, microcatheter (selective 3rd order)"	item	332.11	1	0	000
37241	CMS	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	1	0	000
37241	CMS	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	000
37241	CMS	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	231.59	1	0	000
37241	CMS	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.26	1	0	000
37241	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	000
37241	CMS	"Cutters, Closures, Cautery"	SF056	Detachable coil	item	1199.3	1	0	000
37241	CMS	"Cutters, Closures, Cautery"	SF057	Non-detachable embolization coil	item	260.53	7	0	000
37241	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
37241	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	000
37241	CMS	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	1	0	000
37241	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	000
37241	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	000
37241	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	000
37241	CMS	"Wound Care, Dressings"	SG095	Hemostatic patch	item	40.33	1	0	000
37241	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	000
37241	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
37241	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
37241	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
37241	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
37242	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1	0	000
37242	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
37242	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
37242	CMS	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	000
37242	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	000
37242	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	000
37242	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	000
37242	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	3	0	000
37242	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
37242	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	0	000
37242	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	000
37242	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
37242	CMS	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	000
37242	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
37242	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	4	0	000
37242	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	4	0	000
37242	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	3	0	000
37242	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
37242	CMS	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	11.51	1	0	000
37242	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	000
37242	CMS	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	000
37242	CMS	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	50.65	1	0	000
37242	CMS	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	13.22	1	0	000
37242	CMS	"Accessory, Procedure"	SD154	"catheter, microcatheter (selective 3rd order)"	item	332.11	1	0	000
37242	CMS	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	1	0	000
37242	CMS	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	000
37242	CMS	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	231.59	1	0	000
37242	CMS	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	189	1	0	000
37242	CMS	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.26	1	0	000
37242	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	000
37242	CMS	"Cutters, Closures, Cautery"	SF056	Detachable coil	item	1199.3	5	0	000
37242	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
37242	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	000
37242	CMS	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	1	0	000
37242	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	000
37242	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	000
37242	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	000
37242	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	000
37242	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
37242	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
37242	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
37242	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
37243	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1	0	000
37243	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
37243	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
37243	CMS	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	000
37243	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	000
37243	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	000
37243	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	000
37243	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	3	0	000
37243	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
37243	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	0	000
37243	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	000
37243	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
37243	CMS	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	000
37243	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
37243	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	4	0	000
37243	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	4	0	000
37243	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	3	0	000
37243	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
37243	CMS	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	11.51	1	0	000
37243	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	000
37243	CMS	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	000
37243	CMS	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	50.65	1	0	000
37243	CMS	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	13.22	1	0	000
37243	CMS	"Accessory, Procedure"	SD154	"catheter, microcatheter (selective 3rd order)"	item	332.11	1	0	000
37243	CMS	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	1	0	000
37243	CMS	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	000
37243	CMS	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	231.59	1	0	000
37243	CMS	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	189	1	0	000
37243	CMS	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.26	1	0	000
37243	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	000
37243	CMS	"Cutters, Closures, Cautery"	SF058	LC Beads (2mL vial)	item	2341.93	3	0	000
37243	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
37243	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	000
37243	CMS	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	1	0	000
37243	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	000
37243	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	000
37243	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	000
37243	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	000
37243	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
37243	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
37243	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
37243	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
37244	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1	0	000
37244	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
37244	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
37244	CMS	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	000
37244	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	000
37244	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	000
37244	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	000
37244	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	3	0	000
37244	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
37244	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	0	000
37244	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	000
37244	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
37244	CMS	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	000
37244	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
37244	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	4	0	000
37244	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	4	0	000
37244	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	3	0	000
37244	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
37244	CMS	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	11.51	1	0	000
37244	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	000
37244	CMS	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	000
37244	CMS	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	50.65	1	0	000
37244	CMS	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	13.22	1	0	000
37244	CMS	"Accessory, Procedure"	SD154	"catheter, microcatheter (selective 3rd order)"	item	332.11	1	0	000
37244	CMS	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	1	0	000
37244	CMS	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	000
37244	CMS	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	231.59	1	0	000
37244	CMS	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	189	1	0	000
37244	CMS	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.26	1	0	000
37244	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	000
37244	CMS	"Cutters, Closures, Cautery"	SF056	Detachable coil	item	1199.3	4	0	000
37244	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
37244	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	000
37244	CMS	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	1	0	000
37244	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	000
37244	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	000
37244	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	000
37244	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	000
37244	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
37244	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
37244	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
37244	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
37246	CMS	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1	0	000
37246	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1	0	000
37246	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
37246	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
37246	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
37246	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	000
37246	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	000
37246	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
37246	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
37246	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
37246	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
37246	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
37246	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
37246	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
37246	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
37246	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
37246	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	0	000
37246	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
37246	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	2	0	000
37246	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
37246	CMS	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	11.51	1	0	000
37246	CMS	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	000
37246	CMS	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	50.65	1	0	000
37246	CMS	"Accessory, Procedure"	SD149	"catheter, balloon inflation device"	item	73.36	1	0	000
37246	CMS	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	332.11	1	0	000
37246	CMS	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	1	0	000
37246	CMS	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	000
37246	CMS	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	231.59	1	0	000
37246	CMS	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	189	1	0	000
37246	CMS	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.26	1	0	000
37246	CMS	"Accessory, Procedure"	SD250	"introducer sheath, Ansel [45 cm 6 Fr Ansel]"	item	72.64	1	0	000
37246	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	000
37246	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
37246	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	000
37246	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	000
37246	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
37246	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	000
37246	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
37246	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
37246	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
37246	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
37246	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
37247	CMS	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	332.11	1	0	ZZZ
37248	CMS	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1	0	000
37248	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1	0	000
37248	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
37248	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
37248	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
37248	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	000
37248	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	000
37248	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
37248	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
37248	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
37248	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
37248	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
37248	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
37248	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
37248	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
37248	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
37248	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	0	000
37248	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
37248	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	2	0	000
37248	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
37248	CMS	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	11.51	1	0	000
37248	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	000
37248	CMS	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	000
37248	CMS	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	50.65	1	0	000
37248	CMS	"Accessory, Procedure"	SD149	"catheter, balloon inflation device"	item	73.36	1	0	000
37248	CMS	"Accessory, Procedure"	SD152	"catheter, balloon, PTA"	item	189.86	1	0	000
37248	CMS	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	1	0	000
37248	CMS	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	000
37248	CMS	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.26	1	0	000
37248	CMS	"Accessory, Procedure"	SD250	"introducer sheath, Ansel [45 cm 6 Fr Ansel]"	item	72.64	1	0	000
37248	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	000
37248	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
37248	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	000
37248	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	000
37248	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
37248	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	000
37248	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
37248	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
37248	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
37248	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
37248	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
37249	CMS	"Accessory, Procedure"	SD152	"catheter, balloon, PTA"	item	189.86	1	0	ZZZ
37252	CMS	"Accessory, Procedure"	SD173	"guidewire, low profile (SpartaCore)"	item	75	1	0	ZZZ
37252	CMS	"Accessory, Procedure"	SD304	IVUS catheter	item	858.33	1	0	ZZZ
37252	CMS	"Accessory, Procedure"	SD305	IVUS Catheter Sterile Cover	pack (10)	117.56	0.1	0	ZZZ
37254	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
37254	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
37254	RUC	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	000
37254	RUC	"Kit, Pack, Tray"	SA142	"pack, angiography"	pack	62.26	1	0	000
37254	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	000
37254	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
37254	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	0	000
37254	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	000
37254	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
37254	RUC	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	000
37254	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
37254	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	000
37254	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	000
37254	RUC	"Accessory, Procedure"	SD140	"bag system, 1000ml (for angiography waste fluids)"	item	20.1	1	0	000
37254	RUC	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	50.65	1	0	000
37254	RUC	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	13.22	1	0	000
37254	RUC	"Accessory, Procedure"	SD149	"catheter, balloon inflation device"	item	73.36	1	0	000
37254	RUC	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	332.11	1	0	000
37254	RUC	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	000
37254	RUC	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	189	1	0	000
37254	RUC	"Accessory, Procedure"	SD249	"Sterile Radio-opaque ruler (le Maitre, documentation available)"	item	172.67	1	0	000
37254	RUC	"Accessory, Procedure"	SD250	"introducer sheath, Ansel [45 cm 6 Fr Ansel]"	item	72.64	1	0	000
37254	RUC	"Accessory, Procedure"	SD252	"guidewire, Amplatz wire 260 cm"	item	34.91	1	0	000
37254	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
37254	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	000
37254	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	000
37254	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	000
37254	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
37254	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
37254	RUC	"Pharmacy, Rx"	SH095	protamine sulfate 10 mg/ml (5ml uou vial)	item	261.94	1	0	000
37254	RUC	"Pharmacy, Rx"	SH096	nitroglycerin injection USP 5 mg/mL (10ml uou vial)	item	182.14	1	0	000
37254	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	000
37254	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
37254	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
37255	RUC	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	332.11	1	0	ZZZ
37256	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
37256	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
37256	RUC	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	000
37256	RUC	"Kit, Pack, Tray"	SA142	"pack, angiography"	pack	62.26	1	0	000
37256	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	000
37256	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
37256	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	0	000
37256	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	000
37256	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
37256	RUC	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	000
37256	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
37256	RUC	"Hypodermic, IV"	SC096	"Quick Cross Catheter (Sprectranetics, documentation available)"	item	139.83	1	0	000
37256	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	000
37256	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	000
37256	RUC	"Accessory, Procedure"	SD140	"bag system, 1000ml (for angiography waste fluids)"	item	20.1	1	0	000
37256	RUC	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	50.65	1	0	000
37256	RUC	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	13.22	1	0	000
37256	RUC	"Accessory, Procedure"	SD149	"catheter, balloon inflation device"	item	73.36	1	0	000
37256	RUC	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	332.11	1	0	000
37256	RUC	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	000
37256	RUC	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	189	1	0	000
37256	RUC	"Accessory, Procedure"	SD249	"Sterile Radio-opaque ruler (le Maitre, documentation available)"	item	172.67	1	0	000
37256	RUC	"Accessory, Procedure"	SD250	"introducer sheath, Ansel [45 cm 6 Fr Ansel]"	item	72.64	1	0	000
37256	RUC	"Accessory, Procedure"	SD252	"guidewire, Amplatz wire 260 cm"	item	34.91	1	0	000
37256	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
37256	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	000
37256	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	000
37256	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	000
37256	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
37256	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
37256	RUC	"Pharmacy, Rx"	SH095	protamine sulfate 10 mg/ml (5ml uou vial)	item	261.94	1	0	000
37256	RUC	"Pharmacy, Rx"	SH096	nitroglycerin injection USP 5 mg/mL (10ml uou vial)	item	182.14	1	0	000
37256	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	000
37256	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
37256	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
37257	RUC	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	332.11	1	0	ZZZ
37258	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
37258	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
37258	RUC	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	000
37258	RUC	"Kit, Pack, Tray"	SA103	"stent, vascular, deployment system, Cordis SMART"	kit	803.58	1	0	000
37258	RUC	"Kit, Pack, Tray"	SA142	"pack, angiography"	pack	62.26	1	0	000
37258	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	000
37258	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
37258	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	0	000
37258	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	000
37258	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
37258	RUC	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	000
37258	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
37258	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	000
37258	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	000
37258	RUC	"Accessory, Procedure"	SD140	"bag system, 1000ml (for angiography waste fluids)"	item	20.1	1	0	000
37258	RUC	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	50.65	1	0	000
37258	RUC	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	13.22	1	0	000
37258	RUC	"Accessory, Procedure"	SD149	"catheter, balloon inflation device"	item	73.36	1	0	000
37258	RUC	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	332.11	1	0	000
37258	RUC	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	000
37258	RUC	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	189	1	0	000
37258	RUC	"Accessory, Procedure"	SD249	"Sterile Radio-opaque ruler (le Maitre, documentation available)"	item	172.67	1	0	000
37258	RUC	"Accessory, Procedure"	SD250	"introducer sheath, Ansel [45 cm 6 Fr Ansel]"	item	72.64	1	0	000
37258	RUC	"Accessory, Procedure"	SD252	"guidewire, Amplatz wire 260 cm"	item	34.91	1	0	000
37258	RUC	"Accessory, Procedure"	SD256	"Embolic  Protection Device Spider FX (EV3, documentation available)"	item	1142.89	1	0	000
37258	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
37258	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	000
37258	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	000
37258	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	000
37258	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
37258	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
37258	RUC	"Pharmacy, Rx"	SH095	protamine sulfate 10 mg/ml (5ml uou vial)	item	261.94	1	0	000
37258	RUC	"Pharmacy, Rx"	SH096	nitroglycerin injection USP 5 mg/mL (10ml uou vial)	item	182.14	1	0	000
37258	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	000
37258	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
37258	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
37259	RUC	"Kit, Pack, Tray"	SA103	"stent, vascular, deployment system, Cordis SMART"	kit	803.58	1	0	ZZZ
37259	RUC	"Accessory, Procedure"	SD149	"catheter, balloon inflation device"	item	73.36	1	0	ZZZ
37259	RUC	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	332.11	1	0	ZZZ
37260	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
37260	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
37260	RUC	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	000
37260	RUC	"Kit, Pack, Tray"	SA142	"pack, angiography"	pack	62.26	1	0	000
37260	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	000
37260	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
37260	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	0	000
37260	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	000
37260	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
37260	RUC	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	000
37260	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
37260	RUC	"Hypodermic, IV"	SC096	"Quick Cross Catheter (Sprectranetics, documentation available)"	item	139.83	1	0	000
37260	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	000
37260	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	000
37260	RUC	"Accessory, Procedure"	SD140	"bag system, 1000ml (for angiography waste fluids)"	item	20.1	1	0	000
37260	RUC	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	50.65	1	0	000
37260	RUC	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	13.22	1	0	000
37260	RUC	"Accessory, Procedure"	SD149	"catheter, balloon inflation device"	item	73.36	1	0	000
37260	RUC	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	332.11	1	0	000
37260	RUC	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	000
37260	RUC	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	189	1	0	000
37260	RUC	"Accessory, Procedure"	SD249	"Sterile Radio-opaque ruler (le Maitre, documentation available)"	item	172.67	1	0	000
37260	RUC	"Accessory, Procedure"	SD250	"introducer sheath, Ansel [45 cm 6 Fr Ansel]"	item	72.64	1	0	000
37260	RUC	"Accessory, Procedure"	SD252	"guidewire, Amplatz wire 260 cm"	item	34.91	1	0	000
37260	RUC	"Accessory, Procedure"	SD254	"covered stent (VIABAHN, Gore)"	item	3931.17	1	0	000
37260	RUC	"Accessory, Procedure"	SD255	"Reentry device (Frontier, Outback, Pioneer)"	item	3100	1	0	000
37260	RUC	"Accessory, Procedure"	SD256	"Embolic  Protection Device Spider FX (EV3, documentation available)"	item	1142.89	1	0	000
37260	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
37260	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	000
37260	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	000
37260	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	000
37260	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
37260	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
37260	RUC	"Pharmacy, Rx"	SH095	protamine sulfate 10 mg/ml (5ml uou vial)	item	261.94	1	0	000
37260	RUC	"Pharmacy, Rx"	SH096	nitroglycerin injection USP 5 mg/mL (10ml uou vial)	item	182.14	1	0	000
37260	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	000
37260	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
37260	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
37261	RUC	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	332.11	1	0	ZZZ
37261	RUC	"Accessory, Procedure"	SD254	"covered stent (VIABAHN, Gore)"	item	3931.17	1	0	ZZZ
37262	RUC	"Accessory, Procedure"	SD380	Iliac IVL Catheter	item	3450	1	0	ZZZ
37263	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
37263	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
37263	RUC	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	000
37263	RUC	"Kit, Pack, Tray"	SA142	"pack, angiography"	pack	62.26	1	0	000
37263	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	000
37263	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
37263	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	0	000
37263	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	000
37263	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
37263	RUC	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	000
37263	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
37263	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	000
37263	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	000
37263	RUC	"Accessory, Procedure"	SD140	"bag system, 1000ml (for angiography waste fluids)"	item	20.1	1	0	000
37263	RUC	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	50.65	1	0	000
37263	RUC	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	13.22	1	0	000
37263	RUC	"Accessory, Procedure"	SD149	"catheter, balloon inflation device"	item	73.36	1	0	000
37263	RUC	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	332.11	1	0	000
37263	RUC	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	000
37263	RUC	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	189	1	0	000
37263	RUC	"Accessory, Procedure"	SD249	"Sterile Radio-opaque ruler (le Maitre, documentation available)"	item	172.67	1	0	000
37263	RUC	"Accessory, Procedure"	SD250	"introducer sheath, Ansel [45 cm 6 Fr Ansel]"	item	72.64	1	0	000
37263	RUC	"Accessory, Procedure"	SD252	"guidewire, Amplatz wire 260 cm"	item	34.91	1	0	000
37263	RUC	"Accessory, Procedure"	SD382	Drug coated balloon	item	2343.33	2	0	000
37263	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
37263	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	000
37263	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	000
37263	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	000
37263	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
37263	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
37263	RUC	"Pharmacy, Rx"	SH095	protamine sulfate 10 mg/ml (5ml uou vial)	item	261.94	1	0	000
37263	RUC	"Pharmacy, Rx"	SH096	nitroglycerin injection USP 5 mg/mL (10ml uou vial)	item	182.14	1	0	000
37263	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	000
37263	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
37263	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
37264	RUC	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	332.11	1	0	ZZZ
37264	RUC	"Accessory, Procedure"	SD382	Drug coated balloon	item	2343.33	1	0	ZZZ
37265	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
37265	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
37265	RUC	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	000
37265	RUC	"Kit, Pack, Tray"	SA142	"pack, angiography"	pack	62.26	1	0	000
37265	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	000
37265	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
37265	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	0	000
37265	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	000
37265	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
37265	RUC	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	000
37265	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
37265	RUC	"Hypodermic, IV"	SC096	"Quick Cross Catheter (Sprectranetics, documentation available)"	item	139.83	1	0	000
37265	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	000
37265	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	000
37265	RUC	"Accessory, Procedure"	SD140	"bag system, 1000ml (for angiography waste fluids)"	item	20.1	1	0	000
37265	RUC	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	50.65	1	0	000
37265	RUC	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	13.22	1	0	000
37265	RUC	"Accessory, Procedure"	SD149	"catheter, balloon inflation device"	item	73.36	1	0	000
37265	RUC	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	332.11	1	0	000
37265	RUC	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	000
37265	RUC	"Accessory, Procedure"	SD173	"guidewire, low profile (SpartaCore)"	item	75	1	0	000
37265	RUC	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	231.59	1	0	000
37265	RUC	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	189	1	0	000
37265	RUC	"Accessory, Procedure"	SD249	"Sterile Radio-opaque ruler (le Maitre, documentation available)"	item	172.67	1	0	000
37265	RUC	"Accessory, Procedure"	SD250	"introducer sheath, Ansel [45 cm 6 Fr Ansel]"	item	72.64	1	0	000
37265	RUC	"Accessory, Procedure"	SD252	"guidewire, Amplatz wire 260 cm"	item	34.91	1	0	000
37265	RUC	"Accessory, Procedure"	SD256	"Embolic  Protection Device Spider FX (EV3, documentation available)"	item	1142.89	1	0	000
37265	RUC	"Accessory, Procedure"	SD382	Drug coated balloon	item	2343.33	2	0	000
37265	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
37265	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	000
37265	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	000
37265	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	000
37265	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
37265	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
37265	RUC	"Pharmacy, Rx"	SH095	protamine sulfate 10 mg/ml (5ml uou vial)	item	261.94	1	0	000
37265	RUC	"Pharmacy, Rx"	SH096	nitroglycerin injection USP 5 mg/mL (10ml uou vial)	item	182.14	1	0	000
37265	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	000
37265	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
37265	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
37266	RUC	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	332.11	1	0	ZZZ
37266	RUC	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	231.59	1	0	ZZZ
37266	RUC	"Accessory, Procedure"	SD382	Drug coated balloon	item	2343.33	1	0	ZZZ
37267	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
37267	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
37267	RUC	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	000
37267	RUC	"Kit, Pack, Tray"	SA142	"pack, angiography"	pack	62.26	1	0	000
37267	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	000
37267	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
37267	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	0	000
37267	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	000
37267	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
37267	RUC	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	000
37267	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
37267	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	000
37267	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	000
37267	RUC	"Accessory, Procedure"	SD140	"bag system, 1000ml (for angiography waste fluids)"	item	20.1	1	0	000
37267	RUC	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	50.65	1	0	000
37267	RUC	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	13.22	1	0	000
37267	RUC	"Accessory, Procedure"	SD149	"catheter, balloon inflation device"	item	73.36	1	0	000
37267	RUC	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	332.11	1	0	000
37267	RUC	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	000
37267	RUC	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	189	1	0	000
37267	RUC	"Accessory, Procedure"	SD249	"Sterile Radio-opaque ruler (le Maitre, documentation available)"	item	172.67	1	0	000
37267	RUC	"Accessory, Procedure"	SD250	"introducer sheath, Ansel [45 cm 6 Fr Ansel]"	item	72.64	1	0	000
37267	RUC	"Accessory, Procedure"	SD252	"guidewire, Amplatz wire 260 cm"	item	34.91	1	0	000
37267	RUC	"Accessory, Procedure"	SD382	Drug coated balloon	item	2343.33	1	0	000
37267	RUC	"Accessory, Procedure"	SD383	Drug eluting stent	item	1900	1	0	000
37267	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
37267	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	000
37267	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	000
37267	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	000
37267	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
37267	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
37267	RUC	"Pharmacy, Rx"	SH095	protamine sulfate 10 mg/ml (5ml uou vial)	item	261.94	1	0	000
37267	RUC	"Pharmacy, Rx"	SH096	nitroglycerin injection USP 5 mg/mL (10ml uou vial)	item	182.14	1	0	000
37267	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	000
37267	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
37267	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
37268	RUC	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	332.11	1	0	ZZZ
37268	RUC	"Accessory, Procedure"	SD254	"covered stent (VIABAHN, Gore)"	item	3931.17	1	0	ZZZ
37269	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
37269	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
37269	RUC	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	000
37269	RUC	"Kit, Pack, Tray"	SA142	"pack, angiography"	pack	62.26	1	0	000
37269	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	000
37269	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
37269	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	0	000
37269	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	000
37269	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
37269	RUC	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	000
37269	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
37269	RUC	"Hypodermic, IV"	SC096	"Quick Cross Catheter (Sprectranetics, documentation available)"	item	139.83	1	0	000
37269	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	000
37269	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	000
37269	RUC	"Accessory, Procedure"	SD140	"bag system, 1000ml (for angiography waste fluids)"	item	20.1	1	0	000
37269	RUC	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	50.65	1	0	000
37269	RUC	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	13.22	1	0	000
37269	RUC	"Accessory, Procedure"	SD149	"catheter, balloon inflation device"	item	73.36	1	0	000
37269	RUC	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	332.11	1	0	000
37269	RUC	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	000
37269	RUC	"Accessory, Procedure"	SD173	"guidewire, low profile (SpartaCore)"	item	75	1	0	000
37269	RUC	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	231.59	1	0	000
37269	RUC	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	189	1	0	000
37269	RUC	"Accessory, Procedure"	SD249	"Sterile Radio-opaque ruler (le Maitre, documentation available)"	item	172.67	1	0	000
37269	RUC	"Accessory, Procedure"	SD250	"introducer sheath, Ansel [45 cm 6 Fr Ansel]"	item	72.64	1	0	000
37269	RUC	"Accessory, Procedure"	SD252	"guidewire, Amplatz wire 260 cm"	item	34.91	1	0	000
37269	RUC	"Accessory, Procedure"	SD254	"covered stent (VIABAHN, Gore)"	item	3931.17	2	0	000
37269	RUC	"Accessory, Procedure"	SD255	"Reentry device (Frontier, Outback, Pioneer)"	item	3100	1	0	000
37269	RUC	"Accessory, Procedure"	SD256	"Embolic  Protection Device Spider FX (EV3, documentation available)"	item	1142.89	1	0	000
37269	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
37269	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	000
37269	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	000
37269	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	000
37269	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
37269	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
37269	RUC	"Pharmacy, Rx"	SH095	protamine sulfate 10 mg/ml (5ml uou vial)	item	261.94	1	0	000
37269	RUC	"Pharmacy, Rx"	SH096	nitroglycerin injection USP 5 mg/mL (10ml uou vial)	item	182.14	1	0	000
37269	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	000
37269	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
37269	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
37270	RUC	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	332.11	1	0	ZZZ
37270	RUC	"Accessory, Procedure"	SD254	"covered stent (VIABAHN, Gore)"	item	3931.17	1	0	ZZZ
37271	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
37271	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
37271	RUC	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	000
37271	RUC	"Kit, Pack, Tray"	SA142	"pack, angiography"	pack	62.26	1	0	000
37271	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	000
37271	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
37271	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	0	000
37271	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	000
37271	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
37271	RUC	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	000
37271	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
37271	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	000
37271	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	000
37271	RUC	"Accessory, Procedure"	SD140	"bag system, 1000ml (for angiography waste fluids)"	item	20.1	1	0	000
37271	RUC	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	50.65	1	0	000
37271	RUC	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	13.22	1	0	000
37271	RUC	"Accessory, Procedure"	SD149	"catheter, balloon inflation device"	item	73.36	1	0	000
37271	RUC	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	332.11	1	0	000
37271	RUC	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	000
37271	RUC	"Accessory, Procedure"	SD173	"guidewire, low profile (SpartaCore)"	item	75	1	0	000
37271	RUC	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	231.59	1	0	000
37271	RUC	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	189	1	0	000
37271	RUC	"Accessory, Procedure"	SD249	"Sterile Radio-opaque ruler (le Maitre, documentation available)"	item	172.67	1	0	000
37271	RUC	"Accessory, Procedure"	SD250	"introducer sheath, Ansel [45 cm 6 Fr Ansel]"	item	72.64	1	0	000
37271	RUC	"Accessory, Procedure"	SD252	"guidewire, Amplatz wire 260 cm"	item	34.91	1	0	000
37271	RUC	"Accessory, Procedure"	SD253	atherectomy device  (Spectronetics laser or Fox Hollow)	kit	3447.5	1	0	000
37271	RUC	"Accessory, Procedure"	SD382	Drug coated balloon	item	2343.33	2	0	000
37271	RUC	"Accessory, Procedure"	SD384	Embolic protection for atherectomy	item	2862	1	0	000
37271	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
37271	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	000
37271	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	000
37271	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	000
37271	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
37271	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
37271	RUC	"Pharmacy, Rx"	SH095	protamine sulfate 10 mg/ml (5ml uou vial)	item	261.94	1	0	000
37271	RUC	"Pharmacy, Rx"	SH096	nitroglycerin injection USP 5 mg/mL (10ml uou vial)	item	182.14	1	0	000
37271	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	000
37271	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
37271	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
37272	RUC	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	332.11	1	0	ZZZ
37272	RUC	"Accessory, Procedure"	SD382	Drug coated balloon	item	2343.33	1	0	ZZZ
37273	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
37273	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
37273	RUC	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	000
37273	RUC	"Kit, Pack, Tray"	SA142	"pack, angiography"	pack	62.26	1	0	000
37273	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	000
37273	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
37273	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	0	000
37273	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	000
37273	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
37273	RUC	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	000
37273	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
37273	RUC	"Hypodermic, IV"	SC096	"Quick Cross Catheter (Sprectranetics, documentation available)"	item	139.83	1	0	000
37273	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	000
37273	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	000
37273	RUC	"Accessory, Procedure"	SD140	"bag system, 1000ml (for angiography waste fluids)"	item	20.1	1	0	000
37273	RUC	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	50.65	1	0	000
37273	RUC	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	13.22	1	0	000
37273	RUC	"Accessory, Procedure"	SD149	"catheter, balloon inflation device"	item	73.36	1	0	000
37273	RUC	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	332.11	1	0	000
37273	RUC	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	000
37273	RUC	"Accessory, Procedure"	SD173	"guidewire, low profile (SpartaCore)"	item	75	1	0	000
37273	RUC	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	231.59	1	0	000
37273	RUC	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	189	1	0	000
37273	RUC	"Accessory, Procedure"	SD249	"Sterile Radio-opaque ruler (le Maitre, documentation available)"	item	172.67	1	0	000
37273	RUC	"Accessory, Procedure"	SD250	"introducer sheath, Ansel [45 cm 6 Fr Ansel]"	item	72.64	1	0	000
37273	RUC	"Accessory, Procedure"	SD252	"guidewire, Amplatz wire 260 cm"	item	34.91	1	0	000
37273	RUC	"Accessory, Procedure"	SD253	atherectomy device  (Spectronetics laser or Fox Hollow)	kit	3447.5	1	0	000
37273	RUC	"Accessory, Procedure"	SD255	"Reentry device (Frontier, Outback, Pioneer)"	item	3100	1	0	000
37273	RUC	"Accessory, Procedure"	SD382	Drug coated balloon	item	2343.33	2	0	000
37273	RUC	"Accessory, Procedure"	SD384	Embolic protection for atherectomy	item	2862	1	0	000
37273	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
37273	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	000
37273	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	000
37273	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	000
37273	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
37273	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
37273	RUC	"Pharmacy, Rx"	SH095	protamine sulfate 10 mg/ml (5ml uou vial)	item	261.94	1	0	000
37273	RUC	"Pharmacy, Rx"	SH096	nitroglycerin injection USP 5 mg/mL (10ml uou vial)	item	182.14	1	0	000
37273	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	000
37273	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
37273	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
37274	RUC	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	332.11	1	0	ZZZ
37274	RUC	"Accessory, Procedure"	SD382	Drug coated balloon	item	2343.33	1	0	ZZZ
37275	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
37275	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
37275	RUC	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	000
37275	RUC	"Kit, Pack, Tray"	SA142	"pack, angiography"	pack	62.26	1	0	000
37275	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	000
37275	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
37275	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	0	000
37275	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	000
37275	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
37275	RUC	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	000
37275	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
37275	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	000
37275	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	000
37275	RUC	"Accessory, Procedure"	SD140	"bag system, 1000ml (for angiography waste fluids)"	item	20.1	1	0	000
37275	RUC	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	50.65	1	0	000
37275	RUC	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	13.22	1	0	000
37275	RUC	"Accessory, Procedure"	SD149	"catheter, balloon inflation device"	item	73.36	1	0	000
37275	RUC	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	332.11	1	0	000
37275	RUC	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	000
37275	RUC	"Accessory, Procedure"	SD173	"guidewire, low profile (SpartaCore)"	item	75	1	0	000
37275	RUC	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	231.59	1	0	000
37275	RUC	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	189	1	0	000
37275	RUC	"Accessory, Procedure"	SD249	"Sterile Radio-opaque ruler (le Maitre, documentation available)"	item	172.67	1	0	000
37275	RUC	"Accessory, Procedure"	SD250	"introducer sheath, Ansel [45 cm 6 Fr Ansel]"	item	72.64	1	0	000
37275	RUC	"Accessory, Procedure"	SD252	"guidewire, Amplatz wire 260 cm"	item	34.91	1	0	000
37275	RUC	"Accessory, Procedure"	SD253	atherectomy device  (Spectronetics laser or Fox Hollow)	kit	3447.5	1	0	000
37275	RUC	"Accessory, Procedure"	SD382	Drug coated balloon	item	2343.33	1	0	000
37275	RUC	"Accessory, Procedure"	SD383	Drug eluting stent	item	1900	1	0	000
37275	RUC	"Accessory, Procedure"	SD384	Embolic protection for atherectomy	item	2862	1	0	000
37275	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
37275	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	000
37275	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	000
37275	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	000
37275	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
37275	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
37275	RUC	"Pharmacy, Rx"	SH095	protamine sulfate 10 mg/ml (5ml uou vial)	item	261.94	1	0	000
37275	RUC	"Pharmacy, Rx"	SH096	nitroglycerin injection USP 5 mg/mL (10ml uou vial)	item	182.14	1	0	000
37275	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	000
37275	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
37275	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
37276	RUC	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	332.11	1	0	ZZZ
37276	RUC	"Accessory, Procedure"	SD254	"covered stent (VIABAHN, Gore)"	item	3931.17	1	0	ZZZ
37277	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
37277	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
37277	RUC	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	000
37277	RUC	"Kit, Pack, Tray"	SA142	"pack, angiography"	pack	62.26	1	0	000
37277	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	000
37277	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
37277	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	0	000
37277	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	000
37277	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
37277	RUC	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	000
37277	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
37277	RUC	"Hypodermic, IV"	SC096	"Quick Cross Catheter (Sprectranetics, documentation available)"	item	139.83	1	0	000
37277	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	000
37277	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	000
37277	RUC	"Accessory, Procedure"	SD140	"bag system, 1000ml (for angiography waste fluids)"	item	20.1	1	0	000
37277	RUC	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	50.65	1	0	000
37277	RUC	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	13.22	1	0	000
37277	RUC	"Accessory, Procedure"	SD149	"catheter, balloon inflation device"	item	73.36	1	0	000
37277	RUC	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	332.11	1	0	000
37277	RUC	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	000
37277	RUC	"Accessory, Procedure"	SD173	"guidewire, low profile (SpartaCore)"	item	75	1	0	000
37277	RUC	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	231.59	1	0	000
37277	RUC	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	189	1	0	000
37277	RUC	"Accessory, Procedure"	SD249	"Sterile Radio-opaque ruler (le Maitre, documentation available)"	item	172.67	1	0	000
37277	RUC	"Accessory, Procedure"	SD250	"introducer sheath, Ansel [45 cm 6 Fr Ansel]"	item	72.64	1	0	000
37277	RUC	"Accessory, Procedure"	SD252	"guidewire, Amplatz wire 260 cm"	item	34.91	1	0	000
37277	RUC	"Accessory, Procedure"	SD253	atherectomy device  (Spectronetics laser or Fox Hollow)	kit	3447.5	1	0	000
37277	RUC	"Accessory, Procedure"	SD254	"covered stent (VIABAHN, Gore)"	item	3931.17	2	0	000
37277	RUC	"Accessory, Procedure"	SD255	"Reentry device (Frontier, Outback, Pioneer)"	item	3100	1	0	000
37277	RUC	"Accessory, Procedure"	SD384	Embolic protection for atherectomy	item	2862	1	0	000
37277	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
37277	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	000
37277	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	000
37277	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	000
37277	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
37277	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
37277	RUC	"Pharmacy, Rx"	SH095	protamine sulfate 10 mg/ml (5ml uou vial)	item	261.94	1	0	000
37277	RUC	"Pharmacy, Rx"	SH096	nitroglycerin injection USP 5 mg/mL (10ml uou vial)	item	182.14	1	0	000
37277	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	000
37277	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
37277	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
37278	RUC	"Hypodermic, IV"	SC096	"Quick Cross Catheter (Sprectranetics, documentation available)"	item	139.83	1	0	ZZZ
37278	RUC	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	332.11	1	0	ZZZ
37278	RUC	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	231.59	1	0	ZZZ
37278	RUC	"Accessory, Procedure"	SD254	"covered stent (VIABAHN, Gore)"	item	3931.17	1	0	ZZZ
37279	RUC	"Accessory, Procedure"	SD381	FemPop IVL Catheter	item	4700	1	0	ZZZ
37280	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
37280	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
37280	RUC	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	000
37280	RUC	"Kit, Pack, Tray"	SA142	"pack, angiography"	pack	62.26	1	0	000
37280	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	000
37280	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
37280	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	0	000
37280	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	000
37280	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
37280	RUC	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	000
37280	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
37280	RUC	"Hypodermic, IV"	SC096	"Quick Cross Catheter (Sprectranetics, documentation available)"	item	139.83	1	0	000
37280	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	000
37280	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	000
37280	RUC	"Accessory, Procedure"	SD140	"bag system, 1000ml (for angiography waste fluids)"	item	20.1	1	0	000
37280	RUC	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	50.65	1	0	000
37280	RUC	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	13.22	1	0	000
37280	RUC	"Accessory, Procedure"	SD149	"catheter, balloon inflation device"	item	73.36	1	0	000
37280	RUC	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	332.11	1	0	000
37280	RUC	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	000
37280	RUC	"Accessory, Procedure"	SD173	"guidewire, low profile (SpartaCore)"	item	75	1	0	000
37280	RUC	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	231.59	1	0	000
37280	RUC	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	189	1	0	000
37280	RUC	"Accessory, Procedure"	SD249	"Sterile Radio-opaque ruler (le Maitre, documentation available)"	item	172.67	1	0	000
37280	RUC	"Accessory, Procedure"	SD250	"introducer sheath, Ansel [45 cm 6 Fr Ansel]"	item	72.64	1	0	000
37280	RUC	"Accessory, Procedure"	SD251	Sheath Shuttle (Cook)	item	109.69	1	0	000
37280	RUC	"Accessory, Procedure"	SD252	"guidewire, Amplatz wire 260 cm"	item	34.91	1	0	000
37280	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
37280	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	000
37280	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	000
37280	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	000
37280	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
37280	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
37280	RUC	"Pharmacy, Rx"	SH095	protamine sulfate 10 mg/ml (5ml uou vial)	item	261.94	1	0	000
37280	RUC	"Pharmacy, Rx"	SH096	nitroglycerin injection USP 5 mg/mL (10ml uou vial)	item	182.14	1	0	000
37280	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	000
37280	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
37280	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
37281	RUC	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	332.11	1	0	ZZZ
37281	RUC	"Accessory, Procedure"	SD173	"guidewire, low profile (SpartaCore)"	item	75	1	0	ZZZ
37281	RUC	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	231.59	1	0	ZZZ
37282	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
37282	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
37282	RUC	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	000
37282	RUC	"Kit, Pack, Tray"	SA142	"pack, angiography"	pack	62.26	1	0	000
37282	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	000
37282	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
37282	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	0	000
37282	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	000
37282	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
37282	RUC	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	000
37282	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
37282	RUC	"Hypodermic, IV"	SC096	"Quick Cross Catheter (Sprectranetics, documentation available)"	item	139.83	1	0	000
37282	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	000
37282	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	000
37282	RUC	"Accessory, Procedure"	SD140	"bag system, 1000ml (for angiography waste fluids)"	item	20.1	1	0	000
37282	RUC	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	50.65	1	0	000
37282	RUC	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	13.22	1	0	000
37282	RUC	"Accessory, Procedure"	SD149	"catheter, balloon inflation device"	item	73.36	1	0	000
37282	RUC	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	332.11	1	0	000
37282	RUC	"Accessory, Procedure"	SD154	"catheter, microcatheter (selective 3rd order)"	item	332.11	1	0	000
37282	RUC	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	000
37282	RUC	"Accessory, Procedure"	SD173	"guidewire, low profile (SpartaCore)"	item	75	1	0	000
37282	RUC	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	231.59	1	0	000
37282	RUC	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	189	1	0	000
37282	RUC	"Accessory, Procedure"	SD249	"Sterile Radio-opaque ruler (le Maitre, documentation available)"	item	172.67	1	0	000
37282	RUC	"Accessory, Procedure"	SD250	"introducer sheath, Ansel [45 cm 6 Fr Ansel]"	item	72.64	1	0	000
37282	RUC	"Accessory, Procedure"	SD251	Sheath Shuttle (Cook)	item	109.69	1	0	000
37282	RUC	"Accessory, Procedure"	SD252	"guidewire, Amplatz wire 260 cm"	item	34.91	1	0	000
37282	RUC	"Accessory, Procedure"	SD255	"Reentry device (Frontier, Outback, Pioneer)"	item	3100	1	0	000
37282	RUC	"Accessory, Procedure"	SD256	"Embolic  Protection Device Spider FX (EV3, documentation available)"	item	1142.89	1	0	000
37282	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
37282	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	000
37282	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	000
37282	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	000
37282	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
37282	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
37282	RUC	"Pharmacy, Rx"	SH095	protamine sulfate 10 mg/ml (5ml uou vial)	item	261.94	1	0	000
37282	RUC	"Pharmacy, Rx"	SH096	nitroglycerin injection USP 5 mg/mL (10ml uou vial)	item	182.14	1	0	000
37282	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	000
37282	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
37282	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
37283	RUC	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	332.11	1	0	ZZZ
37283	RUC	"Accessory, Procedure"	SD173	"guidewire, low profile (SpartaCore)"	item	75	1	0	ZZZ
37283	RUC	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	231.59	1	0	ZZZ
37284	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
37284	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
37284	RUC	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	000
37284	RUC	"Kit, Pack, Tray"	SA142	"pack, angiography"	pack	62.26	1	0	000
37284	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	000
37284	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
37284	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	0	000
37284	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	000
37284	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
37284	RUC	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	000
37284	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
37284	RUC	"Hypodermic, IV"	SC096	"Quick Cross Catheter (Sprectranetics, documentation available)"	item	139.83	1	0	000
37284	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	000
37284	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	000
37284	RUC	"Accessory, Procedure"	SD140	"bag system, 1000ml (for angiography waste fluids)"	item	20.1	1	0	000
37284	RUC	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	50.65	1	0	000
37284	RUC	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	13.22	1	0	000
37284	RUC	"Accessory, Procedure"	SD149	"catheter, balloon inflation device"	item	73.36	1	0	000
37284	RUC	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	332.11	1	0	000
37284	RUC	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	000
37284	RUC	"Accessory, Procedure"	SD173	"guidewire, low profile (SpartaCore)"	item	75	1	0	000
37284	RUC	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	231.59	1	0	000
37284	RUC	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	189	1	0	000
37284	RUC	"Accessory, Procedure"	SD249	"Sterile Radio-opaque ruler (le Maitre, documentation available)"	item	172.67	1	0	000
37284	RUC	"Accessory, Procedure"	SD250	"introducer sheath, Ansel [45 cm 6 Fr Ansel]"	item	72.64	1	0	000
37284	RUC	"Accessory, Procedure"	SD251	Sheath Shuttle (Cook)	item	109.69	1	0	000
37284	RUC	"Accessory, Procedure"	SD252	"guidewire, Amplatz wire 260 cm"	item	34.91	1	0	000
37284	RUC	"Accessory, Procedure"	SD256	"Embolic  Protection Device Spider FX (EV3, documentation available)"	item	1142.89	1	0	000
37284	RUC	"Accessory, Procedure"	SD379	"drug eluting stent, tibial"	item	2750	1	0	000
37284	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
37284	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	000
37284	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	000
37284	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	000
37284	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
37284	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
37284	RUC	"Pharmacy, Rx"	SH095	protamine sulfate 10 mg/ml (5ml uou vial)	item	261.94	1	0	000
37284	RUC	"Pharmacy, Rx"	SH096	nitroglycerin injection USP 5 mg/mL (10ml uou vial)	item	182.14	1	0	000
37284	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	000
37284	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
37284	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
37285	RUC	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	332.11	1	0	ZZZ
37285	RUC	"Accessory, Procedure"	SD173	"guidewire, low profile (SpartaCore)"	item	75	1	0	ZZZ
37285	RUC	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	231.59	1	0	ZZZ
37285	RUC	"Accessory, Procedure"	SD379	"drug eluting stent, tibial"	item	2750	1	0	ZZZ
37286	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
37286	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
37286	RUC	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	000
37286	RUC	"Kit, Pack, Tray"	SA142	"pack, angiography"	pack	62.26	1	0	000
37286	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	000
37286	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
37286	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	0	000
37286	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	000
37286	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
37286	RUC	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	000
37286	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
37286	RUC	"Hypodermic, IV"	SC096	"Quick Cross Catheter (Sprectranetics, documentation available)"	item	139.83	1	0	000
37286	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	000
37286	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	000
37286	RUC	"Accessory, Procedure"	SD140	"bag system, 1000ml (for angiography waste fluids)"	item	20.1	1	0	000
37286	RUC	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	50.65	1	0	000
37286	RUC	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	13.22	1	0	000
37286	RUC	"Accessory, Procedure"	SD149	"catheter, balloon inflation device"	item	73.36	1	0	000
37286	RUC	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	332.11	1	0	000
37286	RUC	"Accessory, Procedure"	SD154	"catheter, microcatheter (selective 3rd order)"	item	332.11	1	0	000
37286	RUC	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	000
37286	RUC	"Accessory, Procedure"	SD173	"guidewire, low profile (SpartaCore)"	item	75	1	0	000
37286	RUC	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	231.59	1	0	000
37286	RUC	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	189	1	0	000
37286	RUC	"Accessory, Procedure"	SD249	"Sterile Radio-opaque ruler (le Maitre, documentation available)"	item	172.67	1	0	000
37286	RUC	"Accessory, Procedure"	SD250	"introducer sheath, Ansel [45 cm 6 Fr Ansel]"	item	72.64	1	0	000
37286	RUC	"Accessory, Procedure"	SD251	Sheath Shuttle (Cook)	item	109.69	1	0	000
37286	RUC	"Accessory, Procedure"	SD252	"guidewire, Amplatz wire 260 cm"	item	34.91	1	0	000
37286	RUC	"Accessory, Procedure"	SD255	"Reentry device (Frontier, Outback, Pioneer)"	item	3100	1	0	000
37286	RUC	"Accessory, Procedure"	SD256	"Embolic  Protection Device Spider FX (EV3, documentation available)"	item	1142.89	1	0	000
37286	RUC	"Accessory, Procedure"	SD379	"drug eluting stent, tibial"	item	2750	2	0	000
37286	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
37286	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	000
37286	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	000
37286	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	000
37286	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
37286	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
37286	RUC	"Pharmacy, Rx"	SH095	protamine sulfate 10 mg/ml (5ml uou vial)	item	261.94	1	0	000
37286	RUC	"Pharmacy, Rx"	SH096	nitroglycerin injection USP 5 mg/mL (10ml uou vial)	item	182.14	1	0	000
37286	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	000
37286	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
37286	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
37287	RUC	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	332.11	1	0	ZZZ
37287	RUC	"Accessory, Procedure"	SD173	"guidewire, low profile (SpartaCore)"	item	75	1	0	ZZZ
37287	RUC	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	231.59	1	0	ZZZ
37287	RUC	"Accessory, Procedure"	SD379	"drug eluting stent, tibial"	item	2750	2	0	ZZZ
37288	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
37288	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
37288	RUC	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	000
37288	RUC	"Kit, Pack, Tray"	SA142	"pack, angiography"	pack	62.26	1	0	000
37288	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	000
37288	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
37288	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	0	000
37288	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	000
37288	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
37288	RUC	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	000
37288	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
37288	RUC	"Hypodermic, IV"	SC096	"Quick Cross Catheter (Sprectranetics, documentation available)"	item	139.83	1	0	000
37288	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	000
37288	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	000
37288	RUC	"Accessory, Procedure"	SD140	"bag system, 1000ml (for angiography waste fluids)"	item	20.1	1	0	000
37288	RUC	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	50.65	1	0	000
37288	RUC	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	13.22	1	0	000
37288	RUC	"Accessory, Procedure"	SD149	"catheter, balloon inflation device"	item	73.36	1	0	000
37288	RUC	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	332.11	1	0	000
37288	RUC	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	000
37288	RUC	"Accessory, Procedure"	SD173	"guidewire, low profile (SpartaCore)"	item	75	1	0	000
37288	RUC	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	231.59	1	0	000
37288	RUC	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	189	1	0	000
37288	RUC	"Accessory, Procedure"	SD249	"Sterile Radio-opaque ruler (le Maitre, documentation available)"	item	172.67	1	0	000
37288	RUC	"Accessory, Procedure"	SD250	"introducer sheath, Ansel [45 cm 6 Fr Ansel]"	item	72.64	1	0	000
37288	RUC	"Accessory, Procedure"	SD251	Sheath Shuttle (Cook)	item	109.69	1	0	000
37288	RUC	"Accessory, Procedure"	SD252	"guidewire, Amplatz wire 260 cm"	item	34.91	1	0	000
37288	RUC	"Accessory, Procedure"	SD253	atherectomy device  (Spectronetics laser or Fox Hollow)	kit	3447.5	1	0	000
37288	RUC	"Accessory, Procedure"	SD384	Embolic protection for atherectomy	item	2862	1	0	000
37288	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
37288	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	000
37288	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	000
37288	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	000
37288	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
37288	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
37288	RUC	"Pharmacy, Rx"	SH095	protamine sulfate 10 mg/ml (5ml uou vial)	item	261.94	1	0	000
37288	RUC	"Pharmacy, Rx"	SH096	nitroglycerin injection USP 5 mg/mL (10ml uou vial)	item	182.14	1	0	000
37288	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	000
37288	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
37288	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
37289	RUC	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	332.11	1	0	ZZZ
37289	RUC	"Accessory, Procedure"	SD173	"guidewire, low profile (SpartaCore)"	item	75	1	0	ZZZ
37289	RUC	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	231.59	1	0	ZZZ
37290	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
37290	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
37290	RUC	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	000
37290	RUC	"Kit, Pack, Tray"	SA142	"pack, angiography"	pack	62.26	1	0	000
37290	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	000
37290	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
37290	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	0	000
37290	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	000
37290	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
37290	RUC	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	000
37290	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
37290	RUC	"Hypodermic, IV"	SC096	"Quick Cross Catheter (Sprectranetics, documentation available)"	item	139.83	1	0	000
37290	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	000
37290	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	000
37290	RUC	"Accessory, Procedure"	SD140	"bag system, 1000ml (for angiography waste fluids)"	item	20.1	1	0	000
37290	RUC	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	50.65	1	0	000
37290	RUC	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	13.22	1	0	000
37290	RUC	"Accessory, Procedure"	SD149	"catheter, balloon inflation device"	item	73.36	1	0	000
37290	RUC	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	332.11	1	0	000
37290	RUC	"Accessory, Procedure"	SD154	"catheter, microcatheter (selective 3rd order)"	item	332.11	1	0	000
37290	RUC	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	000
37290	RUC	"Accessory, Procedure"	SD173	"guidewire, low profile (SpartaCore)"	item	75	1	0	000
37290	RUC	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	231.59	1	0	000
37290	RUC	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	189	1	0	000
37290	RUC	"Accessory, Procedure"	SD249	"Sterile Radio-opaque ruler (le Maitre, documentation available)"	item	172.67	1	0	000
37290	RUC	"Accessory, Procedure"	SD250	"introducer sheath, Ansel [45 cm 6 Fr Ansel]"	item	72.64	1	0	000
37290	RUC	"Accessory, Procedure"	SD251	Sheath Shuttle (Cook)	item	109.69	1	0	000
37290	RUC	"Accessory, Procedure"	SD252	"guidewire, Amplatz wire 260 cm"	item	34.91	1	0	000
37290	RUC	"Accessory, Procedure"	SD253	atherectomy device  (Spectronetics laser or Fox Hollow)	kit	3447.5	1	0	000
37290	RUC	"Accessory, Procedure"	SD255	"Reentry device (Frontier, Outback, Pioneer)"	item	3100	1	0	000
37290	RUC	"Accessory, Procedure"	SD384	Embolic protection for atherectomy	item	2862	1	0	000
37290	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
37290	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	000
37290	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	000
37290	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	000
37290	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
37290	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
37290	RUC	"Pharmacy, Rx"	SH095	protamine sulfate 10 mg/ml (5ml uou vial)	item	261.94	1	0	000
37290	RUC	"Pharmacy, Rx"	SH096	nitroglycerin injection USP 5 mg/mL (10ml uou vial)	item	182.14	1	0	000
37290	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	000
37290	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
37290	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
37291	RUC	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	332.11	1	0	ZZZ
37291	RUC	"Accessory, Procedure"	SD173	"guidewire, low profile (SpartaCore)"	item	75	1	0	ZZZ
37291	RUC	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	231.59	1	0	ZZZ
37292	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
37292	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
37292	RUC	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	000
37292	RUC	"Kit, Pack, Tray"	SA142	"pack, angiography"	pack	62.26	1	0	000
37292	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	000
37292	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
37292	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	0	000
37292	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	000
37292	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
37292	RUC	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	000
37292	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
37292	RUC	"Hypodermic, IV"	SC096	"Quick Cross Catheter (Sprectranetics, documentation available)"	item	139.83	1	0	000
37292	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	000
37292	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	000
37292	RUC	"Accessory, Procedure"	SD140	"bag system, 1000ml (for angiography waste fluids)"	item	20.1	1	0	000
37292	RUC	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	50.65	1	0	000
37292	RUC	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	13.22	1	0	000
37292	RUC	"Accessory, Procedure"	SD149	"catheter, balloon inflation device"	item	73.36	1	0	000
37292	RUC	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	332.11	1	0	000
37292	RUC	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	000
37292	RUC	"Accessory, Procedure"	SD173	"guidewire, low profile (SpartaCore)"	item	75	1	0	000
37292	RUC	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	231.59	1	0	000
37292	RUC	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	189	1	0	000
37292	RUC	"Accessory, Procedure"	SD249	"Sterile Radio-opaque ruler (le Maitre, documentation available)"	item	172.67	1	0	000
37292	RUC	"Accessory, Procedure"	SD250	"introducer sheath, Ansel [45 cm 6 Fr Ansel]"	item	72.64	1	0	000
37292	RUC	"Accessory, Procedure"	SD251	Sheath Shuttle (Cook)	item	109.69	1	0	000
37292	RUC	"Accessory, Procedure"	SD252	"guidewire, Amplatz wire 260 cm"	item	34.91	1	0	000
37292	RUC	"Accessory, Procedure"	SD253	atherectomy device  (Spectronetics laser or Fox Hollow)	kit	3447.5	1	0	000
37292	RUC	"Accessory, Procedure"	SD379	"drug eluting stent, tibial"	item	2750	1	0	000
37292	RUC	"Accessory, Procedure"	SD384	Embolic protection for atherectomy	item	2862	1	0	000
37292	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
37292	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	000
37292	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	000
37292	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	000
37292	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
37292	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
37292	RUC	"Pharmacy, Rx"	SH095	protamine sulfate 10 mg/ml (5ml uou vial)	item	261.94	1	0	000
37292	RUC	"Pharmacy, Rx"	SH096	nitroglycerin injection USP 5 mg/mL (10ml uou vial)	item	182.14	1	0	000
37292	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	000
37292	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
37292	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
37293	RUC	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	332.11	1	0	ZZZ
37293	RUC	"Accessory, Procedure"	SD173	"guidewire, low profile (SpartaCore)"	item	75	1	0	ZZZ
37293	RUC	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	231.59	1	0	ZZZ
37293	RUC	"Accessory, Procedure"	SD379	"drug eluting stent, tibial"	item	2750	1	0	ZZZ
37294	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
37294	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
37294	RUC	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	000
37294	RUC	"Kit, Pack, Tray"	SA142	"pack, angiography"	pack	62.26	1	0	000
37294	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	000
37294	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
37294	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	0	000
37294	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	000
37294	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
37294	RUC	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	000
37294	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
37294	RUC	"Hypodermic, IV"	SC096	"Quick Cross Catheter (Sprectranetics, documentation available)"	item	139.83	1	0	000
37294	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	000
37294	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	000
37294	RUC	"Accessory, Procedure"	SD140	"bag system, 1000ml (for angiography waste fluids)"	item	20.1	1	0	000
37294	RUC	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	50.65	1	0	000
37294	RUC	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	13.22	1	0	000
37294	RUC	"Accessory, Procedure"	SD149	"catheter, balloon inflation device"	item	73.36	1	0	000
37294	RUC	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	332.11	1	0	000
37294	RUC	"Accessory, Procedure"	SD154	"catheter, microcatheter (selective 3rd order)"	item	332.11	1	0	000
37294	RUC	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	000
37294	RUC	"Accessory, Procedure"	SD173	"guidewire, low profile (SpartaCore)"	item	75	1	0	000
37294	RUC	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	231.59	1	0	000
37294	RUC	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	189	1	0	000
37294	RUC	"Accessory, Procedure"	SD249	"Sterile Radio-opaque ruler (le Maitre, documentation available)"	item	172.67	1	0	000
37294	RUC	"Accessory, Procedure"	SD250	"introducer sheath, Ansel [45 cm 6 Fr Ansel]"	item	72.64	1	0	000
37294	RUC	"Accessory, Procedure"	SD251	Sheath Shuttle (Cook)	item	109.69	1	0	000
37294	RUC	"Accessory, Procedure"	SD252	"guidewire, Amplatz wire 260 cm"	item	34.91	1	0	000
37294	RUC	"Accessory, Procedure"	SD253	atherectomy device  (Spectronetics laser or Fox Hollow)	kit	3447.5	1	0	000
37294	RUC	"Accessory, Procedure"	SD255	"Reentry device (Frontier, Outback, Pioneer)"	item	3100	1	0	000
37294	RUC	"Accessory, Procedure"	SD379	"drug eluting stent, tibial"	item	2750	2	0	000
37294	RUC	"Accessory, Procedure"	SD384	Embolic protection for atherectomy	item	2862	1	0	000
37294	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
37294	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	000
37294	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	000
37294	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	000
37294	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
37294	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
37294	RUC	"Pharmacy, Rx"	SH095	protamine sulfate 10 mg/ml (5ml uou vial)	item	261.94	1	0	000
37294	RUC	"Pharmacy, Rx"	SH096	nitroglycerin injection USP 5 mg/mL (10ml uou vial)	item	182.14	1	0	000
37294	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	000
37294	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
37294	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
37295	RUC	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	332.11	1	0	ZZZ
37295	RUC	"Accessory, Procedure"	SD173	"guidewire, low profile (SpartaCore)"	item	75	1	0	ZZZ
37295	RUC	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	231.59	1	0	ZZZ
37295	RUC	"Accessory, Procedure"	SD379	"drug eluting stent, tibial"	item	2750	2	0	ZZZ
37296	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
37296	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
37296	RUC	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	000
37296	RUC	"Kit, Pack, Tray"	SA142	"pack, angiography"	pack	62.26	1	0	000
37296	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	000
37296	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
37296	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	0	000
37296	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	000
37296	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
37296	RUC	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	000
37296	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
37296	RUC	"Hypodermic, IV"	SC096	"Quick Cross Catheter (Sprectranetics, documentation available)"	item	139.83	1	0	000
37296	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	000
37296	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	000
37296	RUC	"Accessory, Procedure"	SD140	"bag system, 1000ml (for angiography waste fluids)"	item	20.1	1	0	000
37296	RUC	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	50.65	1	0	000
37296	RUC	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	13.22	1	0	000
37296	RUC	"Accessory, Procedure"	SD149	"catheter, balloon inflation device"	item	73.36	1	0	000
37296	RUC	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	332.11	1	0	000
37296	RUC	"Accessory, Procedure"	SD154	"catheter, microcatheter (selective 3rd order)"	item	332.11	1	0	000
37296	RUC	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	000
37296	RUC	"Accessory, Procedure"	SD173	"guidewire, low profile (SpartaCore)"	item	75	1	0	000
37296	RUC	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	231.59	1	0	000
37296	RUC	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	189	1	0	000
37296	RUC	"Accessory, Procedure"	SD249	"Sterile Radio-opaque ruler (le Maitre, documentation available)"	item	172.67	1	0	000
37296	RUC	"Accessory, Procedure"	SD250	"introducer sheath, Ansel [45 cm 6 Fr Ansel]"	item	72.64	1	0	000
37296	RUC	"Accessory, Procedure"	SD251	Sheath Shuttle (Cook)	item	109.69	1	0	000
37296	RUC	"Accessory, Procedure"	SD252	"guidewire, Amplatz wire 260 cm"	item	34.91	1	0	000
37296	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
37296	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	000
37296	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	000
37296	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	000
37296	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
37296	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
37296	RUC	"Pharmacy, Rx"	SH095	protamine sulfate 10 mg/ml (5ml uou vial)	item	261.94	1	0	000
37296	RUC	"Pharmacy, Rx"	SH096	nitroglycerin injection USP 5 mg/mL (10ml uou vial)	item	182.14	1	0	000
37296	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	000
37296	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
37296	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
37297	RUC	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	332.11	1	0	ZZZ
37297	RUC	"Accessory, Procedure"	SD173	"guidewire, low profile (SpartaCore)"	item	75	1	0	ZZZ
37297	RUC	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	231.59	1	0	ZZZ
37298	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
37298	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
37298	RUC	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	000
37298	RUC	"Kit, Pack, Tray"	SA142	"pack, angiography"	pack	62.26	1	0	000
37298	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	000
37298	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
37298	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	0	000
37298	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	000
37298	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
37298	RUC	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	000
37298	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
37298	RUC	"Hypodermic, IV"	SC096	"Quick Cross Catheter (Sprectranetics, documentation available)"	item	139.83	1	0	000
37298	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	000
37298	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	000
37298	RUC	"Accessory, Procedure"	SD140	"bag system, 1000ml (for angiography waste fluids)"	item	20.1	1	0	000
37298	RUC	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	50.65	1	0	000
37298	RUC	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	13.22	1	0	000
37298	RUC	"Accessory, Procedure"	SD149	"catheter, balloon inflation device"	item	73.36	1	0	000
37298	RUC	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	332.11	1	0	000
37298	RUC	"Accessory, Procedure"	SD154	"catheter, microcatheter (selective 3rd order)"	item	332.11	1	0	000
37298	RUC	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	000
37298	RUC	"Accessory, Procedure"	SD173	"guidewire, low profile (SpartaCore)"	item	75	1	0	000
37298	RUC	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	231.59	2	0	000
37298	RUC	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	189	1	0	000
37298	RUC	"Accessory, Procedure"	SD249	"Sterile Radio-opaque ruler (le Maitre, documentation available)"	item	172.67	1	0	000
37298	RUC	"Accessory, Procedure"	SD250	"introducer sheath, Ansel [45 cm 6 Fr Ansel]"	item	72.64	1	0	000
37298	RUC	"Accessory, Procedure"	SD251	Sheath Shuttle (Cook)	item	109.69	1	0	000
37298	RUC	"Accessory, Procedure"	SD252	"guidewire, Amplatz wire 260 cm"	item	34.91	1	0	000
37298	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
37298	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	000
37298	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	000
37298	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	000
37298	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
37298	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
37298	RUC	"Pharmacy, Rx"	SH095	protamine sulfate 10 mg/ml (5ml uou vial)	item	261.94	1	0	000
37298	RUC	"Pharmacy, Rx"	SH096	nitroglycerin injection USP 5 mg/mL (10ml uou vial)	item	182.14	1	0	000
37298	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	000
37298	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
37298	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
37299	RUC	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	332.11	1	0	ZZZ
37299	RUC	"Accessory, Procedure"	SD173	"guidewire, low profile (SpartaCore)"	item	75	1	0	ZZZ
37299	RUC	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	231.59	1	0	ZZZ
37565	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
37565	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
37600	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
37600	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
37605	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
37605	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
37606	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
37606	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
37607	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
37607	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
37607	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
37607	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
37609	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
37609	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5	1	1	010
37609	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
37609	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	1	010
37609	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
37609	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	2	0	010
37609	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	010
37609	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
37609	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	5	0	010
37609	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	5	1	010
37609	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
37609	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
37609	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
37609	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
37609	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
37609	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
37609	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
37609	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	010
37609	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
37609	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
37609	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
37609	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
37609	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
37609	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	010
37609	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
37609	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
37609	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	010
37609	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	010
37615	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
37615	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
37616	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
37616	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
37617	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
37617	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
37618	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
37618	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
37619	CMS	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1	090
37619	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
37650	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
37650	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
37660	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
37660	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
37700	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
37700	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
37718	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
37718	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
37722	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
37722	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
37735	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
37735	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
37760	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
37760	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
37761	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
37761	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
37765	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
37765	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
37765	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
37765	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
37765	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	010
37765	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	010
37765	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
37765	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
37765	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
37765	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
37765	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	010
37765	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
37765	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	010
37765	CMS	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.95	1	0	010
37765	CMS	"Accessory, Procedure"	SD333	tumescent tubing	item	11	1	0	010
37765	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
37765	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7	1	0	010
37765	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
37765	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	010
37765	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
37765	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	2	0	010
37765	CMS	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	4.01	1.5	0	010
37765	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
37765	CMS	"Wound Care, Dressings"	SG087	"stockings, knee length, 20-30mm compression"	pair	41.2	1	0	010
37765	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	50	0	010
37765	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	010
37765	CMS	"Pharmacy, Rx"	SH090	sodium bicarbonate 8.4% inj w-needle (1ml uou)	item	2.2	5	0	010
37765	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	010
37765	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	010
37765	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
37765	CMS	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.02	100	0	010
37765	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
37765	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	010
37765	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	10	0	010
37766	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
37766	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
37766	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
37766	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
37766	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	010
37766	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	010
37766	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
37766	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
37766	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
37766	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
37766	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	010
37766	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
37766	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	010
37766	CMS	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.95	1	0	010
37766	CMS	"Accessory, Procedure"	SD333	tumescent tubing	item	11	1	0	010
37766	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
37766	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7	1	0	010
37766	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	010
37766	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	010
37766	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
37766	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	4	0	010
37766	CMS	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	4.01	1.5	0	010
37766	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	20	0	010
37766	CMS	"Wound Care, Dressings"	SG087	"stockings, knee length, 20-30mm compression"	pair	41.2	1	0	010
37766	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	50	0	010
37766	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	010
37766	CMS	"Pharmacy, Rx"	SH090	sodium bicarbonate 8.4% inj w-needle (1ml uou)	item	2.2	5	0	010
37766	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	010
37766	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	010
37766	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
37766	CMS	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.02	100	0	010
37766	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
37766	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	010
37766	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	10	0	010
37780	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
37780	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
37785	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
37785	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3	2	090
37785	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
37785	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
37785	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
37785	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
37785	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	3	0	090
37785	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	4	0	090
37785	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
37785	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
37785	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
37785	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	090
37785	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
37785	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
37785	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	090
37785	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
37785	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
37785	CMS	"Wound Care, Dressings"	SG013	"bandage, elastic wrap 6in (Ace)"	item	0.8	2	0	090
37785	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	4	0	090
37785	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
37785	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	090
37785	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	090
37785	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
37785	CMS	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.02	60	0	090
37785	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
37785	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	090
37788	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
37788	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
37788	CMS	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6		2	090
37788	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		25	090
37790	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
37790	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
37790	CMS	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6		2	090
37790	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		15	090
38100	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
38100	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
38101	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
38101	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
38115	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
38115	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
38120	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
38120	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
38220	CMS	"Kit, Pack, Tray"	SA062	"tray, bone marrow biopsy-aspiration"	tray	44.06	1	0	XXX
38220	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	XXX
38220	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	XXX
38220	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	0	XXX
38220	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	XXX
38220	CMS	"Hypodermic, IV"	SC006	blood collection tube (Vacutainer)	item	0.18	1	0	XXX
38220	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	1	0	XXX
38220	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	5	0	XXX
38220	CMS	Lab	SL068	fixative (for tissue specimen)	ml	0.013	50	0	XXX
38220	CMS	Lab	SL103	petri dish	item	0.39	1	0	XXX
38220	CMS	Lab	SL130	spatula (pathology)	item	0.99	1	0	XXX
38221	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	XXX
38221	CMS	"Kit, Pack, Tray"	SA062	"tray, bone marrow biopsy-aspiration"	tray	44.06	1	0	XXX
38221	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	XXX
38221	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	XXX
38221	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	0	XXX
38221	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	XXX
38221	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	1	0	XXX
38221	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	5	0	XXX
38221	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	XXX
38221	CMS	Lab	SL068	fixative (for tissue specimen)	ml	0.013	50	0	XXX
38221	CMS	Lab	SL103	petri dish	item	0.39	1	0	XXX
38221	CMS	Lab	SL130	spatula (pathology)	item	0.99	1	0	XXX
38222	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	XXX
38222	CMS	"Kit, Pack, Tray"	SA062	"tray, bone marrow biopsy-aspiration"	tray	44.06	1	0	XXX
38222	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	XXX
38222	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	XXX
38222	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	0	XXX
38222	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	XXX
38222	CMS	"Hypodermic, IV"	SC006	blood collection tube (Vacutainer)	item	0.18	1	0	XXX
38222	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	1	0	XXX
38222	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	5	0	XXX
38222	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	XXX
38222	CMS	Lab	SL068	fixative (for tissue specimen)	ml	0.013	100	0	XXX
38222	CMS	Lab	SL103	petri dish	item	0.39	1	0	XXX
38222	CMS	Lab	SL130	spatula (pathology)	item	0.99	1	0	XXX
38228	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	2	0	XXX
38228	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	XXX
38228	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	XXX
38228	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	XXX
38228	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	XXX
38228	RUC	"Hypodermic, IV"	SC018	iv infusion set	item	1.27	2	0	XXX
38228	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1	0	XXX
38228	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	0	XXX
38228	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1	0	XXX
38228	RUC	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	1	0	XXX
38228	RUC	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	1	0	XXX
38228	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	1	0	XXX
38228	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	XXX
38228	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	XXX
38228	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	XXX
38228	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1	0	XXX
38300	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3	2	010
38300	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5	1	1	010
38300	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
38300	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	1	010
38300	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
38300	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	2	0	010
38300	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	010
38300	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	2	0	010
38300	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	5	0	010
38300	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	5	1	010
38300	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
38300	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
38300	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
38300	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
38300	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
38300	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
38300	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
38300	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	010
38300	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
38300	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
38300	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	010
38300	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
38300	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
38300	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	010
38300	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
38300	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
38300	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	010
38300	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	010
38305	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3.5	090
38305	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
38308	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
38308	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
38380	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
38380	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
38381	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
38381	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
38382	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
38382	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
38500	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	010
38500	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
38500	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5	1	1	010
38500	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
38500	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
38500	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
38500	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
38500	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
38500	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
38500	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	1	010
38500	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	010
38500	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
38500	CMS	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	1.13	1	0	010
38500	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
38500	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33	1	1	010
38505	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	000
38505	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
38505	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	000
38505	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	000
38505	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
38505	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	1	0	000
38505	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
38505	CMS	"Hypodermic, IV"	SC108	Coaxial Biopsy Set	item	49	1	0	000
38505	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
38505	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	000
38505	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
38505	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
38505	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
38505	CMS	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	1	0	000
38505	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1	0	000
38510	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	010
38510	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
38510	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5	1	1	010
38510	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
38510	CMS	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.41	1	0	010
38510	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	010
38510	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
38510	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
38510	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
38510	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
38510	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
38510	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
38510	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	1	010
38510	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	010
38510	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
38510	CMS	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	1.13	1	0	010
38510	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
38510	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33	1	1	010
38510	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	010
38510	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	010
38520	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
38520	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
38525	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
38525	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
38530	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
38530	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
38531	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
38531	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
38531	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
38531	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
38542	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
38542	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
38550	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
38550	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
38555	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
38555	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
38562	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
38562	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
38564	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
38564	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
38570	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	010
38570	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	010
38570	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	010
38571	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	010
38571	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	010
38571	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	010
38572	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	010
38572	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	010
38572	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	010
38573	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	010
38573	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	010
38573	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		1	010
38573	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	010
38700	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
38700	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
38720	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
38720	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
38724	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
38724	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
38740	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
38740	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
38745	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
38745	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
38760	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
38760	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
38765	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
38765	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
38765	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04		1	090
38765	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83		1	090
38765	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		4	090
38765	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		12	090
38765	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		36	090
38765	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06		5	090
38765	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		15	090
38765	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		60	090
38765	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		6	090
38770	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
38770	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
38780	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
38780	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
38792	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
38792	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
38792	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
38792	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
38792	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
38792	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
38792	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	000
38792	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1	0	000
38792	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	000
38792	CMS	"Pharmacy, Rx"	SH090	sodium bicarbonate 8.4% inj w-needle (1ml uou)	item	2.2	1	0	000
38792	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
38792	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1	0	000
39000	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
39000	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
39010	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
39010	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
39200	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
39200	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
39220	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
39220	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
39501	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
39501	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
39503	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
39503	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
39540	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
39540	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
39541	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
39541	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
39545	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
39545	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
39560	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
39560	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
39561	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
39561	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
40490	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	0	000
40490	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	000
40490	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
40490	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
40490	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
40490	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	000
40490	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	000
40490	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
40490	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	000
40490	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	000
40490	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
40490	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
40490	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
40490	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	5	0	000
40490	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	000
40490	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	000
40490	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
40490	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
40500	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
40500	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5	4	090
40500	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
40500	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	090
40500	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
40500	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
40500	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	090
40500	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	3	0	090
40500	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
40500	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
40500	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
40500	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
40500	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
40500	CMS	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	11.2	1	0	090
40500	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
40500	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	3	0	090
40500	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	090
40500	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
40500	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	090
40500	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
40510	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
40510	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3.5	2.5	090
40510	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
40510	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	090
40510	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
40510	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
40510	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	090
40510	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	3	0	090
40510	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
40510	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
40510	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
40510	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
40510	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
40510	CMS	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	11.2	1	0	090
40510	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
40510	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	3	0	090
40510	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	090
40510	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
40510	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	090
40510	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
40520	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
40520	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3.5	2.5	090
40520	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
40520	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	090
40520	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
40520	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
40520	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	090
40520	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	3	0	090
40520	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
40520	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
40520	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
40520	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
40520	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
40520	CMS	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	11.2	1	0	090
40520	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
40520	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	3	0	090
40520	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	090
40520	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
40520	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	090
40520	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
40525	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3.5	090
40525	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
40525	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
40525	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
40527	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
40527	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
40527	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
40527	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
40530	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
40530	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
40530	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
40530	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	090
40530	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
40530	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
40530	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	090
40530	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	3	0	090
40530	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
40530	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
40530	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
40530	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
40530	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
40530	CMS	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	11.2	1	0	090
40530	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
40530	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	3	0	090
40530	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	090
40530	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
40530	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	090
40530	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
40650	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
40650	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
40650	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
40650	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	090
40650	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
40650	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
40650	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	090
40650	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	3	0	090
40650	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
40650	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
40650	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
40650	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
40650	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
40650	CMS	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	11.2	1	0	090
40650	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
40650	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	3	0	090
40650	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	090
40650	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
40650	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	090
40650	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
40652	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
40652	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4.5	3.5	090
40652	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
40652	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	090
40652	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
40652	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
40652	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	090
40652	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	3	0	090
40652	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
40652	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
40652	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
40652	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
40652	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
40652	CMS	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	11.2	1	0	090
40652	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
40652	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	3	0	090
40652	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	090
40652	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
40652	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	090
40652	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
40654	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
40654	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4.5	3.5	090
40654	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
40654	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	090
40654	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
40654	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
40654	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	090
40654	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	3	0	090
40654	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
40654	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
40654	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
40654	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
40654	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
40654	CMS	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	11.2	1	0	090
40654	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
40654	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	3	0	090
40654	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	090
40654	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
40654	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	090
40654	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
40700	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
40700	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
40700	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		10	090
40700	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		20	090
40701	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
40701	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
40701	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		10	090
40701	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		20	090
40702	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3.5	090
40702	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
40702	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		10	090
40702	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		20	090
40720	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3.5	090
40720	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
40720	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		10	090
40720	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		20	090
40761	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
40761	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
40761	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		10	090
40761	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		20	090
40800	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
40800	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3	2	010
40800	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	010
40800	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
40800	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	2	0	010
40800	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
40800	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
40800	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
40800	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
40800	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
40800	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	010
40800	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	010
40800	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	010
40800	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	2	1	010
40800	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	1	010
40800	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	2	1	010
40800	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
40800	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
40800	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
40800	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
40800	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	010
40800	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
40800	CMS	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	1	1	0	010
40800	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	6	0	010
40800	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	010
40800	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	010
40800	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
40800	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	30	0	010
40800	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
40800	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	010
40801	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
40801	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3	2	010
40801	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	010
40801	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
40801	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	2	0	010
40801	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
40801	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
40801	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
40801	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
40801	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
40801	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	010
40801	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	010
40801	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	010
40801	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	2	1	010
40801	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	1	010
40801	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	2	1	010
40801	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
40801	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
40801	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
40801	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	010
40801	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	010
40801	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
40801	CMS	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	1	1	0	010
40801	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	6	0	010
40801	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	010
40801	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	010
40801	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
40801	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	30	0	010
40801	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
40801	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	010
40804	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
40804	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	2	010
40804	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	010
40804	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
40804	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	2	0	010
40804	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
40804	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
40804	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
40804	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
40804	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
40804	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	010
40804	CMS	"Hypodermic, IV"	SC063	syringe-needle 10ml 26g	item	0.34	1	0	010
40804	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
40804	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	2	0	010
40804	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
40804	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
40804	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
40804	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
40804	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	010
40804	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
40804	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	6	0	010
40804	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	010
40804	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	010
40804	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
40804	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	30	0	010
40804	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
40804	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	010
40805	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
40805	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3	2	010
40805	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	010
40805	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
40805	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	2	0	010
40805	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
40805	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
40805	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
40805	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
40805	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
40805	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	010
40805	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	010
40805	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	010
40805	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	2	1	010
40805	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	1	010
40805	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	2	1	010
40805	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
40805	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
40805	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
40805	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	010
40805	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	010
40805	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
40805	CMS	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	1	1	0	010
40805	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	6	0	010
40805	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	010
40805	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	010
40805	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
40805	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	30	0	010
40805	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
40805	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	010
40806	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	000
40806	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
40806	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
40806	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	2	0	000
40806	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
40806	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
40806	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
40806	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
40806	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
40806	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	000
40806	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
40806	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
40806	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
40806	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	000
40806	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	000
40806	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
40806	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	000
40806	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	000
40806	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
40806	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	6	0	000
40806	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	000
40806	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
40806	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
40808	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
40808	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
40808	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
40808	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
40808	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
40808	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
40808	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	010
40808	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
40808	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	010
40808	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
40808	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	010
40808	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
40808	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	010
40808	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	010
40808	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
40808	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
40808	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
40808	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
40808	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	010
40808	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
40808	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	6	0	010
40808	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	1	0	010
40808	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	010
40808	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
40808	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	010
40808	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	010
40810	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
40810	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
40810	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	010
40810	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
40810	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	2	0	010
40810	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
40810	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
40810	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
40810	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
40810	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
40810	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	010
40810	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	010
40810	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	010
40810	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	2	1	010
40810	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	1	010
40810	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	2	1	010
40810	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
40810	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
40810	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
40810	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
40810	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	010
40810	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
40810	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	6	0	010
40810	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	010
40810	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	010
40810	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
40810	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
40810	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	010
40812	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
40812	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3	2	010
40812	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	010
40812	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
40812	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	2	0	010
40812	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
40812	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
40812	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
40812	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
40812	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
40812	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	010
40812	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	010
40812	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	010
40812	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	2	1	010
40812	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	1	010
40812	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	2	1	010
40812	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
40812	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
40812	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
40812	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	010
40812	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	010
40812	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
40812	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	6	0	010
40812	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	010
40812	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	010
40812	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
40812	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
40812	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	010
40814	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
40814	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
40814	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
40814	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
40814	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	2	0	090
40814	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
40814	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
40814	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
40814	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
40814	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
40814	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
40814	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	090
40814	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
40814	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	3	2	090
40814	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	3	2	090
40814	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	3	2	090
40814	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
40814	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
40814	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
40814	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
40814	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	090
40814	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
40814	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	6	0	090
40814	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
40814	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	090
40814	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
40814	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	30	0	090
40814	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
40816	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
40816	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
40816	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
40816	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
40816	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	2	0	090
40816	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
40816	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
40816	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
40816	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
40816	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
40816	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
40816	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	2	0	090
40816	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
40816	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	3	2	090
40816	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	3	2	090
40816	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	3	2	090
40816	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
40816	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
40816	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
40816	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
40816	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	090
40816	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
40816	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	6	0	090
40816	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
40816	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	090
40816	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
40816	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	30	0	090
40816	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
40818	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
40818	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
40818	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
40818	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
40818	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	2	0	090
40818	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
40818	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
40818	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
40818	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
40818	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
40818	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
40818	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	2	0	090
40818	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
40818	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	3	2	090
40818	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	3	2	090
40818	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	3	2	090
40818	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
40818	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
40818	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
40818	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
40818	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	090
40818	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
40818	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	6	0	090
40818	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
40818	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	090
40818	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
40818	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	30	0	090
40818	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
40819	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
40819	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3	2	090
40819	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
40819	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
40819	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	2	0	090
40819	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
40819	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
40819	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
40819	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
40819	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
40819	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
40819	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	2	0	090
40819	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
40819	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	3	2	090
40819	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	3	2	090
40819	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	3	2	090
40819	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
40819	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
40819	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
40819	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
40819	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	090
40819	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
40819	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	6	0	090
40819	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
40819	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	090
40819	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
40819	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	30	0	090
40819	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
40820	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
40820	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3	2	010
40820	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
40820	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
40820	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	3	2	010
40820	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	010
40820	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
40820	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	4	2	010
40820	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	2	010
40820	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
40820	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	010
40820	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	3	2	010
40820	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	010
40820	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
40820	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	3	2	010
40820	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	3	2	010
40820	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	3	2	010
40820	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	3	2	010
40820	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
40820	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
40820	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
40820	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	6	0	010
40820	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
40820	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	14	12	010
40820	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	010
40820	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	010
40820	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	3	2	010
40820	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	3	2	010
40820	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	010
40830	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
40830	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3	2	010
40830	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	010
40830	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
40830	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	2	0	010
40830	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
40830	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
40830	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
40830	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
40830	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
40830	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	010
40830	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	010
40830	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	010
40830	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	2	1	010
40830	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	1	010
40830	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	2	1	010
40830	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
40830	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
40830	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
40830	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
40830	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	010
40830	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
40830	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	6	0	010
40830	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	010
40830	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	010
40830	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
40830	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	30	0	010
40830	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
40831	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
40831	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	010
40831	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	010
40831	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
40831	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	2	0	010
40831	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
40831	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
40831	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
40831	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
40831	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
40831	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	010
40831	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	010
40831	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	010
40831	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	2	1	010
40831	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	1	010
40831	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	2	1	010
40831	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
40831	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
40831	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
40831	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	010
40831	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	010
40831	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
40831	CMS	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	1	1	0	010
40831	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	6	0	010
40831	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	010
40831	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	010
40831	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
40831	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	30	0	010
40831	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
40840	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
40840	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5	4	090
40840	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
40840	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
40840	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
40840	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	090
40840	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
40840	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
40840	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
40840	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
40840	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
40840	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
40840	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	090
40840	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
40840	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
40840	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
40840	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
40840	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
40840	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	090
40840	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
40840	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
40840	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
40840	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	090
40840	CMS	"Cutters, Closures, Cautery"	SF051	"suture, polyester, 0 to 3-0 (Mersilene)"	item	5.8	2	0	090
40840	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	1	0	090
40840	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
40840	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	2	0	090
40840	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	8	0	090
40840	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	1	0	090
40840	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
40840	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
40840	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	1	0	090
40840	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	090
40842	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
40842	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5	4	090
40842	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
40842	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
40842	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
40842	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	090
40842	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
40842	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
40842	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
40842	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
40842	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
40842	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
40842	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	090
40842	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
40842	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
40842	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
40842	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
40842	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
40842	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	090
40842	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
40842	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
40842	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
40842	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	090
40842	CMS	"Cutters, Closures, Cautery"	SF051	"suture, polyester, 0 to 3-0 (Mersilene)"	item	5.8	2	0	090
40842	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	1	0	090
40842	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
40842	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	2	0	090
40842	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	8	0	090
40842	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	1	0	090
40842	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
40842	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
40842	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	1	0	090
40842	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	090
40843	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
40843	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
40843	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
40843	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
40843	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
40843	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	090
40843	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
40843	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
40843	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
40843	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
40843	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
40843	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
40843	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	090
40843	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
40843	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
40843	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
40843	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
40843	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
40843	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	090
40843	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
40843	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
40843	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
40843	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	4	0	090
40843	CMS	"Cutters, Closures, Cautery"	SF051	"suture, polyester, 0 to 3-0 (Mersilene)"	item	5.8	4	0	090
40843	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	1	0	090
40843	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
40843	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	2	0	090
40843	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	8	0	090
40843	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	1	0	090
40843	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
40843	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
40843	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	2	0	090
40843	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	090
40844	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
40844	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	6	5	090
40844	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
40844	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
40844	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
40844	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	090
40844	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
40844	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
40844	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
40844	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
40844	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
40844	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
40844	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	090
40844	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
40844	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
40844	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
40844	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
40844	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
40844	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	090
40844	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
40844	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
40844	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
40844	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	4	0	090
40844	CMS	"Cutters, Closures, Cautery"	SF051	"suture, polyester, 0 to 3-0 (Mersilene)"	item	5.8	4	0	090
40844	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	1	0	090
40844	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
40844	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	2	0	090
40844	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	12	0	090
40844	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	1	0	090
40844	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
40844	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
40844	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	1	0	090
40844	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	090
40845	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
40845	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	6	5	090
40845	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
40845	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
40845	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
40845	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	090
40845	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
40845	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
40845	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
40845	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
40845	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
40845	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
40845	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	090
40845	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
40845	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
40845	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
40845	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
40845	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
40845	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	090
40845	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
40845	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
40845	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
40845	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	4	0	090
40845	CMS	"Cutters, Closures, Cautery"	SF051	"suture, polyester, 0 to 3-0 (Mersilene)"	item	5.8	4	0	090
40845	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	1	0	090
40845	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	090
40845	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	2	0	090
40845	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	12	0	090
40845	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	1	0	090
40845	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
40845	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
40845	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	1	0	090
40845	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	090
41000	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	010
41000	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
41000	CMS	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.95	1	0	010
41000	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
41000	CMS	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.41	1	0	010
41000	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	010
41000	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
41000	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
41000	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
41000	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
41000	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	010
41000	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	010
41000	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	010
41000	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
41005	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
41005	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
41005	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	010
41005	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
41005	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
41005	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	010
41005	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
41005	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
41005	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
41005	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
41005	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	010
41005	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	010
41005	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	010
41005	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
41005	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	010
41005	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
41005	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	010
41005	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	010
41005	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	010
41005	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
41005	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
41005	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
41005	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.76	1	0	010
41005	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	6	0	010
41005	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
41005	CMS	"Wound Care, Dressings"	SG064	"packing, gauze w-iodoform 0.25-0.5in (5 yd uou)"	item	3.73	1	0	010
41005	CMS	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	1	1	0	010
41005	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	2	0	010
41005	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	010
41005	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	010
41005	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	010
41005	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
41006	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
41006	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3	2	090
41006	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
41006	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
41006	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
41006	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	090
41006	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
41006	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
41006	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
41006	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
41006	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
41006	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
41006	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	090
41006	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
41006	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
41006	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
41006	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
41006	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
41006	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	090
41006	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
41006	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
41006	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
41006	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.76	1	0	090
41006	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	6	0	090
41006	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
41006	CMS	"Wound Care, Dressings"	SG064	"packing, gauze w-iodoform 0.25-0.5in (5 yd uou)"	item	3.73	1	0	090
41006	CMS	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	1	1	0	090
41006	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	2	0	090
41006	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	090
41006	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
41006	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
41006	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
41007	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
41007	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3	2	090
41007	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
41007	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
41007	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
41007	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	090
41007	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
41007	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
41007	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
41007	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
41007	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
41007	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
41007	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	090
41007	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
41007	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
41007	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
41007	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
41007	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
41007	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	090
41007	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
41007	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
41007	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
41007	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.76	1	0	090
41007	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	6	0	090
41007	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
41007	CMS	"Wound Care, Dressings"	SG064	"packing, gauze w-iodoform 0.25-0.5in (5 yd uou)"	item	3.73	1	0	090
41007	CMS	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	1	1	0	090
41007	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	2	0	090
41007	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	090
41007	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
41007	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
41007	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
41008	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
41008	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3	2	090
41008	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
41008	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
41008	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
41008	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	090
41008	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
41008	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
41008	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
41008	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
41008	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
41008	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
41008	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	090
41008	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
41008	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
41008	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
41008	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
41008	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
41008	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	090
41008	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
41008	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
41008	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
41008	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.76	1	0	090
41008	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	6	0	090
41008	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
41008	CMS	"Wound Care, Dressings"	SG064	"packing, gauze w-iodoform 0.25-0.5in (5 yd uou)"	item	3.73	1	0	090
41008	CMS	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	1	1	0	090
41008	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	2	0	090
41008	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	090
41008	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
41008	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
41008	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
41009	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
41009	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3.5	2.5	090
41009	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
41009	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
41009	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
41009	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	090
41009	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
41009	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
41009	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
41009	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
41009	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
41009	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
41009	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	090
41009	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
41009	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
41009	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
41009	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
41009	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
41009	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	090
41009	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
41009	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
41009	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
41009	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.76	1	0	090
41009	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	6	0	090
41009	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
41009	CMS	"Wound Care, Dressings"	SG064	"packing, gauze w-iodoform 0.25-0.5in (5 yd uou)"	item	3.73	1	0	090
41009	CMS	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	1	1	0	090
41009	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	2	0	090
41009	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	090
41009	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
41009	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
41009	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
41010	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
41010	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
41010	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	010
41010	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
41010	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
41010	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	010
41010	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	010
41010	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
41010	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
41010	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
41010	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
41010	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	010
41010	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	010
41010	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	010
41010	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
41010	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	010
41010	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	2	1	010
41010	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	1	010
41010	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	2	1	010
41010	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
41010	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
41010	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
41010	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
41010	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
41010	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	6	0	010
41010	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
41010	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	6	0	010
41010	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	010
41010	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	010
41010	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	2	1	010
41010	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	30	0	010
41010	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
41015	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
41015	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3.5	2.5	090
41015	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	2	2	090
41015	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
41015	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
41015	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	090
41015	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
41015	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	4	2	090
41015	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	2	090
41015	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
41015	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
41015	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
41015	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	090
41015	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
41015	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
41015	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
41015	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	090
41015	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.76	6	4	090
41015	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	6	0	090
41015	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	0	2	090
41015	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
41015	CMS	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	1	2	0	090
41015	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	2	0	090
41015	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	090
41015	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
41015	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
41015	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
41015	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	15	5	090
41016	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
41016	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3.5	2.5	090
41016	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	2	2	090
41016	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
41016	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
41016	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	090
41016	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
41016	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	4	2	090
41016	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	2	090
41016	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
41016	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
41016	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
41016	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	090
41016	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
41016	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
41016	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
41016	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	090
41016	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.76	6	4	090
41016	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	6	0	090
41016	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	0	2	090
41016	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
41016	CMS	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	1	2	0	090
41016	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	2	0	090
41016	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	090
41016	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
41016	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
41016	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
41016	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	15	5	090
41017	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
41017	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3.5	2.5	090
41017	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	2	2	090
41017	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
41017	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
41017	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	090
41017	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
41017	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	4	2	090
41017	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	2	090
41017	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
41017	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
41017	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
41017	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	090
41017	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
41017	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
41017	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
41017	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	090
41017	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.76	6	4	090
41017	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	6	0	090
41017	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	0	2	090
41017	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
41017	CMS	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	1	2	0	090
41017	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	2	0	090
41017	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	090
41017	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
41017	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
41017	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
41017	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	15	5	090
41018	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
41018	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3.5	2.5	090
41018	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	2	2	090
41018	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
41018	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
41018	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	090
41018	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
41018	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	4	2	090
41018	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	2	090
41018	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
41018	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
41018	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
41018	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	090
41018	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
41018	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
41018	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
41018	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	090
41018	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.76	6	4	090
41018	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	6	0	090
41018	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	0	2	090
41018	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
41018	CMS	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	1	2	0	090
41018	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	2	0	090
41018	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	090
41018	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
41018	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
41018	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
41018	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	15	5	090
41100	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	010
41100	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	2	0	010
41100	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	3	1	010
41100	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
41100	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	1	010
41100	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1	1	010
41100	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	1	010
41100	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	2	0	010
41100	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
41100	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	010
41100	CMS	"Accessory, Procedure"	SD006	bite block	item	2.6	1	0	010
41100	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
41100	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	010
41100	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	010
41100	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
41100	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
41100	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
41100	CMS	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	11.2	1	0	010
41100	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	010
41100	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	8	0	010
41100	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	1	1	010
41100	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
41100	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	6	0	010
41100	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	010
41100	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	1	010
41100	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	30	0	010
41100	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	010
41105	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	010
41105	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	2	0	010
41105	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	3	1	010
41105	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
41105	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	1	010
41105	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1	1	010
41105	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	1	010
41105	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	2	0	010
41105	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
41105	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	010
41105	CMS	"Accessory, Procedure"	SD006	bite block	item	2.6	1	0	010
41105	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
41105	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	010
41105	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	010
41105	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
41105	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
41105	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
41105	CMS	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	11.2	1	0	010
41105	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	010
41105	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	8	0	010
41105	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	1	1	010
41105	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
41105	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	6	0	010
41105	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	010
41105	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	1	010
41105	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	30	0	010
41105	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	010
41108	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	010
41108	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	2	0	010
41108	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	3	1	010
41108	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
41108	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	1	010
41108	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1	1	010
41108	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	1	010
41108	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	2	0	010
41108	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
41108	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	010
41108	CMS	"Accessory, Procedure"	SD006	bite block	item	2.6	1	0	010
41108	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
41108	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	010
41108	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	010
41108	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
41108	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
41108	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
41108	CMS	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	11.2	1	0	010
41108	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	010
41108	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	8	0	010
41108	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	1	1	010
41108	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
41108	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	6	0	010
41108	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	010
41108	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	1	010
41108	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	30	0	010
41108	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	010
41110	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
41110	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
41110	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	010
41110	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
41110	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	2	0	010
41110	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
41110	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
41110	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
41110	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
41110	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
41110	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	010
41110	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	010
41110	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	010
41110	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	2	1	010
41110	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	1	010
41110	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	2	1	010
41110	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
41110	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
41110	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
41110	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
41110	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	010
41110	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
41110	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	6	0	010
41110	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	010
41110	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	010
41110	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
41110	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
41110	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	010
41112	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
41112	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3	2	090
41112	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
41112	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
41112	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	2	0	090
41112	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
41112	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
41112	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
41112	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
41112	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
41112	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
41112	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	2	0	090
41112	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
41112	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	3	2	090
41112	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	3	2	090
41112	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	3	2	090
41112	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
41112	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
41112	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
41112	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
41112	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	090
41112	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
41112	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	6	0	090
41112	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
41112	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	090
41112	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
41112	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	30	0	090
41112	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
41113	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
41113	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3	2	090
41113	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
41113	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
41113	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	2	0	090
41113	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
41113	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
41113	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
41113	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
41113	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
41113	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
41113	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	2	0	090
41113	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
41113	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	3	2	090
41113	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	3	2	090
41113	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	3	2	090
41113	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
41113	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
41113	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
41113	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
41113	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	090
41113	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
41113	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	6	0	090
41113	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
41113	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	090
41113	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
41113	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	30	0	090
41113	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
41114	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3.5	090
41114	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
41114	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3.5	090
41114	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		3.5	090
41114	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		3.5	090
41115	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
41115	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
41115	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	010
41115	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
41115	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
41115	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	010
41115	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	010
41115	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
41115	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
41115	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
41115	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
41115	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	010
41115	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	010
41115	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	010
41115	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
41115	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	010
41115	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	2	1	010
41115	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	1	010
41115	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	2	1	010
41115	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
41115	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
41115	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
41115	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
41115	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
41115	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	6	0	010
41115	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
41115	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	6	0	010
41115	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	010
41115	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	010
41115	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	2	1	010
41115	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	30	0	010
41115	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
41115	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	010
41116	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
41116	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2.5	1.5	090
41116	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
41116	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
41116	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
41116	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	2	1	090
41116	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	090
41116	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
41116	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
41116	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
41116	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
41116	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
41116	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
41116	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	090
41116	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
41116	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
41116	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	2	1	090
41116	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	1	090
41116	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	2	1	090
41116	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
41116	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
41116	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
41116	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
41116	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	090
41116	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	6	0	090
41116	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
41116	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	6	0	090
41116	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
41116	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
41116	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	2	1	090
41116	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	30	0	090
41116	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
41116	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	090
41120	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		4	090
41120	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
41120	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
41120	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
41120	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
41120	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		4	090
41120	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
41120	CMS	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		4	090
41120	CMS	"Accessory, Procedure"	SD070	endosheath	item	15.28		4	090
41120	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
41120	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		16	090
41120	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		8	090
41120	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		4	090
41130	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		4	090
41130	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
41130	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
41130	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
41130	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
41130	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		4	090
41130	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
41130	CMS	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		4	090
41130	CMS	"Accessory, Procedure"	SD070	endosheath	item	15.28		4	090
41130	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
41130	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		16	090
41130	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		8	090
41130	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		4	090
41135	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		4	090
41135	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
41135	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
41135	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
41135	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
41135	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
41135	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		4	090
41135	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
41135	CMS	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		4	090
41135	CMS	"Accessory, Procedure"	SD070	endosheath	item	15.28		4	090
41135	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
41135	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		16	090
41135	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		8	090
41135	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		10	090
41135	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		4	090
41140	CMS	"Kit, Pack, Tray"	SA035	"kit, tracheostomy care"	kit	2.085		2	090
41140	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		4	090
41140	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
41140	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
41140	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		4	090
41140	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5	090
41140	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		5	090
41140	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		5	090
41140	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		5	090
41140	CMS	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		5	090
41140	CMS	"Accessory, Procedure"	SD070	endosheath	item	15.28		5	090
41140	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		5	090
41140	CMS	"Accessory, Procedure"	SD209	tracheostomy tube	item	20.93		1	090
41140	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		16	090
41140	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		8	090
41140	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		10	090
41140	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		4	090
41145	CMS	"Kit, Pack, Tray"	SA035	"kit, tracheostomy care"	kit	2.085		2	090
41145	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		5	090
41145	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
41145	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
41145	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		5.5	090
41145	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6.5	090
41145	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		6.5	090
41145	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		6.5	090
41145	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		6.5	090
41145	CMS	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		6.5	090
41145	CMS	"Accessory, Procedure"	SD070	endosheath	item	15.28		6.5	090
41145	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		6.5	090
41145	CMS	"Accessory, Procedure"	SD209	tracheostomy tube	item	20.93		1	090
41145	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		20	090
41145	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		10	090
41145	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		10	090
41145	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		5	090
41150	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		4	090
41150	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
41150	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
41150	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		4	090
41150	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5	090
41150	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		5	090
41150	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		5	090
41150	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		5	090
41150	CMS	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		5	090
41150	CMS	"Accessory, Procedure"	SD070	endosheath	item	15.28		5	090
41150	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		5	090
41150	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		16	090
41150	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		8	090
41150	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		10	090
41150	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		4	090
41153	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		4	090
41153	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
41153	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
41153	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		4	090
41153	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5	090
41153	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		5	090
41153	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		5	090
41153	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		5	090
41153	CMS	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		5	090
41153	CMS	"Accessory, Procedure"	SD070	endosheath	item	15.28		5	090
41153	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		5	090
41153	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		16	090
41153	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		8	090
41153	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		10	090
41153	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		4	090
41155	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		4	090
41155	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
41155	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
41155	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		4	090
41155	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5	090
41155	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		5	090
41155	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		5	090
41155	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		5	090
41155	CMS	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		5	090
41155	CMS	"Accessory, Procedure"	SD070	endosheath	item	15.28		5	090
41155	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		5	090
41155	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		16	090
41155	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		8	090
41155	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		10	090
41155	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		4	090
41250	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	010
41250	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
41250	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
41250	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	010
41250	CMS	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.95	1	0	010
41250	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	2	1	010
41250	CMS	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.41	2	1	010
41250	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	4	2	010
41250	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
41250	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
41250	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
41250	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
41250	CMS	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	11.2	1	0	010
41250	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.76	1	0	010
41250	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	010
41250	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	010
41250	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	010
41250	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
41251	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	010
41251	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
41251	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
41251	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	010
41251	CMS	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.95	1	0	010
41251	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	2	1	010
41251	CMS	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.41	2	1	010
41251	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	4	2	010
41251	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
41251	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
41251	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
41251	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
41251	CMS	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	11.2	1	0	010
41251	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.76	1	0	010
41251	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	010
41251	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	010
41251	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	010
41251	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
41252	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	010
41252	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
41252	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
41252	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	010
41252	CMS	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.95	1	0	010
41252	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	2	1	010
41252	CMS	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.41	2	1	010
41252	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	4	2	010
41252	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
41252	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
41252	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
41252	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
41252	CMS	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	11.2	1	0	010
41252	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.76	1	0	010
41252	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	010
41252	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	010
41252	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	010
41252	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
41510	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		2	090
41510	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
41510	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
41510	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
41510	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		2	090
41510	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		2	090
41510	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		2	090
41510	CMS	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		2	090
41510	CMS	"Accessory, Procedure"	SD070	endosheath	item	15.28		2	090
41510	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		2	090
41510	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		8	090
41510	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		4	090
41510	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		2	090
41512	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		3	090
41512	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
41512	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
41512	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		3	090
41512	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
41512	CMS	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		3	090
41512	CMS	"Accessory, Procedure"	SD070	endosheath	item	15.28		3	090
41512	CMS	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.41		3	090
41512	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		3	090
41512	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		3	090
41512	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		3	090
41512	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3	090
41512	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		3	090
41512	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		3	090
41520	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
41520	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3	2	090
41520	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
41520	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
41520	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
41520	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
41520	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	090
41520	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
41520	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
41520	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
41520	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
41520	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
41520	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
41520	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	090
41520	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
41520	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
41520	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	3	2	090
41520	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	3	2	090
41520	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	3	2	090
41520	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
41520	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
41520	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
41520	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
41520	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
41520	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	6	0	090
41520	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
41520	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	6	0	090
41520	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
41520	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
41520	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	3	2	090
41520	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	30	0	090
41520	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
41530	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	3	2	000
41530	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3	2	000
41530	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
41530	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
41530	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	2	000
41530	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	000
41530	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
41530	CMS	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.95	2	0	000
41530	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	3	2	000
41530	CMS	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32	3	2	000
41530	CMS	"Accessory, Procedure"	SD059	"electrode, ground"	item	1.28	1	0	000
41530	CMS	"Accessory, Procedure"	SD070	endosheath	item	15.28	3	2	000
41530	CMS	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.41	3	2	000
41530	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	3	2	000
41530	CMS	"Accessory, Procedure"	SD328	single-channel radio-frequency handpiece	item	353.64	1	0	000
41530	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8	3	2	000
41530	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	1	0	000
41530	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	3	2	000
41530	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1	0	000
41530	CMS	"Pharmacy, Rx"	SH090	sodium bicarbonate 8.4% inj w-needle (1ml uou)	item	2.2	1	0	000
41530	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	3	2	000
41530	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	3	2	000
41530	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	7	2	000
41530	CMS	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.09	1	0	000
41530	CMS	"Office Supply, Grocery"	SK073	skin marking ink (tattoo)	ml	0.51	1	0	000
41800	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
41800	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3	2	010
41800	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
41800	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	2	1	010
41800	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
41800	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	4	2	010
41800	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	2	010
41800	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
41800	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	2	1	010
41800	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	010
41800	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
41800	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	2	1	010
41800	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	2	1	010
41800	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	1	010
41800	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	2	1	010
41800	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
41800	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
41800	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
41800	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
41800	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.76	1	0	010
41800	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
41800	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	6	0	010
41800	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
41800	CMS	"Wound Care, Dressings"	SG064	"packing, gauze w-iodoform 0.25-0.5in (5 yd uou)"	item	3.73	3	0	010
41800	CMS	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	1	1	0	010
41800	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	6	4	010
41800	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	010
41800	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	010
41800	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	2	1	010
41800	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
41800	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	30	0	010
41800	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	010
41805	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
41805	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3	2	010
41805	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
41805	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	3	2	010
41805	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
41805	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	6	4	010
41805	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	6	4	010
41805	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
41805	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	3	2	010
41805	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	010
41805	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
41805	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	3	2	010
41805	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	3	2	010
41805	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	3	2	010
41805	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	3	2	010
41805	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
41805	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
41805	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
41805	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
41805	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
41805	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	6	0	010
41805	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
41805	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	6	4	010
41805	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	010
41805	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	010
41805	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	3	2	010
41805	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
41805	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	010
41806	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
41806	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3	2	010
41806	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
41806	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	3	2	010
41806	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
41806	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	6	4	010
41806	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	6	4	010
41806	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
41806	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	3	2	010
41806	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	010
41806	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
41806	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	3	2	010
41806	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	3	2	010
41806	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	3	2	010
41806	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	3	2	010
41806	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
41806	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
41806	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
41806	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
41806	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
41806	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	6	0	010
41806	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
41806	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	6	4	010
41806	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	010
41806	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	010
41806	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	3	2	010
41806	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	3	2	010
41806	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
41806	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	010
41822	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
41822	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3	2	010
41822	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
41822	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	2	0	010
41822	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
41822	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
41822	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
41822	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
41822	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	010
41822	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	010
41822	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
41822	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	010
41822	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
41822	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	010
41822	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	010
41822	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
41822	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
41822	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
41822	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
41822	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	010
41822	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	6	0	010
41822	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
41822	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	2	0	010
41822	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	010
41822	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	010
41822	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	010
41822	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
41823	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
41823	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5	4	090
41823	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
41823	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
41823	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
41823	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	090
41823	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
41823	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
41823	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
41823	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
41823	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
41823	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
41823	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	090
41823	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
41823	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
41823	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
41823	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
41823	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
41823	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	090
41823	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	090
41823	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	6	0	090
41823	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
41823	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	2	0	090
41823	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	090
41823	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
41823	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
41823	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
41825	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
41825	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3	2	010
41825	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
41825	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	2	0	010
41825	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
41825	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
41825	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
41825	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
41825	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	010
41825	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	010
41825	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
41825	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	010
41825	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
41825	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	010
41825	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	010
41825	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
41825	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
41825	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
41825	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
41825	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
41825	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	6	0	010
41825	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
41825	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	2	0	010
41825	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	010
41825	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	010
41825	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	010
41825	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
41825	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	010
41826	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
41826	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3	2	010
41826	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	2	010
41826	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	2	1	010
41826	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
41826	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
41826	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	2	010
41826	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
41826	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	010
41826	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	010
41826	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
41826	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	010
41826	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	3	2	010
41826	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	3	2	010
41826	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	3	2	010
41826	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
41826	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
41826	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
41826	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
41826	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	010
41826	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	6	0	010
41826	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
41826	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	2	0	010
41826	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	010
41826	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	010
41826	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	010
41826	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
41826	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	010
41827	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
41827	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
41827	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
41827	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
41827	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
41827	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	090
41827	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
41827	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
41827	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
41827	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
41827	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
41827	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
41827	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	090
41827	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
41827	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
41827	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
41827	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
41827	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
41827	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	090
41827	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
41827	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
41827	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
41827	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	090
41827	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	6	0	090
41827	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
41827	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	2	0	090
41827	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	090
41827	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
41827	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
41827	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
41827	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	090
41828	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
41828	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
41828	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
41828	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	010
41828	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
41828	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
41828	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
41828	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
41828	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	010
41828	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	010
41828	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
41828	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	010
41828	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
41828	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	010
41828	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	010
41828	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
41828	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	010
41828	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	6	0	010
41828	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
41828	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	010
41828	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	010
41828	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	010
41828	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
41830	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
41830	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	010
41830	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	2	010
41830	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	2	1	010
41830	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
41830	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
41830	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	2	010
41830	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
41830	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	010
41830	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	010
41830	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
41830	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	010
41830	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	3	2	010
41830	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	3	2	010
41830	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	3	2	010
41830	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
41830	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
41830	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
41830	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
41830	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
41830	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	6	0	010
41830	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
41830	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	2	0	010
41830	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	010
41830	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	010
41830	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	010
41830	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1	0	010
41830	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
41830	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	010
41872	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
41872	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
41872	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
41872	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
41872	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
41872	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	090
41872	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
41872	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
41872	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
41872	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
41872	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
41872	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
41872	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	090
41872	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
41872	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
41872	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
41872	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
41872	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
41872	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	090
41872	CMS	"Cutters, Closures, Cautery"	SF050	"suture, plain, gut, 2-0 to 6-0"	item	6.05	2	0	090
41872	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	6	0	090
41872	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
41872	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	2	0	090
41872	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	090
41872	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
41872	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
41872	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
41874	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
41874	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3	2	090
41874	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
41874	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
41874	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
41874	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	090
41874	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
41874	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
41874	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
41874	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
41874	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
41874	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
41874	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	090
41874	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
41874	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
41874	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
41874	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
41874	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
41874	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	090
41874	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	090
41874	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	6	0	090
41874	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
41874	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	2	0	090
41874	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	090
41874	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
41874	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
41874	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
42000	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	010
42000	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
42000	CMS	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.95	1	0	010
42000	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
42000	CMS	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.41	1	0	010
42000	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	010
42000	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
42000	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
42000	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
42000	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
42000	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	010
42000	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	010
42000	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	010
42000	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
42100	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	010
42100	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	1	010
42100	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
42100	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	010
42100	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	010
42100	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
42100	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
42100	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
42100	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
42100	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	010
42100	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
42100	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
42104	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	010
42104	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
42104	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
42104	CMS	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.95	1	0	010
42104	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	2	1	010
42104	CMS	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.41	2	1	010
42104	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	4	2	010
42104	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
42104	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
42104	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
42104	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
42104	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	010
42104	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	010
42104	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	010
42104	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
42106	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	010
42106	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
42106	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
42106	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	010
42106	CMS	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.95	1	0	010
42106	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	2	1	010
42106	CMS	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.41	2	1	010
42106	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	4	2	010
42106	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	2	1	010
42106	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
42106	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
42106	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
42106	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
42106	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
42106	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	010
42106	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	010
42106	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	010
42106	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
42107	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
42107	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3.5	2.5	090
42107	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
42107	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
42107	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
42107	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	090
42107	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
42107	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
42107	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
42107	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
42107	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
42107	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	090
42107	CMS	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.95	1	1	090
42107	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	090
42107	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	2	1	090
42107	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	1	090
42107	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	2	1	090
42107	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
42107	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
42107	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
42107	CMS	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	11.2	2	0	090
42107	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	6	0	090
42107	CMS	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	6	0	090
42107	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	2	0	090
42107	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	5	0	090
42107	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
42107	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
42120	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		3	090
42120	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
42120	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
42120	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090
42120	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		3	090
42120	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		3	090
42120	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
42120	CMS	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		3	090
42120	CMS	"Accessory, Procedure"	SD070	endosheath	item	15.28		3	090
42120	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		3	090
42120	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		12	090
42120	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		6	090
42120	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		3	090
42140	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
42140	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2.5	1.5	090
42140	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
42140	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
42140	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
42140	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	090
42140	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
42140	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
42140	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
42140	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
42140	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
42140	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	090
42140	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	090
42140	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
42140	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
42140	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
42140	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	090
42140	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
42140	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
42140	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
42140	CMS	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	11.2	2	0	090
42140	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	6	0	090
42140	CMS	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	6	0	090
42140	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	2	0	090
42140	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	5	0	090
42140	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
42140	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
42145	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
42145	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
42145	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		4	090
42145	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
42145	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
42145	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		2	090
42145	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		2	090
42145	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
42145	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		6	090
42145	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
42145	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
42160	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	010
42160	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
42160	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
42160	CMS	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.95	1	0	010
42160	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	2	1	010
42160	CMS	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.41	2	1	010
42160	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	4	2	010
42160	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
42160	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
42160	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
42160	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
42160	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	010
42160	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	010
42160	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	010
42160	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
42180	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	010
42180	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	010
42180	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
42180	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5	1	1	010
42180	CMS	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.95	1	0	010
42180	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
42180	CMS	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.41	1	0	010
42180	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	010
42180	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
42180	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
42180	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
42180	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
42180	CMS	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	11.2	1	0	010
42180	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.76	1	0	010
42180	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	010
42180	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	010
42180	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	010
42180	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
42182	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	010
42182	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	010
42182	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
42182	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5	1	1	010
42182	CMS	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.95	1	0	010
42182	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
42182	CMS	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.41	1	0	010
42182	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	010
42182	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
42182	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
42182	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
42182	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
42182	CMS	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	11.2	1	0	010
42182	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.76	1	0	010
42182	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	010
42182	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	010
42182	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	010
42182	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
42200	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
42200	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
42200	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		2	090
42200	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1	090
42200	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		1	090
42200	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		1	090
42200	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
42200	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		8	090
42200	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
42200	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
42205	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
42205	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
42205	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		2	090
42205	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1	090
42205	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		1	090
42205	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		1	090
42205	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
42205	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		6	090
42205	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
42205	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
42210	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
42210	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
42210	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		2	090
42210	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1	090
42210	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		1	090
42210	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		1	090
42210	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
42210	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		8	090
42210	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		10	090
42210	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		20	090
42215	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3.5	090
42215	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
42215	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		2	090
42215	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1	090
42215	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		1	090
42215	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		1	090
42215	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3.5	090
42215	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		7	090
42215	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
42215	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
42220	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
42220	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
42220	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		2	090
42220	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1	090
42220	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		1	090
42220	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		1	090
42220	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
42220	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		6	090
42220	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
42220	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
42225	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		3.5	090
42225	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3.5	090
42225	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
42225	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		4	090
42225	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
42225	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
42225	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		2	090
42225	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		2	090
42225	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3.5	090
42225	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		7	090
42225	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		8	090
42225	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		4	090
42225	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
42225	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
42225	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		2	090
42226	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		3.5	090
42226	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3.5	090
42226	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
42226	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		4	090
42226	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
42226	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
42226	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		2	090
42226	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		2	090
42226	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		2	090
42226	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
42226	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		8	090
42226	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		4	090
42226	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
42226	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
42226	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		2	090
42227	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		3	090
42227	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
42227	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
42227	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		4	090
42227	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
42227	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
42227	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		2	090
42227	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		2	090
42227	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		2	090
42227	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
42227	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		8	090
42227	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		4	090
42227	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
42227	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
42227	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		2	090
42235	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		3	090
42235	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
42235	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
42235	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		4	090
42235	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
42235	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
42235	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		2	090
42235	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		2	090
42235	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		2	090
42235	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
42235	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		8	090
42235	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		4	090
42235	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
42235	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
42235	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		2	090
42260	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
42260	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5	4	090
42260	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
42260	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
42260	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
42260	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	090
42260	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
42260	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
42260	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
42260	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
42260	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
42260	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
42260	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	090
42260	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
42260	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
42260	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
42260	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
42260	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
42260	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	090
42260	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
42260	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
42260	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
42260	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	090
42260	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	1	0	090
42260	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
42260	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	2	0	090
42260	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	8	0	090
42260	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	1	0	090
42260	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
42260	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
42260	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	1	0	090
42280	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
42280	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	010
42280	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	4	0	010
42280	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	010
42280	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	010
42280	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
42280	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	010
42280	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	010
42280	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2	0	010
42280	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	010
42280	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	010
42280	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	010
42280	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
42280	CMS	"Pharmacy, NonRx"	SJ038	petroleum jelly	oz	0.37	1	0	010
42280	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	4	0	010
42280	CMS	Lab	SL046	dental impression tray	item	0.48	1	0	010
42280	CMS	Lab	SL047	dental stone powder	lb	3.78	0.75	0	010
42280	CMS	Lab	SL081	"impression material, alginate (dental)"	lb	8.96	0.18	0	010
42280	CMS	Lab	SL150	"wax, bite registration wafer"	item	0.37	1	0	010
42280	CMS	Lab	SL202	"tissue conditioner, coesoft (0.5 oz, each, liquid and powder)"	item	6.99	1	0	010
42281	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	010
42281	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
42281	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5	1	1	010
42281	CMS	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.95	1	0	010
42281	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
42281	CMS	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.41	1	0	010
42281	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	010
42281	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
42281	CMS	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	11.2	1	0	010
42281	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.76	1	0	010
42281	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	010
42281	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	010
42281	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	010
42281	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
42300	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	010
42300	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	010
42300	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
42300	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5	1	1	010
42300	CMS	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.95	1	0	010
42300	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
42300	CMS	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.41	1	0	010
42300	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	010
42300	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
42300	CMS	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	11.2	1	0	010
42300	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
42300	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	010
42300	CMS	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	1	1	0	010
42300	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	010
42300	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
42305	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2.5	090
42305	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
42310	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	010
42310	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
42310	CMS	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.95	1	0	010
42310	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
42310	CMS	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.41	1	0	010
42310	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	010
42310	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
42310	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	010
42310	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	010
42310	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	010
42310	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
42320	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	010
42320	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	010
42320	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
42320	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5	1	1	010
42320	CMS	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.95	1	0	010
42320	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
42320	CMS	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.41	1	0	010
42320	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	010
42320	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
42320	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
42320	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
42320	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
42320	CMS	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	11.2	1	0	010
42320	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
42320	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	010
42320	CMS	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	1	1	0	010
42320	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	010
42320	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
42330	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	010
42330	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
42330	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5	1	1	010
42330	CMS	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.95	1	0	010
42330	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
42330	CMS	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.41	1	0	010
42330	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	010
42330	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
42330	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
42330	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
42330	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
42330	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	010
42330	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	010
42330	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	010
42330	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
42335	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
42335	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3	2	090
42335	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
42335	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
42335	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
42335	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
42335	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	090
42335	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
42335	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
42335	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
42335	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
42335	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
42335	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
42335	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	090
42335	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
42335	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	090
42335	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
42335	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
42335	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
42335	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	090
42335	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
42335	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
42335	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
42335	CMS	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	11.2	2	0	090
42335	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
42335	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	6	0	090
42335	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
42335	CMS	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	1	1	0	090
42335	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	2	0	090
42335	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	5	0	090
42335	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
42335	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
42335	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
42335	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	2	0	090
42340	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
42340	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3.5	2.5	090
42340	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
42340	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
42340	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
42340	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
42340	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	090
42340	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
42340	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
42340	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
42340	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
42340	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
42340	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
42340	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	090
42340	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
42340	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	090
42340	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
42340	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
42340	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
42340	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	090
42340	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
42340	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
42340	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
42340	CMS	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	11.2	2	0	090
42340	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
42340	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	6	0	090
42340	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
42340	CMS	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	1	1	0	090
42340	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	2	0	090
42340	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	5	0	090
42340	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
42340	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
42340	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
42340	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	090
42340	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	2	0	090
42400	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	000
42400	CMS	"Hypodermic, IV"	SC032	"needle, biopsy for breast-prostate core sample"	item	33.2	1	0	000
42400	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
42400	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	000
42400	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	000
42400	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
42400	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
42400	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
42405	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	010
42405	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	010
42405	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
42405	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5	1	1	010
42405	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
42405	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
42405	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
42405	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
42405	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
42405	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
42405	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	1	010
42405	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	010
42405	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
42405	CMS	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	1.13	1	0	010
42405	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
42405	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33	1	1	010
42408	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
42408	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3.5	2.5	090
42408	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
42408	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
42408	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
42408	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	090
42408	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
42408	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
42408	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
42408	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
42408	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
42408	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
42408	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	090
42408	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
42408	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	090
42408	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
42408	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
42408	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
42408	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	090
42408	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
42408	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
42408	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
42408	CMS	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	11.2	2	0	090
42408	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	6	0	090
42408	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
42408	CMS	"Wound Care, Dressings"	SG064	"packing, gauze w-iodoform 0.25-0.5in (5 yd uou)"	item	3.73	1	0	090
42408	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	2	0	090
42408	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	5	0	090
42408	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
42408	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
42408	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
42408	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	2	0	090
42409	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
42409	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3	2	090
42409	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
42409	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
42409	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
42409	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	090
42409	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
42409	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
42409	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
42409	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
42409	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
42409	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
42409	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	090
42409	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
42409	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	090
42409	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
42409	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
42409	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
42409	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	090
42409	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
42409	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
42409	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
42409	CMS	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	11.2	2	0	090
42409	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	6	0	090
42409	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
42409	CMS	"Wound Care, Dressings"	SG064	"packing, gauze w-iodoform 0.25-0.5in (5 yd uou)"	item	3.73	1	0	090
42409	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	2	0	090
42409	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	5	0	090
42409	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
42409	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
42409	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
42409	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	2	0	090
42410	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3.5	090
42410	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
42415	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3.5	090
42415	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
42420	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3.5	090
42420	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
42425	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3.5	090
42425	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
42426	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
42426	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
42440	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
42440	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
42450	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
42450	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3.5	2.5	090
42450	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
42450	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	1	090
42450	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	2	090
42450	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	2	090
42450	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	3	2	090
42450	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1	0	090
42450	CMS	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.78	1	0	090
42450	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	2	1	090
42450	CMS	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.41	2	1	090
42450	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	4	2	090
42450	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
42450	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
42450	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
42450	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
42450	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	090
42450	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
42450	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	5	0	090
42450	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
42450	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
42500	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
42500	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3.5	2.5	090
42500	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
42500	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	1	090
42500	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	2	090
42500	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	2	090
42500	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	3	2	090
42500	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1	0	090
42500	CMS	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.78	1	0	090
42500	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	2	1	090
42500	CMS	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.41	2	1	090
42500	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	4	2	090
42500	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
42500	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
42500	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
42500	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
42500	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	090
42500	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
42500	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	5	0	090
42500	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
42500	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
42505	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
42505	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
42505	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
42505	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	1	090
42505	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	2	090
42505	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	2	090
42505	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	3	2	090
42505	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1	0	090
42505	CMS	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.78	1	0	090
42505	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	2	1	090
42505	CMS	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.41	2	1	090
42505	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	4	2	090
42505	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
42505	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
42505	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
42505	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
42505	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	090
42505	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
42505	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	5	0	090
42505	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
42505	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
42507	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
42507	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
42507	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090
42507	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		3	090
42507	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		3	090
42507	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
42507	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		3	090
42507	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		3	090
42509	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3.5	090
42509	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
42509	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2.5	090
42509	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3.5	090
42509	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		3.5	090
42509	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		3.5	090
42509	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3.5	090
42509	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		3.5	090
42509	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		3.5	090
42509	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
42510	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
42510	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
42510	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090
42510	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		3	090
42510	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		3	090
42510	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
42510	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		3	090
42510	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		3	090
42550	CMS	"Hypodermic, IV"	SC047	sialography infusion unit	item	37.71	1	0	000
42600	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
42600	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3.5	2.5	090
42600	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
42600	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
42600	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
42600	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
42600	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	090
42600	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
42600	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
42600	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
42600	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
42600	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
42600	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
42600	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	090
42600	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
42600	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	090
42600	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
42600	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
42600	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
42600	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	090
42600	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
42600	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
42600	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
42600	CMS	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	11.2	2	0	090
42600	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
42600	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	6	0	090
42600	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
42600	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	2	0	090
42600	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	5	0	090
42600	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
42600	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
42600	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
42600	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	090
42650	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	000
42650	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1	0	000
42650	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
42650	CMS	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.41	1	0	000
42650	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	000
42650	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
42660	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	000
42660	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1	0	000
42660	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1	0	000
42660	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
42660	CMS	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.41	1	0	000
42660	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	000
42660	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
42665	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
42665	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3	2	090
42665	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
42665	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
42665	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
42665	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	090
42665	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
42665	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
42665	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
42665	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
42665	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
42665	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	090
42665	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.11	1	0	090
42665	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
42665	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	090
42665	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
42665	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
42665	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
42665	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	090
42665	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	090
42665	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
42665	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
42665	CMS	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	11.2	2	0	090
42665	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	6	0	090
42665	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
42665	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	2	0	090
42665	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	5	0	090
42665	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
42665	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
42665	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
42700	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	010
42700	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
42700	CMS	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.95	1	0	010
42700	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	2	1	010
42700	CMS	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.41	2	1	010
42700	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	4	2	010
42700	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
42700	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
42700	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
42700	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
42700	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	010
42700	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	010
42700	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	010
42700	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
42720	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	010
42720	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
42720	CMS	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.95	1	0	010
42720	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	2	1	010
42720	CMS	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.41	2	1	010
42720	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	4	2	010
42720	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
42720	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
42720	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
42720	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
42720	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	010
42720	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	010
42720	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	010
42720	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
42725	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
42725	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
42725	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1	090
42725	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		1	090
42725	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		1	090
42725	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		1	090
42725	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		1	090
42725	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		1	090
42725	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
42800	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	010
42800	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	1	010
42800	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
42800	CMS	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.41	1	0	010
42800	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	010
42800	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
42800	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
42800	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
42800	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
42800	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
42800	CMS	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	1.13	1	0	010
42800	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
42804	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	010
42804	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
42804	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
42804	CMS	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.41	1	0	010
42804	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	010
42804	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
42804	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
42804	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
42804	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
42804	CMS	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	1.13	1	0	010
42804	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	1	0	010
42804	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
42804	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	4	2	010
42804	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02	1	0	010
42806	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	010
42806	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
42806	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
42806	CMS	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.41	1	0	010
42806	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	010
42806	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
42806	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
42806	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
42806	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
42806	CMS	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	1.13	1	0	010
42806	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	1	0	010
42806	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
42806	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	4	2	010
42806	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02	1	0	010
42808	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	010
42808	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
42808	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
42808	CMS	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.41	1	0	010
42808	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	010
42808	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
42808	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
42808	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
42808	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	010
42808	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	010
42808	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
42809	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	010
42809	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
42809	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
42809	CMS	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.41	1	0	010
42809	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	010
42809	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	010
42809	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	010
42809	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
42809	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
42810	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
42810	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3.5	2.5	090
42810	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
42810	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
42810	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
42810	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	3	2	090
42810	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1	0	090
42810	CMS	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.78	1	0	090
42810	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
42810	CMS	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.41	1	0	090
42810	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	090
42810	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
42810	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
42810	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
42810	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
42810	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
42810	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
42810	CMS	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.4	1	0	090
42810	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
42810	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	5	0	090
42810	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
42810	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
42810	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
42815	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2.5	090
42815	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
42815	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1.5	090
42815	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2.5	090
42815	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		2.5	090
42815	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		2.5	090
42815	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		2.5	090
42815	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		2.5	090
42815	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		2.5	090
42815	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		5	090
42820	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
42820	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
42821	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1.5	090
42821	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
42825	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
42825	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
42826	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1.5	090
42826	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
42830	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1.5	090
42830	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
42831	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
42831	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
42835	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1.5	090
42835	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
42836	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1.5	090
42836	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
42842	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		2	090
42842	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
42842	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
42842	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090
42842	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		3	090
42842	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		3	090
42842	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
42842	CMS	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		3	090
42842	CMS	"Accessory, Procedure"	SD070	endosheath	item	15.28		3	090
42842	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		3	090
42842	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		8	090
42842	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		4	090
42842	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		2	090
42844	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		3	090
42844	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
42844	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
42844	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
42844	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
42844	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		4	090
42844	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
42844	CMS	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		4	090
42844	CMS	"Accessory, Procedure"	SD070	endosheath	item	15.28		4	090
42844	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
42844	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		12	090
42844	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		6	090
42844	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		3	090
42845	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		3	090
42845	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
42845	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
42845	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5	090
42845	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		5	090
42845	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		5	090
42845	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		5	090
42845	CMS	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		5	090
42845	CMS	"Accessory, Procedure"	SD070	endosheath	item	15.28		5	090
42845	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		5	090
42845	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		12	090
42845	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		6	090
42845	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		3	090
42860	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1.5	090
42860	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
42870	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		2	090
42870	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2.5	090
42870	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
42870	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2.5	090
42870	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		2.5	090
42870	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		2.5	090
42870	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		2.5	090
42870	CMS	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		2.5	090
42870	CMS	"Accessory, Procedure"	SD070	endosheath	item	15.28		2.5	090
42870	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		2.5	090
42870	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		8	090
42870	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		4	090
42870	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		2	090
42890	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		2	090
42890	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
42890	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
42890	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
42890	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
42890	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		4	090
42890	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
42890	CMS	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		4	090
42890	CMS	"Accessory, Procedure"	SD070	endosheath	item	15.28		4	090
42890	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
42890	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		8	090
42890	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		4	090
42890	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		2	090
42892	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		3	090
42892	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
42892	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
42892	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
42892	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
42892	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
42892	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		4	090
42892	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
42892	CMS	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		4	090
42892	CMS	"Accessory, Procedure"	SD070	endosheath	item	15.28		4	090
42892	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
42892	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		12	090
42892	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		6	090
42892	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		10	090
42892	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		3	090
42894	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		3	090
42894	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
42894	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
42894	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		4	090
42894	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5	090
42894	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		5	090
42894	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		5	090
42894	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		5	090
42894	CMS	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		5	090
42894	CMS	"Accessory, Procedure"	SD070	endosheath	item	15.28		5	090
42894	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		5	090
42894	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		12	090
42894	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		6	090
42894	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		10	090
42894	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		3	090
42900	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3		1	010
42900	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59		1	010
42900	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1	010
42900	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43		1	010
42900	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		1	010
42900	CMS	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.41		1	010
42900	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		2	010
42950	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		2	090
42950	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3.5	090
42950	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
42950	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3.5	090
42950	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		3.5	090
42950	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		3.5	090
42950	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3.5	090
42950	CMS	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		3.5	090
42950	CMS	"Accessory, Procedure"	SD070	endosheath	item	15.28		3.5	090
42950	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		3.5	090
42950	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		8	090
42950	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		4	090
42950	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		2	090
42953	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		3	090
42953	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
42953	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
42953	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
42953	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
42953	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
42953	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		4	090
42953	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
42953	CMS	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		4	090
42953	CMS	"Accessory, Procedure"	SD070	endosheath	item	15.28		4	090
42953	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
42953	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		12	090
42953	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		6	090
42953	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		10	090
42953	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		3	090
42955	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		2	090
42955	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
42955	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
42955	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
42955	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090
42955	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		3	090
42955	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		3	090
42955	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
42955	CMS	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		3	090
42955	CMS	"Accessory, Procedure"	SD070	endosheath	item	15.28		3	090
42955	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		3	090
42955	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		8	090
42955	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		4	090
42955	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		10	090
42955	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		2	090
42960	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	010
42960	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59		1	010
42960	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1	010
42960	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43		1	010
42960	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		1	010
42960	CMS	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.41		1	010
42960	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		2	010
42960	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		1	010
42960	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		1	010
42961	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2.5	090
42961	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
42961	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1	090
42961	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		1	090
42961	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		1	090
42961	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		1	090
42961	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		1	090
42961	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		1	090
42961	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
42962	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
42962	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
42962	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1	090
42962	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		1	090
42962	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		1	090
42962	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		1	090
42962	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		1	090
42962	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		1	090
42962	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
42970	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
42970	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
42970	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1	090
42970	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		1	090
42970	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		1	090
42970	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		1	090
42970	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		1	090
42970	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		1	090
42970	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
42971	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
42971	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
42971	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1	090
42971	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		1	090
42971	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		1	090
42971	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		1	090
42971	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		1	090
42971	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		1	090
42971	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
42972	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
42972	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
42972	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1	090
42972	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		1	090
42972	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52		1	090
42972	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		1	090
42972	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		1	090
42972	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		1	090
42972	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		10	090
43020	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
43020	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
43030	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2.5	090
43030	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
43045	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
43045	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
43100	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
43100	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
43101	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
43101	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
43107	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
43107	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
43107	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
43108	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
43108	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
43112	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
43112	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
43112	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
43113	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
43113	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
43116	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
43116	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
43117	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
43117	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
43117	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
43118	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
43118	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
43121	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
43121	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
43122	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
43122	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
43123	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
43123	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
43124	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
43124	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
43130	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
43130	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
43135	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
43135	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
43180	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
43197	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
43197	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
43197	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
43197	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
43197	CMS	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.45	2	0	000
43197	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
43197	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
43197	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03	2	0	000
43197	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	5	0	000
43197	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	000
43197	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
43197	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	10	0	000
43197	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
43197	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	2	0	000
43197	CMS	Lab	SL464	Atomizer tips (disposable)	item	2.66	1	0	000
43197	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
43197	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	4	0	000
43198	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
43198	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
43198	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
43198	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
43198	CMS	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.45	2	0	000
43198	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
43198	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
43198	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03	2	0	000
43198	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	5	0	000
43198	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	000
43198	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
43198	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	10	0	000
43198	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
43198	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	2	0	000
43198	CMS	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	1	0	000
43198	CMS	Lab	SL464	Atomizer tips (disposable)	item	2.66	1	0	000
43198	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
43198	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	4	0	000
43200	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
43200	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
43200	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
43200	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
43200	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
43200	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
43200	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
43200	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
43200	CMS	"Accessory, Procedure"	SD006	bite block	item	2.6	1	0	000
43200	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
43200	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	000
43200	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
43200	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
43200	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	000
43200	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	000
43200	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
43200	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1	0	000
43200	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
43200	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	000
43200	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
43200	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
43200	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	3	0	000
43201	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
43201	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
43201	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
43201	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
43201	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
43201	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
43201	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
43201	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
43201	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	3	0	000
43201	CMS	"Accessory, Procedure"	SD006	bite block	item	2.6	1	0	000
43201	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
43201	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
43201	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
43201	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	000
43201	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	000
43201	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
43201	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1	0	000
43201	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
43201	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	000
43201	CMS	"Office Supply, Grocery"	SK073	skin marking ink (tattoo)	ml	0.51	2	0	000
43201	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
43201	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
43201	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	3	0	000
43202	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
43202	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
43202	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
43202	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
43202	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
43202	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
43202	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
43202	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
43202	CMS	"Accessory, Procedure"	SD006	bite block	item	2.6	1	0	000
43202	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
43202	CMS	"Accessory, Procedure"	SD066	endoscopic biopsy forceps	item	68.03	1	0	000
43202	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	000
43202	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
43202	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
43202	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	000
43202	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	000
43202	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
43202	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1	0	000
43202	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
43202	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	000
43202	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
43202	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
43202	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	3	0	000
43206	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
43206	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
43206	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
43206	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
43206	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
43206	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
43206	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
43206	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
43206	CMS	"Accessory, Procedure"	SD006	bite block	item	2.6	1	0	000
43206	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
43206	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
43206	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
43206	CMS	"Accessory, Procedure"	SD285	"catheter, optical endomicroscopy"	item		1	0	000
43206	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	000
43206	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	000
43206	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
43206	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1	0	000
43206	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
43206	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	000
43206	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
43206	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
43206	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	3	0	000
43213	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
43213	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
43213	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
43213	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
43213	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
43213	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
43213	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
43213	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
43213	CMS	"Accessory, Procedure"	SD006	bite block	item	2.6	1	0	000
43213	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	2	0	000
43213	CMS	"Accessory, Procedure"	SD019	"catheter, balloon, ureteral-GI (strictures)"	item	205.91	3	0	000
43213	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	000
43213	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	000
43213	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
43213	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
43213	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	000
43213	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	000
43213	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
43213	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1	0	000
43213	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
43213	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	000
43213	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
43213	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
43213	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	3	0	000
43215	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
43215	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
43215	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
43215	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
43215	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
43215	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
43215	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
43215	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
43215	CMS	"Accessory, Procedure"	SD006	bite block	item	2.6	1	0	000
43215	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
43215	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	000
43215	CMS	"Accessory, Procedure"	SD068	endoscopic polypectomy snare	item	28.35	1	0	000
43215	CMS	"Accessory, Procedure"	SD070	endosheath	item	15.28	1	0	000
43215	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
43215	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
43215	CMS	"Accessory, Procedure"	SD289	PROXY endoscopic grasping forceps	item	18.73	1	0	000
43215	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	000
43215	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	000
43215	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
43215	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1	0	000
43215	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
43215	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	000
43215	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
43215	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
43215	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	3	0	000
43216	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
43216	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
43216	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
43216	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
43216	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
43216	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
43216	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
43216	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
43216	CMS	"Accessory, Procedure"	SD006	bite block	item	2.6	1	0	000
43216	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
43216	CMS	"Accessory, Procedure"	SD066	endoscopic biopsy forceps	item	68.03	1	0	000
43216	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	000
43216	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
43216	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
43216	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	000
43216	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	000
43216	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	000
43216	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	000
43216	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
43216	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1	0	000
43216	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
43216	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	000
43216	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
43216	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
43216	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	3	0	000
43217	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
43217	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
43217	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
43217	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
43217	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
43217	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
43217	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
43217	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
43217	CMS	"Accessory, Procedure"	SD006	bite block	item	2.6	1	0	000
43217	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
43217	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	000
43217	CMS	"Accessory, Procedure"	SD068	endoscopic polypectomy snare	item	28.35	1	0	000
43217	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
43217	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
43217	CMS	"Accessory, Procedure"	SD289	PROXY endoscopic grasping forceps	item	18.73	1	0	000
43217	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	000
43217	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	000
43217	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	000
43217	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	000
43217	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
43217	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1	0	000
43217	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
43217	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	000
43217	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
43217	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
43217	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	3	0	000
43220	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
43220	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
43220	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
43220	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
43220	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
43220	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
43220	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
43220	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
43220	CMS	"Accessory, Procedure"	SD006	bite block	item	2.6	1	0	000
43220	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
43220	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	000
43220	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	000
43220	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
43220	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
43220	CMS	"Accessory, Procedure"	SD287	"endoscopic balloon, dilation"	item	162.43	3	0	000
43220	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	000
43220	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	000
43220	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
43220	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1	0	000
43220	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
43220	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	000
43220	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
43220	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
43220	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	3	0	000
43226	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
43226	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	000
43226	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
43226	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
43226	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
43226	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
43226	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
43226	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
43226	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
43226	CMS	"Accessory, Procedure"	SD006	bite block	item	2.6	1	0	000
43226	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
43226	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	000
43226	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	000
43226	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
43226	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
43226	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	000
43226	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	000
43226	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
43226	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1	0	000
43226	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
43226	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	000
43226	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
43226	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
43226	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	3	0	000
43227	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
43227	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
43227	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
43227	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
43227	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
43227	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
43227	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
43227	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
43227	CMS	"Accessory, Procedure"	SD006	bite block	item	2.6	1	0	000
43227	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
43227	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	000
43227	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
43227	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
43227	CMS	"Accessory, Procedure"	SD282	endoscopic clip	item	44.51	1	0	000
43227	CMS	"Accessory, Procedure"	SD284	"cautery, bipolar, probe, endoscopy"	item	150.15	1	0	000
43227	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	000
43227	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	000
43227	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	000
43227	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	000
43227	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
43227	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1	0	000
43227	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
43227	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	000
43227	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
43227	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
43227	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	3	0	000
43229	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
43229	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
43229	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
43229	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
43229	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
43229	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
43229	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
43229	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
43229	CMS	"Accessory, Procedure"	SD006	bite block	item	2.6	1	0	000
43229	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	2	0	000
43229	CMS	"Accessory, Procedure"	SD019	"catheter, balloon, ureteral-GI (strictures)"	item	205.91	1	0	000
43229	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	000
43229	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	000
43229	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
43229	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
43229	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	000
43229	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	000
43229	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
43229	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1	0	000
43229	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
43229	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	000
43229	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
43229	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
43229	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	3	0	000
43235	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
43235	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
43235	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
43235	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
43235	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
43235	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
43235	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
43235	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
43235	CMS	"Accessory, Procedure"	SD006	bite block	item	2.6	1	0	000
43235	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
43235	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	000
43235	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
43235	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
43235	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	000
43235	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	000
43235	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
43235	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1	0	000
43235	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
43235	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	000
43235	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
43235	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
43235	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	3	0	000
43236	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
43236	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
43236	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
43236	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
43236	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
43236	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
43236	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
43236	CMS	"Hypodermic, IV"	SC044	"needle, variceal injection"	item	60	1	0	000
43236	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
43236	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	3	0	000
43236	CMS	"Hypodermic, IV"	SC079	"needle, micropigmentation (tattoo)"	item	33.54	1	0	000
43236	CMS	"Accessory, Procedure"	SD006	bite block	item	2.6	1	0	000
43236	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
43236	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
43236	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
43236	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	000
43236	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	000
43236	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
43236	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1	0	000
43236	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
43236	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	000
43236	CMS	"Office Supply, Grocery"	SK073	skin marking ink (tattoo)	ml	0.51	2	0	000
43236	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
43236	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
43236	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	3	0	000
43239	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
43239	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
43239	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
43239	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
43239	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	000
43239	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
43239	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
43239	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
43239	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
43239	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
43239	CMS	"Accessory, Procedure"	SD006	bite block	item	2.6	1	0	000
43239	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
43239	CMS	"Accessory, Procedure"	SD066	endoscopic biopsy forceps	item	68.03	1	0	000
43239	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	000
43239	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
43239	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
43239	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	4	0	000
43239	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	000
43239	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
43239	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1	0	000
43239	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	2	0	000
43239	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	000
43239	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	8	0	000
43239	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
43239	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
43239	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	3	0	000
43245	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
43245	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
43245	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
43245	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
43245	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
43245	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
43245	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
43245	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
43245	CMS	"Accessory, Procedure"	SD006	bite block	item	2.6	1	0	000
43245	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
43245	CMS	"Accessory, Procedure"	SD019	"catheter, balloon, ureteral-GI (strictures)"	item	205.91	1	0	000
43245	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	000
43245	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
43245	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
43245	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	000
43245	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	000
43245	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
43245	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1	0	000
43245	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
43245	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	000
43245	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
43245	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
43245	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	3	0	000
43247	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
43247	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
43247	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
43247	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
43247	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
43247	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
43247	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
43247	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
43247	CMS	"Accessory, Procedure"	SD006	bite block	item	2.6	1	0	000
43247	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
43247	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	000
43247	CMS	"Accessory, Procedure"	SD070	endosheath	item	15.28	1	0	000
43247	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
43247	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
43247	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	000
43247	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	000
43247	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
43247	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1	0	000
43247	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
43247	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	000
43247	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
43247	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
43247	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	3	0	000
43248	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
43248	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	000
43248	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
43248	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
43248	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
43248	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
43248	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
43248	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
43248	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
43248	CMS	"Accessory, Procedure"	SD006	bite block	item	2.6	1	0	000
43248	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
43248	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	000
43248	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	000
43248	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
43248	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
43248	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	000
43248	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	000
43248	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
43248	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1	0	000
43248	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
43248	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	000
43248	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
43248	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
43248	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	3	0	000
43249	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
43249	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
43249	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
43249	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
43249	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
43249	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
43249	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
43249	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
43249	CMS	"Accessory, Procedure"	SD006	bite block	item	2.6	1	0	000
43249	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
43249	CMS	"Accessory, Procedure"	SD019	"catheter, balloon, ureteral-GI (strictures)"	item	205.91	3	0	000
43249	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	000
43249	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	000
43249	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
43249	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
43249	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	000
43249	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	000
43249	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
43249	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1	0	000
43249	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
43249	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	000
43249	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
43249	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
43249	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	3	0	000
43250	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
43250	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
43250	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
43250	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
43250	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
43250	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
43250	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
43250	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
43250	CMS	"Accessory, Procedure"	SD006	bite block	item	2.6	1	0	000
43250	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
43250	CMS	"Accessory, Procedure"	SD066	endoscopic biopsy forceps	item	68.03	1	0	000
43250	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	000
43250	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
43250	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
43250	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	000
43250	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	000
43250	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	000
43250	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	000
43250	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
43250	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1	0	000
43250	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
43250	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	000
43250	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
43250	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
43250	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	3	0	000
43251	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
43251	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
43251	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
43251	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
43251	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
43251	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
43251	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
43251	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
43251	CMS	"Accessory, Procedure"	SD006	bite block	item	2.6	1	0	000
43251	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
43251	CMS	"Accessory, Procedure"	SD066	endoscopic biopsy forceps	item	68.03	1	0	000
43251	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	000
43251	CMS	"Accessory, Procedure"	SD068	endoscopic polypectomy snare	item	28.35	1	0	000
43251	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
43251	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
43251	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	000
43251	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	000
43251	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	000
43251	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
43251	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1	0	000
43251	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
43251	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	000
43251	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
43251	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
43251	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	3	0	000
43252	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
43252	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
43252	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
43252	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
43252	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
43252	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
43252	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
43252	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
43252	CMS	"Accessory, Procedure"	SD006	bite block	item	2.6	1	0	000
43252	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
43252	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
43252	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
43252	CMS	"Accessory, Procedure"	SD285	"catheter, optical endomicroscopy"	item		1	0	000
43252	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	000
43252	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	000
43252	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
43252	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1	0	000
43252	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
43252	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	000
43252	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
43252	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
43252	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	3	0	000
43255	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
43255	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
43255	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
43255	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
43255	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
43255	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
43255	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
43255	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
43255	CMS	"Accessory, Procedure"	SD006	bite block	item	2.6	1	0	000
43255	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
43255	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	000
43255	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
43255	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
43255	CMS	"Accessory, Procedure"	SD282	endoscopic clip	item	44.51	1	0	000
43255	CMS	"Accessory, Procedure"	SD284	"cautery, bipolar, probe, endoscopy"	item	150.15	1	0	000
43255	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	000
43255	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	000
43255	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	000
43255	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	000
43255	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
43255	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1	0	000
43255	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
43255	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	000
43255	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
43255	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
43255	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	3	0	000
43270	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
43270	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
43270	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
43270	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
43270	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
43270	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
43270	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
43270	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
43270	CMS	"Accessory, Procedure"	SD006	bite block	item	2.6	1	0	000
43270	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
43270	CMS	"Accessory, Procedure"	SD019	"catheter, balloon, ureteral-GI (strictures)"	item	205.91	1	0	000
43270	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	000
43270	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	000
43270	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
43270	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
43270	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	000
43270	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	000
43270	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
43270	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1	0	000
43270	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
43270	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	000
43270	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
43270	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
43270	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	3	0	000
43279	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
43279	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
43280	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
43280	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
43281	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
43281	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
43282	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
43282	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
43284	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
43284	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
43285	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
43285	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
43286	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
43286	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
43286	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
43287	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
43287	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
43287	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
43288	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
43288	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
43288	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
43290	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
43290	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
43290	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
43290	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
43290	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
43290	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
43290	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
43290	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
43290	CMS	"Accessory, Procedure"	SD006	bite block	item	2.6	1	0	000
43290	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
43290	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	000
43290	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
43290	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
43290	CMS	"Accessory, Procedure"	SD348	"ORBERA Intragastric Balloon System (balloon, placement catheter and connection tube with 3-way valve and saline bag spike)"	item	1850	1	0	000
43290	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	000
43290	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	2	0	000
43290	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
43290	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	8	0	000
43290	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	000
43290	CMS	Lab	SL250	methylene blue stain	ml	0.24	10	0	000
43290	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
43290	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	3	0	000
43291	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
43291	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
43291	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
43291	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
43291	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
43291	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
43291	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
43291	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
43291	CMS	"Accessory, Procedure"	SD006	bite block	item	2.6	1	0	000
43291	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	2	0	000
43291	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	000
43291	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	000
43291	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	2	0	000
43291	CMS	"Accessory, Procedure"	SD349	Needle aspirator and grasper	item	94	1	0	000
43291	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	000
43291	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	000
43291	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
43291	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
43291	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	000
43291	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
43291	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	3	0	000
43300	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
43300	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
43305	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
43305	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
43310	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
43310	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
43312	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
43312	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
43313	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
43313	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
43314	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
43314	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
43320	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
43320	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
43325	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
43325	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
43327	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
43327	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
43328	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
43328	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
43330	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
43330	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
43331	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
43331	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
43332	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
43332	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
43333	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
43333	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
43334	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
43334	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
43335	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
43335	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
43336	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
43336	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
43337	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
43337	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
43340	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
43340	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
43341	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
43341	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
43351	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
43351	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
43352	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
43352	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
43360	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
43360	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
43361	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
43361	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
43400	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
43400	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
43405	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
43405	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
43410	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
43410	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
43415	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
43415	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
43420	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
43420	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
43425	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
43425	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
43450	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
43450	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
43450	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
43450	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
43450	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
43450	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
43450	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
43450	CMS	"Accessory, Procedure"	SD006	bite block	item	2.6	1	0	000
43450	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
43450	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
43450	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
43450	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	8	0	000
43450	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
43450	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1	0	000
43450	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
43450	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	3	0	000
43453	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
43453	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
43453	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
43453	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
43453	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
43453	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
43453	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
43453	CMS	"Accessory, Procedure"	SD006	bite block	item	2.6	1	0	000
43453	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
43453	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
43453	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
43453	CMS	"Accessory, Procedure"	SD286	endoscopic guidewire	item	218.43	1	0	000
43453	CMS	"Accessory, Procedure"	SD287	"endoscopic balloon, dilation"	item	162.43	2	0	000
43453	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	8	0	000
43453	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
43453	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1	0	000
43453	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
43453	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	3	0	000
43497	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
43500	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
43500	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
43501	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
43501	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
43502	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
43502	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
43510	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
43510	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
43520	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
43520	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
43605	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
43605	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
43610	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
43610	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
43611	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
43611	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
43620	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
43620	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
43621	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
43621	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
43622	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
43622	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
43631	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
43631	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
43632	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
43632	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
43633	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
43633	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
43634	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
43634	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
43640	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
43640	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
43641	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
43641	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
43644	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
43644	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
43645	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
43645	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
43651	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
43651	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
43652	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
43652	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
43653	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
43653	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
43653	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13		2	090
43653	CMS	"Accessory, Procedure"	SD024	"catheter, Foley"	item	10.85		1	090
43653	CMS	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		1	090
43754	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
43754	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
43754	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	0	000
43754	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
43754	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
43754	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	0	000
43754	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
43754	CMS	"Hypodermic, IV"	SC065	"adapter, luer lock"	item	45.49	1	0	000
43754	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
43754	CMS	"Accessory, Procedure"	SD121	"suction specimen trap, sterile"	item	2.47	1	0	000
43754	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
43754	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	5	0	000
43754	CMS	"Wound Care, Dressings"	SG078	"tape, surgical occlusive 1in (Blenderm)"	inch	0.007	12	0	000
43754	CMS	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	1.04	10	0	000
43754	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
43754	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1	0	000
43754	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
43754	CMS	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	1	0	000
43754	CMS	"Office Supply, Grocery"	SK020	drinking straw	item	0.02	1	0	000
43754	CMS	"Office Supply, Grocery"	SK043	label for files-folders	item	0.07	1	0	000
43754	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	000
43754	CMS	Infection Control	SM008	biohazard specimen transport bag	item	0.087	1	0	000
43755	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1	0	000
43755	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
43755	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
43755	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	0	000
43755	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
43755	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
43755	CMS	"Hypodermic, IV"	SC018	iv infusion set	item	1.27	1	0	000
43755	CMS	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.54	1	0	000
43755	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	0	000
43755	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
43755	CMS	"Hypodermic, IV"	SC065	"adapter, luer lock"	item	45.49	1	0	000
43755	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
43755	CMS	"Accessory, Procedure"	SD121	"suction specimen trap, sterile"	item	2.47	1	0	000
43755	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
43755	CMS	"Wound Care, Dressings"	SG078	"tape, surgical occlusive 1in (Blenderm)"	inch	0.007	12	0	000
43755	CMS	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	1.04	10	0	000
43755	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
43755	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1	0	000
43755	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
43755	CMS	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	1	0	000
43755	CMS	"Office Supply, Grocery"	SK020	drinking straw	item	0.02	1	0	000
43755	CMS	"Office Supply, Grocery"	SK043	label for files-folders	item	0.07	1	0	000
43755	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	12	0	000
43755	CMS	Infection Control	SM008	biohazard specimen transport bag	item	0.087	4	0	000
43756	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
43756	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
43756	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	0	000
43756	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
43756	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
43756	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	0	000
43756	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
43756	CMS	"Hypodermic, IV"	SC065	"adapter, luer lock"	item	45.49	1	0	000
43756	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
43756	CMS	"Accessory, Procedure"	SD121	"suction specimen trap, sterile"	item	2.47	1	0	000
43756	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
43756	CMS	"Wound Care, Dressings"	SG078	"tape, surgical occlusive 1in (Blenderm)"	inch	0.007	12	0	000
43756	CMS	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	1.04	10	0	000
43756	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
43756	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1	0	000
43756	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
43756	CMS	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	1	0	000
43756	CMS	"Office Supply, Grocery"	SK020	drinking straw	item	0.02	1	0	000
43756	CMS	"Office Supply, Grocery"	SK043	label for files-folders	item	0.07	1	0	000
43756	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	000
43756	CMS	Infection Control	SM008	biohazard specimen transport bag	item	0.087	1	0	000
43757	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1	0	000
43757	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
43757	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
43757	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	0	000
43757	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
43757	CMS	"Hypodermic, IV"	SC018	iv infusion set	item	1.27	1	0	000
43757	CMS	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.54	1	0	000
43757	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	0	000
43757	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
43757	CMS	"Hypodermic, IV"	SC065	"adapter, luer lock"	item	45.49	1	0	000
43757	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
43757	CMS	"Accessory, Procedure"	SD121	"suction specimen trap, sterile"	item	2.47	1	0	000
43757	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
43757	CMS	"Wound Care, Dressings"	SG078	"tape, surgical occlusive 1in (Blenderm)"	inch	0.007	12	0	000
43757	CMS	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	1.04	10	0	000
43757	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
43757	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1	0	000
43757	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
43757	CMS	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	1	0	000
43757	CMS	"Office Supply, Grocery"	SK020	drinking straw	item	0.02	1	0	000
43757	CMS	"Office Supply, Grocery"	SK043	label for files-folders	item	0.07	1	0	000
43757	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	9	0	000
43757	CMS	Infection Control	SM008	biohazard specimen transport bag	item	0.087	3	0	000
43761	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	2	0	000
43762	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
43762	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
43762	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
43762	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	1	0	000
43762	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
43762	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	1	0	000
43762	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
43762	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
43762	CMS	"Hypodermic, IV"	SC090	"tube, gastrostomy"	item	91.73	1	0	000
43762	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
43762	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	000
43762	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
43762	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
43762	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
43762	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	1	0	000
43763	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	000
43763	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
43763	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
43763	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
43763	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
43763	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
43763	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
43763	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
43763	CMS	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.45	2	0	000
43763	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
43763	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
43763	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
43763	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
43763	CMS	"Hypodermic, IV"	SC090	"tube, gastrostomy"	item	91.73	1	0	000
43763	CMS	"Accessory, Procedure"	SD088	guidewire	item	15.85	1	0	000
43763	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	000
43763	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.76	1	0	000
43763	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
43763	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
43763	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
43763	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
43763	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
43763	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
43763	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	000
43763	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	000
43763	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
43763	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	000
43763	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	1	0	000
43770	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
43770	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
43770	CMS	"Hypodermic, IV"	SC039	"needle, Huber point"	item	3.97		2	090
43770	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13		2	090
43770	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
43770	CMS	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.47		2	090
43770	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
43771	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
43771	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
43771	CMS	"Hypodermic, IV"	SC039	"needle, Huber point"	item	3.97		2	090
43771	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13		2	090
43771	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
43771	CMS	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.47		2	090
43771	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
43772	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
43772	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
43773	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
43773	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
43773	CMS	"Hypodermic, IV"	SC039	"needle, Huber point"	item	3.97		2	090
43773	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13		2	090
43773	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
43773	CMS	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.47		2	090
43773	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
43774	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
43774	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
43800	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
43800	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
43810	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
43810	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
43820	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
43820	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
43825	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
43825	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
43830	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
43830	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
43830	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13		2	090
43830	CMS	"Accessory, Procedure"	SD024	"catheter, Foley"	item	10.85		1	090
43830	CMS	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		1	090
43831	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
43831	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
43831	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13		2	090
43831	CMS	"Accessory, Procedure"	SD024	"catheter, Foley"	item	10.85		1	090
43831	CMS	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		1	090
43832	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
43832	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
43832	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13		2	090
43832	CMS	"Accessory, Procedure"	SD024	"catheter, Foley"	item	10.85		1	090
43832	CMS	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32		1	090
43840	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
43840	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
43842	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
43842	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
43843	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
43843	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
43845	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
43845	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
43846	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
43846	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
43847	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
43847	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
43848	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
43848	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
43860	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
43860	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
43865	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
43865	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
43870	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
43870	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
43880	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
43880	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
43886	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
43886	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
43886	CMS	"Hypodermic, IV"	SC039	"needle, Huber point"	item	3.97		2	090
43886	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13		2	090
43886	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
43886	CMS	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.47		2	090
43886	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
43887	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
43887	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
43888	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
43888	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
43888	CMS	"Hypodermic, IV"	SC039	"needle, Huber point"	item	3.97		2	090
43888	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13		2	090
43888	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41		2	090
43888	CMS	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.47		2	090
43888	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		4	090
43889	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
44005	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
44005	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
44010	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
44010	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
44020	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
44020	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
44021	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
44021	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
44025	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
44025	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
44050	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
44050	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
44055	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
44055	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
44110	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
44110	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
44111	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
44111	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
44120	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
44120	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
44125	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
44125	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
44126	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
44126	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
44127	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
44127	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
44130	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
44130	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
44140	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
44140	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
44141	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
44141	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
44141	CMS	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		4	090
44141	CMS	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		4	090
44143	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
44143	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
44143	CMS	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		3	090
44143	CMS	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		3	090
44144	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
44144	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
44144	CMS	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		1	090
44144	CMS	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		1	090
44145	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
44145	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
44146	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
44146	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
44146	CMS	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		5	090
44146	CMS	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		5	090
44147	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
44147	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
44150	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
44150	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
44150	CMS	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		5	090
44150	CMS	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		5	090
44151	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
44151	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
44151	CMS	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		5	090
44151	CMS	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		5	090
44155	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
44155	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
44155	CMS	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		5	090
44155	CMS	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		5	090
44156	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
44156	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
44156	CMS	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		6	090
44156	CMS	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		6	090
44157	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
44157	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
44157	CMS	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		4	090
44157	CMS	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		4	090
44158	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
44158	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
44158	CMS	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		4	090
44158	CMS	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		4	090
44160	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
44160	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
44180	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
44180	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
44186	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
44186	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
44186	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		4	090
44186	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		15	090
44187	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
44187	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
44187	CMS	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		3	090
44187	CMS	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		3	090
44188	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
44188	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
44188	CMS	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		3	090
44188	CMS	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		3	090
44202	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
44202	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
44204	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
44204	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
44205	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
44205	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
44206	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
44206	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
44206	CMS	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		3	090
44207	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
44207	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
44208	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
44208	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
44208	CMS	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		1.5	090
44208	CMS	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		3	090
44210	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
44210	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
44210	CMS	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		1	090
44210	CMS	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		2	090
44211	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
44211	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
44211	CMS	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		2	090
44211	CMS	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		4	090
44212	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
44212	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
44212	CMS	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		2	090
44212	CMS	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		4	090
44227	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
44227	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
44300	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
44300	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
44310	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
44310	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
44312	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
44312	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
44314	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
44314	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
44316	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
44316	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
44320	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
44320	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
44322	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
44322	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
44322	CMS	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		6	090
44322	CMS	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		6	090
44340	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
44340	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
44345	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
44345	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
44346	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
44346	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
44380	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
44380	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
44380	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
44380	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
44380	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
44380	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
44380	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
44380	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
44380	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
44380	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	000
44380	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
44380	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	000
44380	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
44380	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	000
44380	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	5	0	000
44380	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
44380	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
44380	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1	0	000
44381	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
44381	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
44381	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
44381	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
44381	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
44381	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
44381	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
44381	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
44381	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
44381	CMS	"Accessory, Procedure"	SD019	"catheter, balloon, ureteral-GI (strictures)"	item	205.91	3	0	000
44381	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	000
44381	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	000
44381	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
44381	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	000
44381	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
44381	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	000
44381	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	5	0	000
44381	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
44381	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
44381	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1	0	000
44382	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
44382	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
44382	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
44382	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
44382	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
44382	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
44382	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
44382	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
44382	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
44382	CMS	"Accessory, Procedure"	SD066	endoscopic biopsy forceps	item	68.03	1	0	000
44382	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	000
44382	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
44382	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	000
44382	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
44382	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	000
44382	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	5	0	000
44382	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
44382	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
44382	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1	0	000
44385	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
44385	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
44385	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
44385	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
44385	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
44385	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
44385	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
44385	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
44385	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	2	0	000
44385	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	000
44385	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	000
44385	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	000
44385	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
44385	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	000
44385	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	5	0	000
44385	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
44385	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
44385	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1	0	000
44386	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
44386	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
44386	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
44386	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
44386	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
44386	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
44386	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
44386	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
44386	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	2	0	000
44386	CMS	"Accessory, Procedure"	SD066	endoscopic biopsy forceps	item	68.03	1	0	000
44386	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	000
44386	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	000
44386	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	000
44386	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
44386	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	000
44386	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	5	0	000
44386	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
44386	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
44386	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1	0	000
44388	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
44388	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
44388	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
44388	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
44388	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
44388	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
44388	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
44388	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
44388	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
44388	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	000
44388	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
44388	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	000
44388	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
44388	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	000
44388	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	5	0	000
44388	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
44388	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
44388	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1	0	000
44389	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
44389	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
44389	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
44389	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
44389	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
44389	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
44389	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
44389	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
44389	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
44389	CMS	"Accessory, Procedure"	SD066	endoscopic biopsy forceps	item	68.03	1	0	000
44389	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	000
44389	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
44389	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	000
44389	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
44389	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	000
44389	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	5	0	000
44389	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
44389	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
44389	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1	0	000
44390	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
44390	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
44390	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
44390	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
44390	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
44390	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
44390	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
44390	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
44390	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
44390	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	000
44390	CMS	"Accessory, Procedure"	SD068	endoscopic polypectomy snare	item	28.35	1	0	000
44390	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
44390	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	000
44390	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
44390	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	000
44390	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	5	0	000
44390	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
44390	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
44390	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1	0	000
44391	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
44391	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
44391	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
44391	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
44391	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
44391	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
44391	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
44391	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
44391	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
44391	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	000
44391	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
44391	CMS	"Accessory, Procedure"	SD282	endoscopic clip	item	44.51	1	0	000
44391	CMS	"Accessory, Procedure"	SD284	"cautery, bipolar, probe, endoscopy"	item	150.15	1	0	000
44391	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	000
44391	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	000
44391	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	000
44391	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
44391	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	000
44391	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	5	0	000
44391	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
44391	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
44391	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1	0	000
44392	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
44392	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
44392	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
44392	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
44392	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
44392	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
44392	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
44392	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
44392	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
44392	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	000
44392	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
44392	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	000
44392	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	000
44392	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	000
44392	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
44392	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	000
44392	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	5	0	000
44392	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
44392	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
44392	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1	0	000
44394	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
44394	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
44394	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
44394	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
44394	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
44394	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
44394	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
44394	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
44394	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
44394	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	000
44394	CMS	"Accessory, Procedure"	SD068	endoscopic polypectomy snare	item	28.35	1	0	000
44394	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
44394	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	000
44394	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	000
44394	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	000
44394	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
44394	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	000
44394	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	5	0	000
44394	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
44394	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
44394	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1	0	000
44401	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
44401	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
44401	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
44401	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
44401	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
44401	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
44401	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
44401	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
44401	CMS	"Hypodermic, IV"	SC103	"catheter, RF ablation, endoscopic"	item	1500	1	0	000
44401	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
44401	CMS	"Accessory, Procedure"	SD019	"catheter, balloon, ureteral-GI (strictures)"	item	205.91	1	0	000
44401	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	000
44401	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	000
44401	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
44401	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	000
44401	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
44401	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	000
44401	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	5	0	000
44401	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
44401	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
44401	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1	0	000
44404	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
44404	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
44404	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
44404	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
44404	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
44404	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
44404	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
44404	CMS	"Hypodermic, IV"	SC044	"needle, variceal injection"	item	60	1	0	000
44404	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
44404	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	3	0	000
44404	CMS	"Hypodermic, IV"	SC079	"needle, micropigmentation (tattoo)"	item	33.54	1	0	000
44404	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
44404	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
44404	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	000
44404	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
44404	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	000
44404	CMS	"Office Supply, Grocery"	SK073	skin marking ink (tattoo)	ml	0.51	2	0	000
44404	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	5	0	000
44404	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
44404	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1	0	000
44405	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
44405	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
44405	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
44405	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
44405	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
44405	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
44405	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
44405	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
44405	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
44405	CMS	"Accessory, Procedure"	SD019	"catheter, balloon, ureteral-GI (strictures)"	item	205.91	1	0	000
44405	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
44405	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	000
44405	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
44405	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	000
44405	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	5	0	000
44405	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
44405	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
44405	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1	0	000
44602	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
44602	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
44603	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
44603	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
44604	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
44604	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
44605	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
44605	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
44605	CMS	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		2	090
44605	CMS	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		2	090
44615	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
44615	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
44620	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
44620	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
44625	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
44625	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
44626	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
44626	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
44640	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
44640	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
44650	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
44650	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
44660	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
44660	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
44661	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
44661	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
44680	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
44680	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
44700	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
44700	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
44705	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	XXX
44705	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	XXX
44705	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	XXX
44705	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	XXX
44705	CMS	Lab	SL018	"beaker, 250 ml"	item	0.44	1	0	XXX
44705	CMS	Lab	SL020	bleach	ml	0.01	300	0	XXX
44705	CMS	Lab	SL066	"filter, nylon mesh (55mm)"	item	0.47	1	0	XXX
44705	CMS	Lab	SL107	phosphate buffered saline solution	ml	0.01	50	0	XXX
44705	CMS	Infection Control	SM016	"eye shield, splash protection"	item	3.18	1	0	XXX
44800	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
44800	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
44820	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
44820	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
44850	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
44850	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
44900	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
44900	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
44950	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
44950	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
44960	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
44960	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
44970	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
44970	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
45000	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
45000	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
45005	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	2	1	010
45005	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1.5	0.5	010
45005	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
45005	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
45005	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
45005	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
45005	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
45005	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
45005	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	010
45005	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5	2	1	010
45005	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
45005	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	010
45005	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	010
45005	CMS	"Cutters, Closures, Cautery"	SF015	"cautery, monopolar, blade, extended shaft"	item	5.37	1	0	010
45005	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
45005	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
45005	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
45005	CMS	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	11.2	1	0	010
45005	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
45005	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30	0	010
45005	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	010
45005	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
45005	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	010
45005	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
45005	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	3	0	010
45005	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
45020	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
45020	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
45100	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
45100	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
45108	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
45108	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
45110	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
45110	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
45110	CMS	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		3	090
45110	CMS	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		3	090
45111	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
45111	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
45112	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
45112	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
45113	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
45113	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
45113	CMS	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		3	090
45113	CMS	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		3	090
45114	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
45114	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
45116	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
45116	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
45119	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
45119	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
45119	CMS	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		3	090
45119	CMS	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		3	090
45120	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
45120	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
45121	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
45121	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
45123	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
45123	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
45126	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
45126	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
45126	CMS	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		3	090
45126	CMS	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		3	090
45130	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
45130	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
45135	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
45135	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
45136	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
45136	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
45136	CMS	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		4	090
45136	CMS	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		4	090
45150	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
45150	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
45160	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
45160	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
45171	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		1	090
45171	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
45171	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
45171	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
45171	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1		2	090
45171	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		1	090
45171	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13		1	090
45171	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		1	090
45171	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		1	090
45171	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		1	090
45171	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		3	090
45171	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56		8	090
45171	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		6	090
45171	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27		3	090
45172	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		1	090
45172	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
45172	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
45172	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
45172	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1		2	090
45172	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		1	090
45172	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13		1	090
45172	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		1	090
45172	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		1	090
45172	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		1	090
45172	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		3	090
45172	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56		8	090
45172	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		6	090
45172	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27		3	090
45190	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		1	090
45190	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
45190	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
45190	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5		1	090
45190	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	090
45190	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27		3	090
45300	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
45300	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
45300	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
45300	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
45300	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
45300	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
45300	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
45300	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
45300	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
45300	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
45300	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	8	0	000
45300	CMS	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	1.04	4	0	000
45300	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
45300	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	3	0	000
45300	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	5	0	000
45300	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1	0	000
45303	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
45303	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
45303	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	4	0	000
45303	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	0	000
45303	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
45303	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
45303	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1	0	000
45303	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
45303	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
45303	CMS	"Accessory, Procedure"	SD019	"catheter, balloon, ureteral-GI (strictures)"	item	205.91	3	0	000
45303	CMS	"Accessory, Procedure"	SD100	nasal cannula	item	1.66	1	0	000
45303	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
45303	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
45303	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	3	0	000
45303	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	8	0	000
45303	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
45303	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
45303	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	3	0	000
45303	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	1	0	000
45303	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
45303	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	1	0	000
45303	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	6	0	000
45303	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	000
45305	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
45305	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
45305	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	4	0	000
45305	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	0	000
45305	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
45305	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
45305	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1	0	000
45305	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
45305	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
45305	CMS	"Accessory, Procedure"	SD100	nasal cannula	item	1.66	1	0	000
45305	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
45305	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
45305	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	3	0	000
45305	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	8	0	000
45305	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
45305	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
45305	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	3	0	000
45305	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	1	0	000
45305	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
45305	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	1	0	000
45305	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	6	0	000
45305	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	000
45307	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
45307	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
45307	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	4	0	000
45307	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	0	000
45307	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
45307	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
45307	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1	0	000
45307	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
45307	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
45307	CMS	"Accessory, Procedure"	SD100	nasal cannula	item	1.66	1	0	000
45307	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
45307	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
45307	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	3	0	000
45307	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	8	0	000
45307	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
45307	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
45307	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	3	0	000
45307	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	1	0	000
45307	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
45307	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	1	0	000
45307	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	6	0	000
45307	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	000
45308	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
45308	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
45308	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	4	0	000
45308	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	0	000
45308	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
45308	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
45308	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1	0	000
45308	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
45308	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
45308	CMS	"Accessory, Procedure"	SD100	nasal cannula	item	1.66	1	0	000
45308	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
45308	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
45308	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	3	0	000
45308	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	8	0	000
45308	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
45308	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
45308	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	3	0	000
45308	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	1	0	000
45308	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
45308	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	1	0	000
45308	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	6	0	000
45308	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	000
45309	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
45309	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
45309	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	4	0	000
45309	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	0	000
45309	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
45309	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
45309	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1	0	000
45309	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
45309	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
45309	CMS	"Accessory, Procedure"	SD100	nasal cannula	item	1.66	1	0	000
45309	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
45309	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
45309	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	3	0	000
45309	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	8	0	000
45309	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
45309	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
45309	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	3	0	000
45309	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	1	0	000
45309	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
45309	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	1	0	000
45309	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	6	0	000
45309	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	000
45315	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
45315	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
45315	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	4	0	000
45315	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	0	000
45315	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
45315	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
45315	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1	0	000
45315	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
45315	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
45315	CMS	"Accessory, Procedure"	SD100	nasal cannula	item	1.66	1	0	000
45315	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
45315	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
45315	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	3	0	000
45315	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	8	0	000
45315	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
45315	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
45315	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	3	0	000
45315	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	1	0	000
45315	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
45315	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	1	0	000
45315	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	6	0	000
45315	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	000
45317	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
45317	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
45317	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	4	0	000
45317	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	0	000
45317	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
45317	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
45317	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1	0	000
45317	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
45317	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
45317	CMS	"Accessory, Procedure"	SD100	nasal cannula	item	1.66	1	0	000
45317	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
45317	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
45317	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	3	0	000
45317	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	8	0	000
45317	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
45317	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
45317	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	3	0	000
45317	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	1	0	000
45317	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
45317	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	1	0	000
45317	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	6	0	000
45317	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	000
45320	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
45320	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
45320	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	4	0	000
45320	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	0	000
45320	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
45320	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
45320	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1	0	000
45320	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
45320	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
45320	CMS	"Accessory, Procedure"	SD100	nasal cannula	item	1.66	1	0	000
45320	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
45320	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
45320	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	3	0	000
45320	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	8	0	000
45320	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
45320	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
45320	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	3	0	000
45320	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	1	0	000
45320	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
45320	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	1	0	000
45320	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	6	0	000
45320	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	000
45330	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
45330	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
45330	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
45330	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
45330	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
45330	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
45330	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
45330	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
45330	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	000
45330	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
45330	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	000
45330	CMS	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	1.04	5	0	000
45330	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
45330	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	000
45330	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	5	0	000
45330	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
45330	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
45330	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1	0	000
45331	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
45331	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
45331	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
45331	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
45331	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
45331	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
45331	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
45331	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
45331	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
45331	CMS	"Accessory, Procedure"	SD066	endoscopic biopsy forceps	item	68.03	1	0	000
45331	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	000
45331	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
45331	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	000
45331	CMS	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	1.04	5	0	000
45331	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
45331	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	000
45331	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	5	0	000
45331	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
45331	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
45331	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1	0	000
45332	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
45332	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
45332	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
45332	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
45332	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
45332	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
45332	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
45332	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
45332	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
45332	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	000
45332	CMS	"Accessory, Procedure"	SD068	endoscopic polypectomy snare	item	28.35	1	0	000
45332	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
45332	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	000
45332	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
45332	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	000
45332	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	5	0	000
45332	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
45332	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
45332	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1	0	000
45333	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
45333	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
45333	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
45333	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
45333	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
45333	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
45333	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
45333	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
45333	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
45333	CMS	"Accessory, Procedure"	SD066	endoscopic biopsy forceps	item	68.03	1	0	000
45333	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	000
45333	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
45333	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	000
45333	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	000
45333	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	000
45333	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
45333	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	000
45333	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	5	0	000
45333	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
45333	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
45333	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1	0	000
45334	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
45334	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
45334	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
45334	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
45334	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
45334	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
45334	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
45334	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
45334	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
45334	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	000
45334	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
45334	CMS	"Accessory, Procedure"	SD282	endoscopic clip	item	44.51	1	0	000
45334	CMS	"Accessory, Procedure"	SD284	"cautery, bipolar, probe, endoscopy"	item	150.15	1	0	000
45334	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	000
45334	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	000
45334	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	000
45334	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
45334	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	000
45334	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	5	0	000
45334	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
45334	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
45334	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1	0	000
45335	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
45335	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
45335	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
45335	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
45335	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
45335	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
45335	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
45335	CMS	"Hypodermic, IV"	SC044	"needle, variceal injection"	item	60	1	0	000
45335	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
45335	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	3	0	000
45335	CMS	"Hypodermic, IV"	SC079	"needle, micropigmentation (tattoo)"	item	33.54	1	0	000
45335	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
45335	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
45335	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	000
45335	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
45335	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	000
45335	CMS	"Office Supply, Grocery"	SK073	skin marking ink (tattoo)	ml	0.51	2	0	000
45335	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	5	0	000
45335	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
45335	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1	0	000
45338	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
45338	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
45338	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
45338	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
45338	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
45338	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
45338	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
45338	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
45338	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
45338	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	000
45338	CMS	"Accessory, Procedure"	SD068	endoscopic polypectomy snare	item	28.35	1	0	000
45338	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
45338	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	000
45338	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	000
45338	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
45338	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	000
45338	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	5	0	000
45338	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
45338	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
45338	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1	0	000
45340	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
45340	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
45340	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
45340	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
45340	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
45340	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
45340	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
45340	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
45340	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
45340	CMS	"Accessory, Procedure"	SD019	"catheter, balloon, ureteral-GI (strictures)"	item	205.91	1	0	000
45340	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	000
45340	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
45340	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	000
45340	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
45340	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	000
45340	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	5	0	000
45340	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
45340	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
45340	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1	0	000
45346	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
45346	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
45346	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
45346	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
45346	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
45346	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
45346	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
45346	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
45346	CMS	"Hypodermic, IV"	SC103	"catheter, RF ablation, endoscopic"	item	1500	1	0	000
45346	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
45346	CMS	"Accessory, Procedure"	SD019	"catheter, balloon, ureteral-GI (strictures)"	item	205.91	1	0	000
45346	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	000
45346	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	000
45346	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
45346	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	000
45346	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
45346	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	000
45346	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	5	0	000
45346	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
45346	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
45346	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1	0	000
45350	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
45350	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
45350	CMS	"Kit, Pack, Tray"	SA115	hemorrhoidal banding system	item	376.3	1	0	000
45350	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
45350	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
45350	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
45350	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
45350	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
45350	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
45350	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
45350	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	000
45350	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
45350	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	000
45350	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	1	0	000
45350	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	4	0	000
45350	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	5	0	000
45350	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
45350	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
45350	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1	0	000
45378	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
45378	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
45378	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
45378	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
45378	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
45378	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
45378	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
45378	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
45378	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
45378	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	000
45378	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
45378	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	000
45378	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
45378	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	000
45378	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	5	0	000
45378	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
45378	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
45378	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1	0	000
45379	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
45379	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
45379	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
45379	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
45379	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
45379	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
45379	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
45379	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
45379	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
45379	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	000
45379	CMS	"Accessory, Procedure"	SD068	endoscopic polypectomy snare	item	28.35	1	0	000
45379	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
45379	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	000
45379	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
45379	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	000
45379	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	5	0	000
45379	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
45379	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
45379	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1	0	000
45380	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
45380	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
45380	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
45380	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
45380	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
45380	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
45380	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
45380	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
45380	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
45380	CMS	"Accessory, Procedure"	SD066	endoscopic biopsy forceps	item	68.03	1	0	000
45380	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	000
45380	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
45380	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	000
45380	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
45380	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	000
45380	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	5	0	000
45380	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
45380	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
45380	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1	0	000
45381	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
45381	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
45381	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
45381	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
45381	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
45381	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
45381	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
45381	CMS	"Hypodermic, IV"	SC044	"needle, variceal injection"	item	60	1	0	000
45381	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
45381	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	3	0	000
45381	CMS	"Hypodermic, IV"	SC079	"needle, micropigmentation (tattoo)"	item	33.54	1	0	000
45381	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
45381	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
45381	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	000
45381	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
45381	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	000
45381	CMS	"Office Supply, Grocery"	SK073	skin marking ink (tattoo)	ml	0.51	2	0	000
45381	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	5	0	000
45381	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
45381	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1	0	000
45382	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
45382	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
45382	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
45382	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
45382	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
45382	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
45382	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
45382	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
45382	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
45382	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	000
45382	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
45382	CMS	"Accessory, Procedure"	SD282	endoscopic clip	item	44.51	1	0	000
45382	CMS	"Accessory, Procedure"	SD284	"cautery, bipolar, probe, endoscopy"	item	150.15	1	0	000
45382	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	000
45382	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	000
45382	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	000
45382	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
45382	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	000
45382	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	5	0	000
45382	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
45382	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
45382	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1	0	000
45384	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
45384	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
45384	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
45384	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
45384	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
45384	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
45384	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
45384	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
45384	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
45384	CMS	"Accessory, Procedure"	SD066	endoscopic biopsy forceps	item	68.03	1	0	000
45384	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	000
45384	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
45384	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	000
45384	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	000
45384	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	000
45384	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
45384	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	000
45384	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	5	0	000
45384	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
45384	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
45384	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1	0	000
45385	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
45385	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
45385	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
45385	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
45385	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	000
45385	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
45385	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
45385	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
45385	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
45385	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
45385	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
45385	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	000
45385	CMS	"Accessory, Procedure"	SD068	endoscopic polypectomy snare	item	28.35	1	0	000
45385	CMS	"Accessory, Procedure"	SD121	"suction specimen trap, sterile"	item	2.47	1	0	000
45385	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
45385	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	000
45385	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	10	0	000
45385	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
45385	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	000
45385	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	17	0	000
45385	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
45385	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
45385	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1	0	000
45386	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
45386	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
45386	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
45386	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
45386	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
45386	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
45386	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
45386	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
45386	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
45386	CMS	"Accessory, Procedure"	SD019	"catheter, balloon, ureteral-GI (strictures)"	item	205.91	1	0	000
45386	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	000
45386	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
45386	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	000
45386	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
45386	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	000
45386	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	5	0	000
45386	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
45386	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
45386	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1	0	000
45388	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
45388	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
45388	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
45388	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
45388	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
45388	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
45388	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
45388	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
45388	CMS	"Hypodermic, IV"	SC103	"catheter, RF ablation, endoscopic"	item	1500	1	0	000
45388	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
45388	CMS	"Accessory, Procedure"	SD019	"catheter, balloon, ureteral-GI (strictures)"	item	205.91	1	0	000
45388	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	000
45388	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	000
45388	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
45388	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	000
45388	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
45388	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	000
45388	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	5	0	000
45388	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
45388	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
45388	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1	0	000
45395	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
45395	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
45395	CMS	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		4	090
45395	CMS	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		4	090
45397	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
45397	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
45397	CMS	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		4	090
45397	CMS	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		4	090
45398	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
45398	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
45398	CMS	"Kit, Pack, Tray"	SA115	hemorrhoidal banding system	item	376.3	1	0	000
45398	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
45398	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
45398	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
45398	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
45398	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
45398	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
45398	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
45398	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	18.8	1	0	000
45398	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
45398	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	000
45398	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
45398	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	000
45398	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	5	0	000
45398	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
45398	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
45398	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1	0	000
45400	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
45400	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
45402	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
45402	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
45500	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		1	090
45500	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
45500	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
45500	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5		1	090
45500	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	090
45500	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27		3	090
45505	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		1	090
45505	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
45505	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
45505	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5		1	090
45505	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	090
45505	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27		3	090
45520	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
45520	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
45520	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
45520	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
45520	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
45520	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
45520	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	4	0	000
45520	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
45520	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
45520	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5	1	0	000
45520	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
45520	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	6	0	000
45520	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
45520	CMS	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	8	0	000
45520	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	000
45520	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	000
45520	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30	0	000
45520	CMS	"Pharmacy, Rx"	SH062	sclerosing solution inj	ml	2.98	5	0	000
45520	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
45520	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
45520	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
45520	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	3	0	000
45520	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
45540	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
45540	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
45540	CMS	"Accessory, Procedure"	SD117	sigmoidoscope	item	2.459		1	090
45540	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		4	090
45540	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		15	090
45540	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		1	090
45541	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		1	090
45541	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
45541	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
45541	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5		1	090
45541	CMS	"Accessory, Procedure"	SD117	sigmoidoscope	item	2.459		1	090
45541	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		4	090
45541	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		15	090
45541	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	090
45541	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27		3	090
45550	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		1	090
45550	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
45550	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
45550	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5		1	090
45550	CMS	"Accessory, Procedure"	SD117	sigmoidoscope	item	2.459		1	090
45550	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		4	090
45550	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		15	090
45550	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	090
45550	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27		3	090
45560	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		1	090
45560	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
45560	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
45560	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5		1	090
45560	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		4	090
45560	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		15	090
45560	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	090
45560	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27		3	090
45562	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		1	090
45562	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
45562	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
45562	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5		1	090
45562	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		4	090
45562	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		15	090
45562	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	090
45562	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27		3	090
45563	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		1	090
45563	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
45563	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
45563	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5		1	090
45563	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		4	090
45563	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		15	090
45563	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	090
45563	CMS	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		3	090
45563	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27		3	090
45800	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		1	090
45800	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
45800	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
45800	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5		1	090
45800	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	090
45800	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27		3	090
45805	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		1	090
45805	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
45805	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
45805	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5		1	090
45805	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		4	090
45805	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		15	090
45805	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	090
45805	CMS	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		3	090
45805	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27		3	090
45820	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		1	090
45820	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
45820	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
45820	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5		1	090
45820	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	090
45820	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27		3	090
45825	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		1	090
45825	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
45825	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
45825	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5		1	090
45825	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		4	090
45825	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		15	090
45825	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	090
45825	CMS	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		3	090
45825	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27		3	090
45900	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	010
45900	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	010
45905	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	010
45905	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	010
45910	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	010
45910	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	010
45915	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	2	1	010
45915	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
45915	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
45915	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
45915	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
45915	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
45915	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
45915	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
45915	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	010
45915	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5	2	1	010
45915	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
45915	CMS	"Accessory, Procedure"	SD024	"catheter, Foley"	item	10.85	1	0	010
45915	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	010
45915	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	010
45915	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
45915	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30	0	010
45915	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	010
45915	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
45915	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	010
45915	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
45915	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	3	0	010
45915	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
46030	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
46030	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	000
46030	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
46030	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
46030	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
46030	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	2	0	000
46030	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	1	0	000
46030	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
46030	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
46030	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
46030	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
46030	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
46030	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	000
46030	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
46030	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	000
46030	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
46030	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
46030	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
46030	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
46030	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	000
46030	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	000
46030	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
46030	CMS	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	8	0	000
46030	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	000
46030	CMS	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	96	0	000
46030	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	000
46030	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
46030	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	000
46030	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
46030	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
46030	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	3	0	000
46030	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
46040	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	2	1	090
46040	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3	3	090
46040	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
46040	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
46040	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
46040	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
46040	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
46040	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
46040	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
46040	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5	2	1	090
46040	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
46040	CMS	"Accessory, Procedure"	SD026	"catheter, Pezzar (mushroom)"	item	12.02	1	0	090
46040	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
46040	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
46040	CMS	"Cutters, Closures, Cautery"	SF015	"cautery, monopolar, blade, extended shaft"	item	5.37	1	0	090
46040	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
46040	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
46040	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
46040	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
46040	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30	0	090
46040	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
46040	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	8	4	090
46040	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	090
46040	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	6	3	090
46040	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
46045	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		1	090
46045	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
46045	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
46045	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5		1	090
46045	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	090
46045	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27		3	090
46050	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	1	010
46050	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
46050	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	010
46050	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
46050	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
46050	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
46050	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
46050	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	010
46050	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	010
46050	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5	1	0	010
46050	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
46050	CMS	"Accessory, Procedure"	SD026	"catheter, Pezzar (mushroom)"	item	12.02	1	0	010
46050	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	010
46050	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	010
46050	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
46050	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
46050	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	2	0	010
46050	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30	0	010
46050	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
46050	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	010
46050	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
46050	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	3	0	010
46050	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
46050	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	1	0	010
46050	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	010
46050	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	1	0	010
46050	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	6	0	010
46050	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	010
46060	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		1	090
46060	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
46060	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
46060	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5		1	090
46060	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	090
46060	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27		3	090
46070	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		1	090
46070	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
46070	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
46070	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5		1	090
46070	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	090
46070	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27		3	090
46080	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1.5	0.5	010
46080	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
46080	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	010
46080	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
46080	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
46080	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
46080	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
46080	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	010
46080	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	010
46080	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5	1	0	010
46080	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
46080	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	010
46080	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	010
46080	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
46080	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
46080	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
46080	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	1	0	010
46080	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30	0	010
46080	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
46080	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	010
46080	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
46080	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	3	0	010
46080	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
46080	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	1	0	010
46080	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	010
46080	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	1	0	010
46080	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	6	0	010
46080	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	010
46083	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	1	010
46083	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
46083	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	010
46083	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
46083	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
46083	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
46083	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
46083	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	010
46083	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	010
46083	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5	1	0	010
46083	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
46083	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	010
46083	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	010
46083	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
46083	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	010
46083	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30	0	010
46083	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
46083	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	010
46083	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
46083	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	3	0	010
46083	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
46083	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	1	0	010
46083	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	010
46083	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	1	0	010
46083	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	6	0	010
46083	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	010
46200	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	090
46200	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	2	1	090
46200	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4.5	3.5	090
46200	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
46200	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
46200	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
46200	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
46200	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
46200	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	090
46200	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
46200	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5	2	1	090
46200	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
46200	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
46200	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
46200	CMS	"Cutters, Closures, Cautery"	SF015	"cautery, monopolar, blade, extended shaft"	item	5.37	1	0	090
46200	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
46200	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
46200	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
46200	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	090
46200	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
46200	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30	0	090
46200	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
46200	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	8	4	090
46200	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	090
46200	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	6	3	090
46200	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
46220	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
46220	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
46220	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	010
46220	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
46220	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
46220	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
46220	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
46220	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	010
46220	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	010
46220	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5	1	0	010
46220	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
46220	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	010
46220	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	010
46220	CMS	"Cutters, Closures, Cautery"	SF015	"cautery, monopolar, blade, extended shaft"	item	5.37	1	0	010
46220	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
46220	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
46220	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	010
46220	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30	0	010
46220	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
46220	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	010
46220	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
46220	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	3	0	010
46220	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
46220	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	1	0	010
46220	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	010
46220	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	1	0	010
46220	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	6	0	010
46220	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	010
46221	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	2	1	010
46221	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
46221	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
46221	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
46221	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
46221	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
46221	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
46221	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
46221	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5	2	1	010
46221	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
46221	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	010
46221	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	010
46221	CMS	"Cutters, Closures, Cautery"	SF032	"rubber bands, sterile for ligation"	item	0.81	1	0	010
46221	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30	0	010
46221	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
46221	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	8	4	010
46221	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	6	3	010
46221	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
46230	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	0	010
46230	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
46230	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
46230	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	010
46230	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
46230	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
46230	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
46230	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
46230	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	010
46230	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	010
46230	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5	1	0	010
46230	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
46230	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	010
46230	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	010
46230	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
46230	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
46230	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
46230	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	010
46230	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30	0	010
46230	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
46230	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	010
46230	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
46230	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	3	0	010
46230	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
46230	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	010
46230	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	1	0	010
46230	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	010
46230	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	1	0	010
46230	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	6	0	010
46230	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	010
46250	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	2	1	090
46250	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3	2	090
46250	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
46250	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
46250	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
46250	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
46250	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
46250	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
46250	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5	2	1	090
46250	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
46250	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
46250	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
46250	CMS	"Cutters, Closures, Cautery"	SF015	"cautery, monopolar, blade, extended shaft"	item	5.37	1	0	090
46250	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
46250	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
46250	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
46250	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	3	0	090
46250	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	090
46250	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
46250	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30	0	090
46250	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
46250	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	8	4	090
46250	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	6	3	090
46250	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
46250	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	090
46255	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	2	1	090
46255	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3	2	090
46255	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
46255	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
46255	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
46255	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
46255	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
46255	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
46255	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5	2	1	090
46255	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
46255	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
46255	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
46255	CMS	"Cutters, Closures, Cautery"	SF015	"cautery, monopolar, blade, extended shaft"	item	5.37	1	0	090
46255	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
46255	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
46255	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
46255	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	3	0	090
46255	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	090
46255	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	090
46255	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30	0	090
46255	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
46255	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	8	4	090
46255	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	6	3	090
46255	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
46255	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	090
46257	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		1	090
46257	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
46257	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
46257	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5		1	090
46257	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	090
46257	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27		3	090
46258	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
46258	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
46258	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5		1	090
46260	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		1	090
46260	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
46260	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
46260	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5		1	090
46260	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	090
46260	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27		3	090
46261	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
46261	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
46261	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5		1	090
46262	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		1	090
46262	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
46262	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
46262	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5		1	090
46262	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	090
46262	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27		3	090
46270	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	090
46270	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	2	1	090
46270	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
46270	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
46270	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
46270	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
46270	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
46270	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
46270	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	090
46270	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
46270	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5	2	1	090
46270	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
46270	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
46270	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
46270	CMS	"Cutters, Closures, Cautery"	SF015	"cautery, monopolar, blade, extended shaft"	item	5.37	1	0	090
46270	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
46270	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
46270	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
46270	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	090
46270	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
46270	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30	0	090
46270	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
46270	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	8	4	090
46270	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	090
46270	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	6	3	090
46270	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
46275	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	090
46275	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	2	1	090
46275	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
46275	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
46275	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
46275	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
46275	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
46275	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
46275	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	090
46275	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
46275	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5	2	1	090
46275	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
46275	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
46275	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
46275	CMS	"Cutters, Closures, Cautery"	SF015	"cautery, monopolar, blade, extended shaft"	item	5.37	1	0	090
46275	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
46275	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
46275	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
46275	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	090
46275	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
46275	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30	0	090
46275	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
46275	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	8	4	090
46275	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	090
46275	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	6	3	090
46275	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
46280	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		1	090
46280	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
46280	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
46280	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5		1	090
46280	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	090
46280	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27		3	090
46285	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	090
46285	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	2	1	090
46285	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
46285	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
46285	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
46285	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
46285	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
46285	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
46285	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	090
46285	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	090
46285	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5	2	1	090
46285	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
46285	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
46285	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
46285	CMS	"Cutters, Closures, Cautery"	SF015	"cautery, monopolar, blade, extended shaft"	item	5.37	1	0	090
46285	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
46285	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
46285	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
46285	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	090
46285	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
46285	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30	0	090
46285	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	090
46285	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	8	4	090
46285	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	090
46285	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	6	3	090
46285	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
46288	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		1	090
46288	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
46288	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
46288	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5		1	090
46288	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	090
46288	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27		3	090
46320	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	0.5	1	010
46320	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
46320	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	010
46320	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
46320	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
46320	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
46320	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
46320	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	010
46320	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	010
46320	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5	1	0	010
46320	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
46320	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	010
46320	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	010
46320	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
46320	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	010
46320	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30	0	010
46320	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
46320	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	010
46320	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
46320	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	3	0	010
46320	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
46320	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	1	0	010
46320	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	010
46320	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	1	0	010
46320	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	6	0	010
46320	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	010
46500	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	2	1	010
46500	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	1	010
46500	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	1	010
46500	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	1	010
46500	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	010
46500	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	2	0	010
46500	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
46500	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	010
46500	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	2	1	010
46500	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	2	1	010
46500	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	1	010
46500	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	2	1	010
46500	CMS	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	8	0	010
46500	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	010
46500	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30	0	010
46500	CMS	"Pharmacy, Rx"	SH062	sclerosing solution inj	ml	2.98	5	0	010
46500	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	2	1	010
46500	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	2	1	010
46500	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	8	4	010
46500	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
46500	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	3	0	010
46500	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
46505	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
46505	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	2	010
46505	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	4	2	010
46505	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	1	010
46505	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	2	010
46505	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	2	010
46505	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
46505	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
46505	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	2	1	010
46505	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	1	010
46505	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	2	1	010
46505	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	8	4	010
46505	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	010
46505	CMS	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.47	1	0	010
46505	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	8	4	010
46505	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	6	3	010
46505	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	2	1	010
46600	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
46600	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
46600	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	0	000
46600	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
46600	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
46600	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
46600	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
46600	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
46600	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5	1	0	000
46600	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
46600	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
46600	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
46600	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	8	0	000
46600	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30	0	000
46600	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
46600	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
46600	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	3	0	000
46600	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	1	0	000
46600	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
46600	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	1	0	000
46600	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	6	0	000
46600	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	000
46601	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
46601	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
46601	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	000
46601	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
46601	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5	1	0	000
46601	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
46601	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
46601	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
46601	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	8	0	000
46601	CMS	"Pharmacy, Rx"	SH001	acetic acid 5%	ml	0.03	10	0	000
46601	CMS	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	1.04	5	0	000
46601	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
46601	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	8	0	000
46601	CMS	Lab	SL146	tubed culture media	item	0.92	0.5	0	000
46604	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
46604	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
46604	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	0	000
46604	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
46604	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
46604	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
46604	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
46604	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
46604	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5	1	0	000
46604	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
46604	CMS	"Accessory, Procedure"	SD019	"catheter, balloon, ureteral-GI (strictures)"	item	205.91	2	0	000
46604	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
46604	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
46604	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	8	0	000
46604	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30	0	000
46604	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
46604	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
46604	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	3	0	000
46604	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	1	0	000
46604	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
46604	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	1	0	000
46604	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	6	0	000
46604	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	000
46606	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
46606	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
46606	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
46606	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	0	000
46606	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
46606	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
46606	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
46606	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
46606	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
46606	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5	1	0	000
46606	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
46606	CMS	"Accessory, Procedure"	SD066	endoscopic biopsy forceps	item	68.03	1	0	000
46606	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
46606	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
46606	CMS	"Cutters, Closures, Cautery"	SF015	"cautery, monopolar, blade, extended shaft"	item	5.37	1	0	000
46606	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	000
46606	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	8	0	000
46606	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30	0	000
46606	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
46606	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
46606	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	3	0	000
46606	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
46606	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	1	0	000
46606	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
46606	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	1	0	000
46606	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	6	0	000
46606	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	000
46607	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
46607	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
46607	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	000
46607	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
46607	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
46607	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
46607	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	000
46607	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5	1	0	000
46607	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
46607	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
46607	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
46607	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	8	0	000
46607	CMS	"Pharmacy, Rx"	SH001	acetic acid 5%	ml	0.03	10	0	000
46607	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	5	0	000
46607	CMS	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	1.04	5	0	000
46607	CMS	"Pharmacy, Rx"	SH092	LMX 4% anesthetic cream	gm	3.01	2	0	000
46607	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
46607	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	000
46607	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	12	0	000
46607	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
46607	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	2	0	000
46607	CMS	Lab	SL136	"stain, Lugol's"	ml	0.6	2	0	000
46607	CMS	Lab	SL146	tubed culture media	item	0.92	0.5	0	000
46608	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
46608	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
46608	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
46608	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	0	000
46608	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
46608	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
46608	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
46608	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
46608	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
46608	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5	1	0	000
46608	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
46608	CMS	"Accessory, Procedure"	SD066	endoscopic biopsy forceps	item	68.03	1	0	000
46608	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
46608	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
46608	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	8	0	000
46608	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30	0	000
46608	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
46608	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
46608	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	3	0	000
46608	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
46608	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	1	0	000
46608	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
46608	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	1	0	000
46608	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	6	0	000
46608	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	000
46610	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
46610	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
46610	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
46610	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	0	000
46610	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
46610	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
46610	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
46610	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
46610	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
46610	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5	1	0	000
46610	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
46610	CMS	"Accessory, Procedure"	SD066	endoscopic biopsy forceps	item	68.03	1	0	000
46610	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
46610	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
46610	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	8	0	000
46610	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30	0	000
46610	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
46610	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
46610	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	3	0	000
46610	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
46610	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	1	0	000
46610	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
46610	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	1	0	000
46610	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	6	0	000
46610	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	000
46611	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
46611	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
46611	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
46611	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	0	000
46611	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
46611	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
46611	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
46611	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
46611	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
46611	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5	1	0	000
46611	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
46611	CMS	"Accessory, Procedure"	SD068	endoscopic polypectomy snare	item	28.35	1	0	000
46611	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
46611	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
46611	CMS	"Cutters, Closures, Cautery"	SF015	"cautery, monopolar, blade, extended shaft"	item	5.37	1	0	000
46611	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	000
46611	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	8	0	000
46611	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30	0	000
46611	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
46611	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
46611	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	3	0	000
46611	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
46611	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	1	0	000
46611	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
46611	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	1	0	000
46611	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	6	0	000
46611	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	000
46612	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
46612	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
46612	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
46612	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	0	000
46612	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
46612	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
46612	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
46612	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
46612	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
46612	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5	1	0	000
46612	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
46612	CMS	"Accessory, Procedure"	SD066	endoscopic biopsy forceps	item	68.03	1	0	000
46612	CMS	"Accessory, Procedure"	SD068	endoscopic polypectomy snare	item	28.35	1	0	000
46612	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
46612	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
46612	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	8	0	000
46612	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30	0	000
46612	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
46612	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
46612	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	3	0	000
46612	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
46612	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	1	0	000
46612	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
46612	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	1	0	000
46612	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	6	0	000
46612	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	000
46614	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
46614	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
46614	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
46614	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	0	000
46614	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
46614	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
46614	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
46614	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
46614	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
46614	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5	1	0	000
46614	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
46614	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
46614	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
46614	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	8	0	000
46614	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30	0	000
46614	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
46614	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
46614	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	3	0	000
46614	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	1	0	000
46614	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
46614	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	1	0	000
46614	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	6	0	000
46614	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	000
46615	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
46615	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
46615	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
46615	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	0	000
46615	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
46615	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
46615	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
46615	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
46615	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
46615	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5	1	0	000
46615	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
46615	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
46615	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
46615	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	8	0	000
46615	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30	0	000
46615	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
46615	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
46615	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	3	0	000
46615	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
46615	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	1	0	000
46615	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
46615	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	1	0	000
46615	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	6	0	000
46615	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	000
46700	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		1	090
46700	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
46700	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
46700	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5		1	090
46700	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	090
46700	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27		3	090
46705	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		1	090
46705	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
46705	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
46705	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5		1	090
46705	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	090
46705	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27		3	090
46706	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	010
46707	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		1	090
46707	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
46707	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
46707	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5		1	090
46707	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	090
46707	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27		3	090
46710	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		1	090
46710	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
46710	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
46710	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		1	090
46710	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		1	090
46710	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		1	090
46710	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	090
46710	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27		3	090
46710	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76		1	090
46712	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		1	090
46712	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
46712	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
46712	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		1	090
46712	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		1	090
46712	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		1	090
46712	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	090
46712	CMS	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		3	090
46712	CMS	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		3	090
46712	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27		3	090
46712	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76		1	090
46715	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		1	090
46715	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
46715	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
46715	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5		1	090
46715	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	090
46715	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27		3	090
46716	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		1	090
46716	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
46716	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
46716	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5		1	090
46716	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	090
46716	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27		3	090
46730	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		1	090
46730	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
46730	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
46730	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5		1	090
46730	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	090
46730	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27		3	090
46735	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		1	090
46735	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
46735	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
46735	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5		1	090
46735	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	090
46735	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27		3	090
46740	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		1	090
46740	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
46740	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
46740	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5		1	090
46740	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	090
46740	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27		3	090
46742	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		1	090
46742	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
46742	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
46742	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5		1	090
46742	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	090
46742	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27		3	090
46744	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		1	090
46744	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
46744	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
46744	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5		1	090
46744	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	090
46744	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27		3	090
46746	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		1	090
46746	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
46746	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
46746	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5		1	090
46746	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	090
46746	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27		3	090
46748	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		1	090
46748	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
46748	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
46748	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5		1	090
46748	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	090
46748	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27		3	090
46750	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		1	090
46750	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
46750	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
46750	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5		1	090
46750	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	090
46750	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27		3	090
46751	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		1	090
46751	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
46751	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
46751	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5		1	090
46751	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	090
46751	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27		3	090
46753	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		1	090
46753	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
46753	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
46753	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5		1	090
46753	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	090
46753	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27		3	090
46754	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	010
46754	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
46754	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	010
46754	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
46754	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
46754	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
46754	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
46754	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	010
46754	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	010
46754	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5	1	0	010
46754	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
46754	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	010
46754	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	010
46754	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30	0	010
46754	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
46754	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	010
46754	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
46754	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	3	0	010
46754	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
46754	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	1	0	010
46754	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	010
46754	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	1	0	010
46754	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	6	0	010
46754	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	010
46760	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		1	090
46760	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
46760	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
46760	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5		1	090
46760	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	090
46760	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27		3	090
46761	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		1	090
46761	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
46761	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
46761	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5		1	090
46761	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	090
46761	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27		3	090
46900	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	010
46900	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	1	010
46900	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
46900	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
46900	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
46900	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
46900	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
46900	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
46900	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	010
46900	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5	1	0	010
46900	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
46900	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	6	0	010
46900	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	010
46900	CMS	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	8	0	010
46900	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	010
46900	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
46900	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	4	0	010
46900	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30	0	010
46900	CMS	"Pharmacy, Rx"	SH091	trichloroacetic acid 90% (sat soln)	ml	0.92	2	0	010
46900	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
46900	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	010
46900	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
46900	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	010
46910	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	010
46910	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
46910	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
46910	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
46910	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
46910	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
46910	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	4	0	010
46910	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
46910	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	010
46910	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5	1	0	010
46910	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
46910	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	6	0	010
46910	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	010
46910	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
46910	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
46910	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
46910	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
46910	CMS	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	8	0	010
46910	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	010
46910	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
46910	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30	0	010
46910	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
46910	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	010
46910	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
46910	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	3	0	010
46910	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
46916	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	010
46916	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
46916	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
46916	CMS	"Gown, Drape"	SB003	"cover, probe (cryosurgery)"	item	0.79	1	0	010
46916	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	010
46916	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
46916	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
46916	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
46916	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
46916	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	010
46916	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	010
46916	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5	1	0	010
46916	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
46916	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	010
46916	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	010
46916	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
46916	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
46916	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	8	0	010
46916	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	010
46916	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
46916	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30	0	010
46916	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
46916	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	010
46916	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
46916	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	3	0	010
46916	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
46916	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	010
46916	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	1	0	010
46916	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	010
46916	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	1	0	010
46916	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	6	0	010
46916	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	010
46917	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	010
46917	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
46917	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
46917	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	010
46917	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
46917	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
46917	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
46917	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
46917	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	010
46917	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	010
46917	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5	1	0	010
46917	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
46917	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	010
46917	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	010
46917	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
46917	CMS	"Cutters, Closures, Cautery"	SF029	"laser tip, bare (single use)"	item	189.55	1	0	010
46917	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
46917	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
46917	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	8	0	010
46917	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	010
46917	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
46917	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30	0	010
46917	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
46917	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	010
46917	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
46917	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	3	0	010
46917	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
46917	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	010
46917	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	1	0	010
46917	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	010
46917	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	1	0	010
46917	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	6	0	010
46917	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	010
46922	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	010
46922	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
46922	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
46922	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	010
46922	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
46922	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
46922	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
46922	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
46922	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	010
46922	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	010
46922	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5	1	0	010
46922	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
46922	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	010
46922	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	010
46922	CMS	"Cutters, Closures, Cautery"	SF015	"cautery, monopolar, blade, extended shaft"	item	5.37	1	0	010
46922	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
46922	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
46922	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
46922	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	3	0	010
46922	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	8	0	010
46922	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	010
46922	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
46922	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30	0	010
46922	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
46922	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	010
46922	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
46922	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	3	0	010
46922	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
46922	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	010
46922	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	1	0	010
46922	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	010
46922	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	1	0	010
46922	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	6	0	010
46922	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	010
46924	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	010
46924	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
46924	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
46924	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	010
46924	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
46924	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
46924	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
46924	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
46924	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	010
46924	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	010
46924	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5	1	0	010
46924	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
46924	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	010
46924	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	010
46924	CMS	"Cutters, Closures, Cautery"	SF015	"cautery, monopolar, blade, extended shaft"	item	5.37	1	0	010
46924	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
46924	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
46924	CMS	"Cutters, Closures, Cautery"	SF029	"laser tip, bare (single use)"	item	189.55	1	0	010
46924	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
46924	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
46924	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	8	0	010
46924	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	010
46924	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
46924	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30	0	010
46924	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
46924	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	010
46924	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
46924	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	3	0	010
46924	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
46924	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	010
46924	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	1	0	010
46924	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	010
46924	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	1	0	010
46924	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	6	0	010
46924	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	010
46930	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	2	1	090
46930	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	090
46930	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	090
46930	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	090
46930	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	090
46930	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	1	0	090
46930	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5	2	1	090
46930	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
46930	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	090
46930	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	090
46930	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	8	4	090
46940	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1.5	0.5	010
46940	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
46940	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	010
46940	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
46940	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
46940	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
46940	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
46940	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	010
46940	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	010
46940	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5	1	0	010
46940	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
46940	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	010
46940	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	010
46940	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
46940	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
46940	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30	0	010
46940	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
46940	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	010
46940	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
46940	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	3	0	010
46940	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
46940	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	1	0	010
46940	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	010
46940	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	1	0	010
46940	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	6	0	010
46940	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	010
46942	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1.5	0.5	010
46942	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
46942	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	010
46942	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
46942	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
46942	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
46942	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
46942	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	010
46942	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	010
46942	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5	1	0	010
46942	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
46942	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	010
46942	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	010
46942	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
46942	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
46942	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30	0	010
46942	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
46942	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	010
46942	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
46942	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	3	0	010
46942	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
46942	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	1	0	010
46942	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	010
46942	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	1	0	010
46942	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	6	0	010
46942	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	010
46945	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		1	090
46945	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
46945	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1	090
46945	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		1	090
46945	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13		1	090
46945	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		1	090
46945	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		1	090
46945	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		1	090
46945	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34		1	090
46945	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2		1	090
46945	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		5	090
46945	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27		3	090
46946	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		1	090
46946	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
46946	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1	090
46946	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		1	090
46946	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13		1	090
46946	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		1	090
46946	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		1	090
46946	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		1	090
46946	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34		1	090
46946	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2		1	090
46946	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		5	090
46946	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27		3	090
46947	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
46947	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.5		1	090
46947	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	090
46947	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27		3	090
46948	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		1	090
46948	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
46948	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1	090
46948	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		1	090
46948	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13		1	090
46948	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		1	090
46948	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		1	090
46948	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		1	090
46948	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34		1	090
46948	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2		1	090
46948	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		5	090
46948	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27		3	090
47000	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
47000	CMS	"Kit, Pack, Tray"	SA061	"tray, biopsy procedure"	tray	21.58	1	0	000
47000	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
47000	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1	0	000
47000	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
47000	CMS	"Hypodermic, IV"	SC033	"needle, biopsy, spring-loaded"	item	25.53	1	0	000
47000	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	000
47000	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	000
47000	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
47000	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	10	0	000
47000	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	30	0	000
47010	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
47010	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
47010	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		4	090
47010	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		8	090
47010	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090
47010	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
47010	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		4	090
47010	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		4	090
47010	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		4	090
47010	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		24	090
47010	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		0.5	090
47010	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		4	090
47015	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
47015	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
47015	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
47015	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		6	090
47015	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
47015	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
47015	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		3	090
47015	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		3	090
47015	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		3	090
47015	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		18	090
47015	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		0.5	090
47015	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		3	090
47100	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
47100	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
47100	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
47100	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		6	090
47100	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
47100	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
47100	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		3	090
47100	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		3	090
47100	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		3	090
47100	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		18	090
47100	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		0.5	090
47100	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		3	090
47120	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
47120	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
47120	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		4	090
47120	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		12	090
47120	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		8	090
47120	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090
47120	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		4	090
47120	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		80	090
47120	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		4	090
47120	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		24	090
47120	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	090
47120	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		4	090
47122	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
47122	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
47122	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		4	090
47122	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		12	090
47122	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		8	090
47122	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090
47122	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		4	090
47122	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		80	090
47122	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		4	090
47122	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		24	090
47122	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	090
47122	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		4	090
47125	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
47125	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
47125	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		4	090
47125	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		12	090
47125	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		8	090
47125	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090
47125	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		4	090
47125	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		80	090
47125	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		4	090
47125	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		24	090
47125	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	090
47125	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		4	090
47130	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
47130	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
47130	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		4	090
47130	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		12	090
47130	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		8	090
47130	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090
47130	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		4	090
47130	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		80	090
47130	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		4	090
47130	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		24	090
47130	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	090
47130	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		4	090
47135	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		8	090
47135	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
47140	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
47140	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
47141	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
47141	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
47142	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
47142	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
47300	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
47300	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
47300	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
47300	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		6	090
47300	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
47300	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
47300	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		3	090
47300	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		3	090
47300	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		3	090
47300	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		18	090
47300	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		0.5	090
47300	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		3	090
47350	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
47350	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
47350	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
47350	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		6	090
47350	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
47350	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
47350	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		3	090
47350	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		3	090
47350	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		3	090
47350	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		18	090
47350	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		0.5	090
47350	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		3	090
47360	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
47360	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
47360	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		4	090
47360	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		8	090
47360	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090
47360	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
47360	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		4	090
47360	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		4	090
47360	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		4	090
47360	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		24	090
47360	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		0.5	090
47360	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		4	090
47361	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
47361	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
47361	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		4	090
47361	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		8	090
47361	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090
47361	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
47361	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		4	090
47361	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		4	090
47361	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		4	090
47361	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		24	090
47361	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		0.5	090
47361	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		4	090
47362	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
47362	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
47362	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		4	090
47362	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		8	090
47362	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090
47362	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
47362	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		4	090
47362	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		4	090
47362	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		4	090
47362	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		24	090
47362	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		0.5	090
47362	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		4	090
47370	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
47370	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
47371	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
47371	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
47380	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
47380	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
47381	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
47381	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
47382	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
47382	CMS	"Kit, Pack, Tray"	SA061	"tray, biopsy procedure"	tray	21.58	1	0	010
47382	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	010
47382	CMS	"Kit, Pack, Tray"	SA096	"kit, introducer, radiofrequency, XIi-enhanced RF probe"	kit	278.8	1	0	010
47382	CMS	"Kit, Pack, Tray"	SA100	"kit, probe, radiofrequency, XIi-enhanced RF probe"	kit	1966.67	1	0	010
47382	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
47382	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	010
47382	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	1	0	010
47382	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
47382	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	010
47382	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
47382	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
47382	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	010
47382	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
47382	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
47382	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	010
47382	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
47382	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	010
47382	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	3	0	010
47382	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
47382	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	010
47382	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	010
47382	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	010
47382	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	010
47382	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	010
47382	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33	1	0	010
47382	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	010
47382	CMS	Lab	SL038	"cup-container, sterile, graduated 1000ml"	item	1.15	1	0	010
47383	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	010
47383	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
47383	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	010
47383	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	010
47383	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
47383	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	010
47383	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	0	010
47383	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	010
47383	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	010
47383	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
47383	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
47383	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	010
47383	CMS	"Accessory, Procedure"	SD079	"gas, helium"	cu ft	1.02	455	0	010
47383	CMS	"Accessory, Procedure"	SD227	"gas, argon"	cu ft	0.53	575	0	010
47383	CMS	"Accessory, Procedure"	SD233	"probe, cryoablation, renal"	item	1170.22	4	0	010
47383	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
47383	CMS	"Wound Care, Dressings"	SG057	"gauze, x-ray detectable, sterile 4in x 4in (10 pack uou)"	item	2.64	1	0	010
47383	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	010
47383	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
47383	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	010
47383	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	010
47383	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	010
47383	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33	1	0	010
47383	CMS	Lab	SL038	"cup-container, sterile, graduated 1000ml"	item	1.15	1	0	010
47400	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
47400	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
47400	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		4	090
47400	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		8	090
47400	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090
47400	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
47400	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		4	090
47400	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		4	090
47400	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		4	090
47400	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		24	090
47400	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		0.5	090
47400	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		4	090
47420	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
47420	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
47420	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
47420	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		6	090
47420	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
47420	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
47420	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		3	090
47420	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		3	090
47420	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		3	090
47420	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		18	090
47420	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		0.5	090
47420	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		3	090
47425	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
47425	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
47425	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
47425	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		6	090
47425	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
47425	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
47425	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		3	090
47425	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		3	090
47425	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		3	090
47425	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		18	090
47425	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		0.5	090
47425	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		3	090
47460	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
47460	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
47460	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
47460	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		6	090
47460	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
47460	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
47460	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		3	090
47460	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		3	090
47460	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		3	090
47460	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		18	090
47460	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		0.5	090
47460	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		3	090
47480	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
47480	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
47480	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		4	090
47480	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		8	090
47480	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090
47480	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
47480	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		4	090
47480	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		4	090
47480	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		4	090
47480	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		24	090
47480	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		0.5	090
47480	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		4	090
47490	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	010
47490	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	010
47490	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		4	010
47490	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		8	010
47490	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	010
47490	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	010
47490	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		4	010
47490	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		4	010
47490	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		4	010
47490	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		24	010
47490	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		0.5	010
47490	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		4	010
47531	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
47531	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	000
47531	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	000
47531	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
47531	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	000
47531	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
47531	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
47531	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
47531	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
47531	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	000
47531	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
47531	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
47531	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	0	000
47531	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
47531	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	2	0	000
47531	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
47531	CMS	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	1	0	000
47531	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
47531	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	000
47531	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
47531	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
47531	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
47531	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
47531	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
47531	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3	0	000
47532	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1	0	000
47532	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
47532	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
47532	CMS	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	000
47532	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	000
47532	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	000
47532	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	000
47532	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
47532	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	000
47532	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
47532	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
47532	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
47532	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
47532	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	000
47532	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
47532	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
47532	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	0	000
47532	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
47532	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	2	0	000
47532	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
47532	CMS	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	1	0	000
47532	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	000
47532	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
47532	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	000
47532	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
47532	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
47532	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
47532	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
47532	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
47532	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
47532	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3	0	000
47533	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1	0	000
47533	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
47533	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
47533	CMS	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	000
47533	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	000
47533	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	000
47533	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	000
47533	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
47533	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	000
47533	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
47533	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
47533	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
47533	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
47533	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	000
47533	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
47533	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
47533	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	0	000
47533	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
47533	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	2	0	000
47533	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
47533	CMS	"Accessory, Procedure"	SD043	"dilator, vessel, angiographic"	item	7.34	2	0	000
47533	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	000
47533	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	000
47533	CMS	"Accessory, Procedure"	SD146	catheter percutaneous fastener (Percu-Stay)	item	8.75	1	0	000
47533	CMS	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	50.65	1	0	000
47533	CMS	"Accessory, Procedure"	SD161	"drainage catheter, all purpose"	item	88.58	1	0	000
47533	CMS	"Accessory, Procedure"	SD163	"drainage pouch, nephrostomy-biliary"	item	10.09	1	0	000
47533	CMS	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	1	0	000
47533	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	000
47533	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
47533	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	000
47533	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
47533	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
47533	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
47533	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
47533	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
47533	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	000
47533	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
47533	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3	0	000
47534	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1	0	000
47534	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
47534	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
47534	CMS	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	000
47534	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	000
47534	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	000
47534	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	000
47534	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
47534	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	000
47534	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
47534	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
47534	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
47534	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
47534	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	000
47534	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
47534	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
47534	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	0	000
47534	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
47534	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	2	0	000
47534	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
47534	CMS	"Accessory, Procedure"	SD043	"dilator, vessel, angiographic"	item	7.34	2	0	000
47534	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	000
47534	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	000
47534	CMS	"Accessory, Procedure"	SD146	catheter percutaneous fastener (Percu-Stay)	item	8.75	1	0	000
47534	CMS	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	50.65	1	0	000
47534	CMS	"Accessory, Procedure"	SD163	"drainage pouch, nephrostomy-biliary"	item	10.09	1	0	000
47534	CMS	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	1	0	000
47534	CMS	"Accessory, Procedure"	SD312	Internal/external biliary catheter	Item	57.8	1	0	000
47534	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	000
47534	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
47534	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	000
47534	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
47534	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
47534	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
47534	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
47534	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
47534	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	000
47534	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
47534	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3	0	000
47535	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1	0	000
47535	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	0	000
47535	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
47535	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
47535	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	000
47535	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	000
47535	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
47535	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	000
47535	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
47535	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
47535	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
47535	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
47535	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	000
47535	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
47535	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
47535	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	0	000
47535	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
47535	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	2	0	000
47535	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
47535	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	000
47535	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	000
47535	CMS	"Accessory, Procedure"	SD146	catheter percutaneous fastener (Percu-Stay)	item	8.75	1	0	000
47535	CMS	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	50.65	1	0	000
47535	CMS	"Accessory, Procedure"	SD163	"drainage pouch, nephrostomy-biliary"	item	10.09	1	0	000
47535	CMS	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	1	0	000
47535	CMS	"Accessory, Procedure"	SD312	Internal/external biliary catheter	Item	57.8	1	0	000
47535	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
47535	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	000
47535	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
47535	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
47535	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
47535	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
47535	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
47535	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3	0	000
47536	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1	0	000
47536	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	0	000
47536	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
47536	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
47536	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	000
47536	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	000
47536	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
47536	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	000
47536	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
47536	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
47536	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
47536	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
47536	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	000
47536	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
47536	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
47536	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	0	000
47536	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
47536	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	2	0	000
47536	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
47536	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	000
47536	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	000
47536	CMS	"Accessory, Procedure"	SD146	catheter percutaneous fastener (Percu-Stay)	item	8.75	1	0	000
47536	CMS	"Accessory, Procedure"	SD163	"drainage pouch, nephrostomy-biliary"	item	10.09	1	0	000
47536	CMS	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	1	0	000
47536	CMS	"Accessory, Procedure"	SD312	Internal/external biliary catheter	Item	57.8	1	0	000
47536	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
47536	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	000
47536	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
47536	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
47536	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
47536	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
47536	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
47536	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3	0	000
47537	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	0	000
47537	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
47537	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	000
47537	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	000
47537	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
47537	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	000
47537	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
47537	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
47537	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
47537	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
47537	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	000
47537	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
47537	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
47537	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	0	000
47537	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
47537	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	2	0	000
47537	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
47537	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	000
47537	CMS	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	1	0	000
47537	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
47537	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	000
47537	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
47537	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
47537	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
47537	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
47537	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
47537	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3	0	000
47538	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1	0	000
47538	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	0	000
47538	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
47538	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
47538	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	000
47538	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	000
47538	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
47538	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	000
47538	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
47538	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
47538	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
47538	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
47538	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	000
47538	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
47538	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
47538	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	0	000
47538	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
47538	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	2	0	000
47538	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
47538	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	000
47538	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	000
47538	CMS	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	000
47538	CMS	"Accessory, Procedure"	SD146	catheter percutaneous fastener (Percu-Stay)	item	8.75	1	0	000
47538	CMS	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	50.65	1	0	000
47538	CMS	"Accessory, Procedure"	SD149	"catheter, balloon inflation device"	item	73.36	1	0	000
47538	CMS	"Accessory, Procedure"	SD150	"catheter, balloon ureteral (Dowd)"	item	149.16	2	0	000
47538	CMS	"Accessory, Procedure"	SD163	"drainage pouch, nephrostomy-biliary"	item	10.09	1	0	000
47538	CMS	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	1	0	000
47538	CMS	"Accessory, Procedure"	SD312	Internal/external biliary catheter	Item	57.8	1	0	000
47538	CMS	"Accessory, Procedure"	SD313	Viabil covered biliary stent	Item	2765.76	1	0	000
47538	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
47538	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	000
47538	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
47538	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
47538	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
47538	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
47538	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
47538	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3	0	000
47539	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1	0	000
47539	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
47539	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
47539	CMS	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	000
47539	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	000
47539	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	000
47539	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	000
47539	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
47539	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	000
47539	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
47539	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
47539	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
47539	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
47539	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	000
47539	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
47539	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
47539	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	0	000
47539	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
47539	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	2	0	000
47539	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
47539	CMS	"Accessory, Procedure"	SD043	"dilator, vessel, angiographic"	item	7.34	2	0	000
47539	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	000
47539	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	000
47539	CMS	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	000
47539	CMS	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	50.65	1	0	000
47539	CMS	"Accessory, Procedure"	SD149	"catheter, balloon inflation device"	item	73.36	1	0	000
47539	CMS	"Accessory, Procedure"	SD150	"catheter, balloon ureteral (Dowd)"	item	149.16	2	0	000
47539	CMS	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	1	0	000
47539	CMS	"Accessory, Procedure"	SD312	Internal/external biliary catheter	Item	57.8	1	0	000
47539	CMS	"Accessory, Procedure"	SD313	Viabil covered biliary stent	Item	2765.76	1	0	000
47539	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	000
47539	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
47539	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	000
47539	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	000
47539	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
47539	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
47539	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
47539	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
47539	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
47539	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
47539	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3	0	000
47540	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1	0	000
47540	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
47540	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
47540	CMS	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	000
47540	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	000
47540	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	000
47540	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	000
47540	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
47540	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	000
47540	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
47540	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
47540	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
47540	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
47540	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	000
47540	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
47540	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
47540	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	0	000
47540	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
47540	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	2	0	000
47540	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
47540	CMS	"Accessory, Procedure"	SD043	"dilator, vessel, angiographic"	item	7.34	2	0	000
47540	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	000
47540	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	000
47540	CMS	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	000
47540	CMS	"Accessory, Procedure"	SD146	catheter percutaneous fastener (Percu-Stay)	item	8.75	1	0	000
47540	CMS	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	50.65	1	0	000
47540	CMS	"Accessory, Procedure"	SD149	"catheter, balloon inflation device"	item	73.36	1	0	000
47540	CMS	"Accessory, Procedure"	SD150	"catheter, balloon ureteral (Dowd)"	item	149.16	2	0	000
47540	CMS	"Accessory, Procedure"	SD163	"drainage pouch, nephrostomy-biliary"	item	10.09	1	0	000
47540	CMS	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	1	0	000
47540	CMS	"Accessory, Procedure"	SD312	Internal/external biliary catheter	Item	57.8	1	0	000
47540	CMS	"Accessory, Procedure"	SD313	Viabil covered biliary stent	Item	2765.76	1	0	000
47540	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	000
47540	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
47540	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	000
47540	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
47540	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
47540	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
47540	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
47540	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
47540	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
47540	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3	0	000
47541	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1	0	000
47541	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
47541	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
47541	CMS	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	000
47541	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	000
47541	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	000
47541	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	000
47541	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
47541	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	000
47541	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
47541	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
47541	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
47541	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
47541	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	000
47541	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
47541	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
47541	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	0	000
47541	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
47541	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	2	0	000
47541	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
47541	CMS	"Accessory, Procedure"	SD043	"dilator, vessel, angiographic"	item	7.34	2	0	000
47541	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	000
47541	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	000
47541	CMS	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	50.65	1	0	000
47541	CMS	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	1	0	000
47541	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	000
47541	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
47541	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	000
47541	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
47541	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
47541	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
47541	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
47541	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
47541	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
47541	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3	0	000
47542	CMS	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	ZZZ
47542	CMS	"Accessory, Procedure"	SD149	"catheter, balloon inflation device"	item	73.36	1	0	ZZZ
47542	CMS	"Accessory, Procedure"	SD150	"catheter, balloon ureteral (Dowd)"	item	149.16	1	0	ZZZ
47542	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	ZZZ
47543	CMS	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	ZZZ
47543	CMS	"Accessory, Procedure"	SD314	Radial Jaw	Item	94.2	1	0	ZZZ
47544	CMS	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	ZZZ
47544	CMS	"Accessory, Procedure"	SD149	"catheter, balloon inflation device"	item	73.36	1	0	ZZZ
47544	CMS	"Accessory, Procedure"	SD150	"catheter, balloon ureteral (Dowd)"	item	149.16	1	0	ZZZ
47544	CMS	"Accessory, Procedure"	SD315	Stone basket	Item	278.02	1	0	ZZZ
47562	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
47562	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
47563	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2.5	090
47563	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
47564	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
47564	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
47570	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
47570	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
47600	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
47600	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
47600	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
47600	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
47600	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		1	090
47605	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
47605	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
47605	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
47605	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
47605	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		1	090
47610	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
47610	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
47610	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
47610	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
47610	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090
47610	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
47610	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
47610	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		3	090
47610	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		3	090
47610	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		18	090
47610	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		0.5	090
47610	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		3	090
47612	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
47612	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
47612	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
47612	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
47612	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090
47612	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
47612	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		3	090
47612	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		3	090
47612	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		18	090
47612	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		3	090
47620	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
47620	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
47620	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
47620	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
47620	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090
47620	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
47620	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		3	090
47620	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		3	090
47620	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		18	090
47620	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		3	090
47700	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
47700	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
47700	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
47700	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		6	090
47700	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
47700	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
47700	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		3	090
47700	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		3	090
47700	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		3	090
47700	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		18	090
47700	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		0.5	090
47700	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		3	090
47701	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
47701	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
47701	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		4	090
47701	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		8	090
47701	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090
47701	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
47701	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		4	090
47701	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		4	090
47701	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		4	090
47701	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		24	090
47701	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		0.5	090
47701	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		4	090
47711	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
47711	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
47711	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
47711	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		6	090
47711	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
47711	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
47711	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		3	090
47711	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		3	090
47711	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		3	090
47711	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		18	090
47711	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		0.5	090
47711	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		3	090
47712	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
47712	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
47712	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
47712	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		6	090
47712	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
47712	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
47712	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		3	090
47712	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		3	090
47712	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		3	090
47712	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		18	090
47712	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		0.5	090
47712	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		3	090
47715	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
47715	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
47715	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
47715	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		6	090
47715	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
47715	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
47715	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		3	090
47715	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		3	090
47715	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		3	090
47715	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		18	090
47715	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		0.5	090
47715	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		3	090
47720	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
47720	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
47720	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
47720	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		6	090
47720	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
47720	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
47720	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		3	090
47720	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		3	090
47720	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		3	090
47720	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		18	090
47720	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		0.5	090
47720	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		3	090
47721	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
47721	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
47721	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
47721	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		6	090
47721	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
47721	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
47721	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		3	090
47721	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		3	090
47721	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		3	090
47721	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		18	090
47721	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		0.5	090
47721	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		3	090
47740	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
47740	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
47740	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
47740	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		6	090
47740	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
47740	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
47740	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		3	090
47740	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		3	090
47740	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		3	090
47740	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		18	090
47740	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		0.5	090
47740	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		3	090
47741	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
47741	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
47741	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
47741	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		6	090
47741	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
47741	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
47741	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		3	090
47741	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		3	090
47741	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		3	090
47741	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		18	090
47741	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		0.5	090
47741	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		3	090
47760	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
47760	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
47760	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
47760	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		6	090
47760	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
47760	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
47760	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		3	090
47760	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		3	090
47760	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		3	090
47760	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		18	090
47760	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		0.5	090
47760	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		3	090
47765	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
47765	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
47765	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		4	090
47765	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		8	090
47765	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090
47765	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
47765	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		4	090
47765	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		4	090
47765	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		4	090
47765	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		24	090
47765	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		0.5	090
47765	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		4	090
47780	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
47780	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
47780	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
47780	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		6	090
47780	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
47780	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
47780	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		3	090
47780	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		3	090
47780	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		3	090
47780	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		18	090
47780	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		0.5	090
47780	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		3	090
47785	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
47785	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
47785	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		4	090
47785	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		8	090
47785	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090
47785	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
47785	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		4	090
47785	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		4	090
47785	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		4	090
47785	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		24	090
47785	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		0.5	090
47785	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		4	090
47800	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
47800	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
47800	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
47800	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		6	090
47800	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
47800	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
47800	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		3	090
47800	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		3	090
47800	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		3	090
47800	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		18	090
47800	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		0.5	090
47800	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		3	090
47801	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
47801	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
47801	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
47801	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		6	090
47801	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
47801	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
47801	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		3	090
47801	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		3	090
47801	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		3	090
47801	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		18	090
47801	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		0.5	090
47801	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		3	090
47900	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
47900	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
47900	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
47900	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		6	090
47900	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
47900	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
47900	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		3	090
47900	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		3	090
47900	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		3	090
47900	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		18	090
47900	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		0.5	090
47900	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		3	090
48000	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
48000	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
48000	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
48000	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		2	090
48000	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
48000	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
48000	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
48000	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		20	090
48000	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		1	090
48000	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		6	090
48000	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
48001	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
48001	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
48001	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
48001	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		2	090
48001	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
48001	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
48001	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
48001	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		20	090
48001	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		1	090
48001	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		6	090
48001	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
48020	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
48020	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
48020	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
48020	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		2	090
48020	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
48020	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
48020	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
48020	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		20	090
48020	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		1	090
48020	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		6	090
48020	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
48100	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
48100	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
48100	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
48100	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		2	090
48100	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
48100	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
48100	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
48100	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		20	090
48100	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		1	090
48100	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		6	090
48100	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
48102	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	010
48102	CMS	"Kit, Pack, Tray"	SA061	"tray, biopsy procedure"	tray	21.58	1	0	010
48102	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	010
48102	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
48102	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	010
48102	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1	0	010
48102	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1	0	010
48102	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
48102	CMS	"Hypodermic, IV"	SC033	"needle, biopsy, spring-loaded"	item	25.53	1	0	010
48102	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	010
48102	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	010
48102	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	010
48102	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	1	0	010
48102	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	30	0	010
48105	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
48105	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
48105	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
48105	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		2	090
48105	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
48105	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
48105	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
48105	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		20	090
48105	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		1	090
48105	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		6	090
48105	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
48120	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
48120	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
48120	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
48120	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		2	090
48120	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
48120	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
48120	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
48120	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		20	090
48120	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		1	090
48120	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		6	090
48120	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
48140	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
48140	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
48140	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
48140	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		2	090
48140	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
48140	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
48140	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
48140	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		20	090
48140	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		1	090
48140	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		6	090
48140	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
48145	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
48145	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
48145	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
48145	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		2	090
48145	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
48145	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
48145	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
48145	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		20	090
48145	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		1	090
48145	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		6	090
48145	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
48146	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
48146	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
48146	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		4	090
48146	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		12	090
48146	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		8	090
48146	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090
48146	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		4	090
48146	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		80	090
48146	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		4	090
48146	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		24	090
48146	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	090
48146	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		4	090
48148	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
48148	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
48148	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
48148	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		2	090
48148	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
48148	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
48148	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
48148	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		20	090
48148	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		1	090
48148	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		6	090
48148	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
48150	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
48150	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
48150	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		5	090
48150	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		15	090
48150	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		10	090
48150	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090
48150	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		5	090
48150	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		100	090
48150	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		5	090
48150	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		30	090
48150	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		5	090
48150	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
48152	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
48152	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
48152	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		5	090
48152	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		15	090
48152	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		10	090
48152	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090
48152	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		5	090
48152	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		100	090
48152	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		5	090
48152	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		30	090
48152	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		5	090
48152	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
48153	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
48153	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
48153	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		5	090
48153	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		15	090
48153	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		10	090
48153	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090
48153	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		5	090
48153	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		100	090
48153	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		5	090
48153	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		30	090
48153	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		5	090
48153	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
48154	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
48154	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
48154	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		5	090
48154	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		15	090
48154	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		10	090
48154	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090
48154	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		5	090
48154	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		100	090
48154	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		5	090
48154	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		30	090
48154	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		5	090
48154	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
48155	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
48155	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
48155	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		5	090
48155	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		15	090
48155	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		10	090
48155	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090
48155	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		5	090
48155	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		100	090
48155	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		5	090
48155	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		30	090
48155	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		5	090
48155	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
48500	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
48500	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
48500	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
48500	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		2	090
48500	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
48500	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
48500	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
48500	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		20	090
48500	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		1	090
48500	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		6	090
48500	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
48500	CMS	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		2	090
48510	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
48510	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
48510	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
48510	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		2	090
48510	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
48510	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
48510	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
48510	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		20	090
48510	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		1	090
48510	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		6	090
48510	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
48510	CMS	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		2	090
48520	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
48520	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
48520	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
48520	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		2	090
48520	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
48520	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
48520	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
48520	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		20	090
48520	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		1	090
48520	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		6	090
48520	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
48540	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
48540	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
48540	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
48540	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		2	090
48540	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
48540	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
48540	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
48540	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		20	090
48540	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		1	090
48540	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		6	090
48540	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
48545	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
48545	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
48545	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
48545	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		2	090
48545	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
48545	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
48545	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		20	090
48545	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
48547	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
48547	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
48547	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
48547	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		2	090
48547	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
48547	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
48547	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		20	090
48547	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
48548	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
48548	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
48548	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
48548	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47		2	090
48548	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
48548	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
48548	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
48548	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		20	090
48548	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		1	090
48548	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		6	090
48548	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
48554	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		10	090
48554	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
48556	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
48556	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
49000	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
49000	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
49002	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
49002	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
49010	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
49010	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
49020	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
49020	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
49040	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
49040	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
49060	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
49060	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
49062	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
49062	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
49082	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
49082	CMS	"Kit, Pack, Tray"	SA070	"tray, thoracentesis"	tray	36.93	1	0	000
49082	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
49082	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
49082	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
49082	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
49082	CMS	"Accessory, Procedure"	SD010	"canister, vacuum"	item	9.1	5	0	000
49083	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
49083	CMS	"Kit, Pack, Tray"	SA070	"tray, thoracentesis"	tray	36.93	1	0	000
49083	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	000
49083	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
49083	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
49083	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
49083	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
49083	CMS	"Accessory, Procedure"	SD010	"canister, vacuum"	item	9.1	5	0	000
49083	CMS	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.57	30	0	000
49083	CMS	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	10	0	000
49083	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2	0	000
49180	CMS	"Kit, Pack, Tray"	SA061	"tray, biopsy procedure"	tray	21.58	1	0	000
49180	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
49180	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
49180	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
49180	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1	0	000
49180	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1	0	000
49180	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
49180	CMS	"Hypodermic, IV"	SC033	"needle, biopsy, spring-loaded"	item	25.53	1	0	000
49180	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	000
49180	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	000
49180	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
49180	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
49180	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1	0	000
49180	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	30	0	000
49185	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
49185	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	000
49185	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
49185	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
49185	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	000
49185	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
49185	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
49185	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
49185	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
49185	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	000
49185	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
49185	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
49185	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	0	000
49185	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
49185	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	2	0	000
49185	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	2	0	000
49185	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
49185	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	000
49185	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
49185	CMS	"Pharmacy, Rx"	SH062	sclerosing solution inj	ml	2.98	300	0	000
49185	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
49186	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
49186	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
49186	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		1	090
49186	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07		3	090
49187	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
49187	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
49187	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		1	090
49187	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07		3	090
49188	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
49188	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
49188	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
49188	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		2	090
49188	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
49188	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		12	090
49188	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07		4	090
49189	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
49189	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
49189	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
49189	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		2	090
49189	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
49189	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		12	090
49189	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07		4	090
49190	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
49190	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
49190	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
49190	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		2	090
49190	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
49190	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		12	090
49190	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07		4	090
49215	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
49215	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
49215	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
49250	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
49250	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
49255	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
49255	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
49320	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	010
49320	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	010
49321	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	010
49321	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	010
49322	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	010
49322	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	010
49323	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
49323	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
49324	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	010
49324	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	010
49325	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	010
49325	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	010
49400	CMS	"Kit, Pack, Tray"	SA060	"tray, arthrogram"	tray	29.39	1	0	000
49400	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
49400	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
49400	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	000
49400	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	30	0	000
49402	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
49402	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
49405	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
49405	CMS	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	000
49405	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
49405	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
49405	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	000
49405	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	000
49405	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
49405	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
49405	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
49405	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
49405	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
49405	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	2	0	000
49405	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
49405	CMS	"Accessory, Procedure"	SD043	"dilator, vessel, angiographic"	item	7.34	1	0	000
49405	CMS	"Accessory, Procedure"	SD088	guidewire	item	15.85	1	0	000
49405	CMS	"Accessory, Procedure"	SD146	catheter percutaneous fastener (Percu-Stay)	item	8.75	1	0	000
49405	CMS	"Accessory, Procedure"	SD161	"drainage catheter, all purpose"	item	88.58	1	0	000
49405	CMS	"Accessory, Procedure"	SD163	"drainage pouch, nephrostomy-biliary"	item	10.09	1	0	000
49405	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	000
49405	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
49405	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	000
49405	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
49405	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	1	0	000
49405	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
49405	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
49405	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	000
49405	CMS	Lab	SL156	"cup, sterile, 12-16 oz"	item	0.75	1	0	000
49405	CMS	Lab	SL157	"cup, sterile, 8 oz"	item	0.58	1	0	000
49405	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
49406	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
49406	CMS	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	000
49406	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
49406	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
49406	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	000
49406	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	000
49406	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
49406	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
49406	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
49406	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
49406	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
49406	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	2	0	000
49406	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
49406	CMS	"Accessory, Procedure"	SD043	"dilator, vessel, angiographic"	item	7.34	1	0	000
49406	CMS	"Accessory, Procedure"	SD088	guidewire	item	15.85	1	0	000
49406	CMS	"Accessory, Procedure"	SD146	catheter percutaneous fastener (Percu-Stay)	item	8.75	1	0	000
49406	CMS	"Accessory, Procedure"	SD161	"drainage catheter, all purpose"	item	88.58	1	0	000
49406	CMS	"Accessory, Procedure"	SD163	"drainage pouch, nephrostomy-biliary"	item	10.09	1	0	000
49406	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	000
49406	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
49406	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	000
49406	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
49406	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	1	0	000
49406	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
49406	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
49406	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	000
49406	CMS	Lab	SL156	"cup, sterile, 12-16 oz"	item	0.75	1	0	000
49406	CMS	Lab	SL157	"cup, sterile, 8 oz"	item	0.58	1	0	000
49406	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
49407	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
49407	CMS	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	000
49407	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
49407	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
49407	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	000
49407	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	000
49407	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
49407	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
49407	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
49407	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
49407	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
49407	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	2	0	000
49407	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
49407	CMS	"Accessory, Procedure"	SD043	"dilator, vessel, angiographic"	item	7.34	1	0	000
49407	CMS	"Accessory, Procedure"	SD088	guidewire	item	15.85	1	0	000
49407	CMS	"Accessory, Procedure"	SD146	catheter percutaneous fastener (Percu-Stay)	item	8.75	1	0	000
49407	CMS	"Accessory, Procedure"	SD161	"drainage catheter, all purpose"	item	88.58	1	0	000
49407	CMS	"Accessory, Procedure"	SD163	"drainage pouch, nephrostomy-biliary"	item	10.09	1	0	000
49407	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	000
49407	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
49407	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	000
49407	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
49407	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	1	0	000
49407	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
49407	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
49407	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	000
49407	CMS	Lab	SL156	"cup, sterile, 12-16 oz"	item	0.75	1	0	000
49407	CMS	Lab	SL157	"cup, sterile, 8 oz"	item	0.58	1	0	000
49407	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
49411	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
49411	CMS	"Kit, Pack, Tray"	SA061	"tray, biopsy procedure"	tray	21.58	1	0	000
49411	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
49411	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
49411	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	000
49411	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	000
49411	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
49411	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
49411	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
49411	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
49411	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
49411	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
49411	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	3	0	000
49411	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	000
49411	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
49411	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	30	0	000
49411	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
49411	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	30	0	000
49411	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	000
49411	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33	1	0	000
49411	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	000
49411	CMS	Lab	SL038	"cup-container, sterile, graduated 1000ml"	item	1.15	1	0	000
49411	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
49418	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
49418	CMS	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	000
49418	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	000
49418	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
49418	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
49418	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
49418	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2	0	000
49418	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
49418	CMS	"Hypodermic, IV"	SC097	Peritoneal Dialysis Catheter	item	219	1	0	000
49418	CMS	"Accessory, Procedure"	SD043	"dilator, vessel, angiographic"	item	7.34	1	0	000
49418	CMS	"Accessory, Procedure"	SD146	catheter percutaneous fastener (Percu-Stay)	item	8.75	1	0	000
49418	CMS	"Accessory, Procedure"	SD206	"sheath, peel away"	item	42.72	1	0	000
49418	CMS	"Accessory, Procedure"	SD257	Tunneler	item		1	0	000
49418	CMS	"Accessory, Procedure"	SD259	Peritoneal Dialysis Sterile Solution (1500 ml)	item	7.97	1	0	000
49418	CMS	"Accessory, Procedure"	SD260	Y-set connection tubing	item	153.77	1	0	000
49418	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
49418	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	000
49418	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	32	0	000
49418	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	000
49418	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
49418	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
49418	CMS	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	10	0	000
49419	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
49419	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
49419	CMS	"Hypodermic, IV"	SC039	"needle, Huber point"	item	3.97		1	090
49419	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		2	090
49419	CMS	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75		1	090
49419	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68		2	090
49423	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	0	000
49423	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
49423	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
49423	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
49423	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
49423	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
49423	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
49423	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
49423	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
49423	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
49423	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
49423	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	0	000
49423	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	2	0	000
49423	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
49423	CMS	"Accessory, Procedure"	SD088	guidewire	item	15.85	1	0	000
49423	CMS	"Accessory, Procedure"	SD146	catheter percutaneous fastener (Percu-Stay)	item	8.75	1	0	000
49423	CMS	"Accessory, Procedure"	SD161	"drainage catheter, all purpose"	item	88.58	1	0	000
49423	CMS	"Accessory, Procedure"	SD163	"drainage pouch, nephrostomy-biliary"	item	10.09	1	0	000
49423	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
49423	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	000
49423	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
49423	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
49423	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
49423	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
49423	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
49424	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
49424	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
49424	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
49424	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
49424	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
49424	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
49424	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
49424	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
49424	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
49424	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	0	000
49424	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	2	0	000
49424	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
49424	CMS	"Accessory, Procedure"	SD146	catheter percutaneous fastener (Percu-Stay)	item	8.75	1	0	000
49424	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
49424	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	000
49424	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
49424	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
49424	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
49424	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
49424	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
49425	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
49425	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
49426	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
49426	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
49428	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	010
49428	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	010
49429	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	010
49429	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	010
49436	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
49436	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	010
49436	CMS	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	2	1	010
49436	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
49436	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
49436	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	010
49436	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2	0	010
49436	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	3	1	010
49436	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	2	1	010
49436	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	010
49436	CMS	"Gown, Drape"	SB029	"cap-headcover, patient"	item	0.05	3	0	010
49436	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	3	0	010
49436	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	14	7	010
49436	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	2	1	010
49436	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	010
49436	CMS	"Hypodermic, IV"	SC018	iv infusion set	item	1.27	1	0	010
49436	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
49436	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	010
49436	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	010
49436	CMS	"Accessory, Procedure"	SD353	peritoneal dialysis catheter locking titanium adapter	item	169.74	1	0	010
49436	CMS	"Accessory, Procedure"	SD354	peritoneal dialysis catheter transfer set	item	47.17	1	0	010
49436	CMS	"Accessory, Procedure"	SD355	peritoneal dialysis catheter mini-cap for transfer set	item	0.347	1	0	010
49436	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	010
49436	CMS	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	2	1	010
49436	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
49436	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	2	1	010
49436	CMS	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	24	12	010
49436	CMS	"Wound Care, Dressings"	SG099	"dressing, 1in, 7mm hole, w-CHG (eg, Biopatch)"	item	9.37	1	0	010
49436	CMS	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1	0	010
49436	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	5	0	010
49436	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	010
49436	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	010
49436	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	010
49436	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
49436	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33	2	1	010
49436	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	010
49440	CMS	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1	0	010
49440	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	010
49440	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	010
49440	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	3	0	010
49440	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	010
49440	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
49440	CMS	"Hypodermic, IV"	SC090	"tube, gastrostomy"	item	91.73	1	0	010
49440	CMS	"Accessory, Procedure"	SD043	"dilator, vessel, angiographic"	item	7.34	2	0	010
49440	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	010
49440	CMS	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	231.59	1	0	010
49440	CMS	"Accessory, Procedure"	SD206	"sheath, peel away"	item	42.72	1	0	010
49440	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	010
49440	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	010
49440	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	010
49441	CMS	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1	0	010
49441	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	010
49441	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	010
49441	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	3	0	010
49441	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	010
49441	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
49441	CMS	"Accessory, Procedure"	SD043	"dilator, vessel, angiographic"	item	7.34	2	0	010
49441	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	010
49441	CMS	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	231.59	1	0	010
49441	CMS	"Accessory, Procedure"	SD206	"sheath, peel away"	item	42.72	1	0	010
49441	CMS	"Accessory, Procedure"	SD243	"tube, jejunostomy"	item	90.15	1	0	010
49441	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	010
49441	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	010
49441	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	010
49442	CMS	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1	0	010
49442	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	010
49442	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	010
49442	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	3	0	010
49442	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	010
49442	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
49442	CMS	"Hypodermic, IV"	SC090	"tube, gastrostomy"	item	91.73	1	0	010
49442	CMS	"Accessory, Procedure"	SD043	"dilator, vessel, angiographic"	item	7.34	2	0	010
49442	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	010
49442	CMS	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	231.59	1	0	010
49442	CMS	"Accessory, Procedure"	SD206	"sheath, peel away"	item	42.72	1	0	010
49442	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	010
49442	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	010
49442	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	010
49446	CMS	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1	0	000
49446	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
49446	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	000
49446	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	3	0	000
49446	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	000
49446	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
49446	CMS	"Accessory, Procedure"	SD043	"dilator, vessel, angiographic"	item	7.34	2	0	000
49446	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	000
49446	CMS	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	231.59	1	0	000
49446	CMS	"Accessory, Procedure"	SD206	"sheath, peel away"	item	42.72	1	0	000
49446	CMS	"Accessory, Procedure"	SD243	"tube, jejunostomy"	item	90.15	1	0	000
49446	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	000
49446	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
49446	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
49450	CMS	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1	0	000
49450	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
49450	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	000
49450	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
49450	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	000
49450	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
49450	CMS	"Hypodermic, IV"	SC090	"tube, gastrostomy"	item	91.73	1	0	000
49450	CMS	"Accessory, Procedure"	SD043	"dilator, vessel, angiographic"	item	7.34	2	0	000
49450	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	000
49450	CMS	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	231.59	1	0	000
49450	CMS	"Accessory, Procedure"	SD206	"sheath, peel away"	item	42.72	1	0	000
49450	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	000
49450	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
49450	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
49451	CMS	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1	0	000
49451	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
49451	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	000
49451	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
49451	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	000
49451	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
49451	CMS	"Accessory, Procedure"	SD043	"dilator, vessel, angiographic"	item	7.34	2	0	000
49451	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	000
49451	CMS	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	231.59	1	0	000
49451	CMS	"Accessory, Procedure"	SD206	"sheath, peel away"	item	42.72	1	0	000
49451	CMS	"Accessory, Procedure"	SD243	"tube, jejunostomy"	item	90.15	1	0	000
49451	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	000
49451	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
49451	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
49452	CMS	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1	0	000
49452	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
49452	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	000
49452	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
49452	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	000
49452	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
49452	CMS	"Hypodermic, IV"	SC090	"tube, gastrostomy"	item	91.73	1	0	000
49452	CMS	"Accessory, Procedure"	SD043	"dilator, vessel, angiographic"	item	7.34	2	0	000
49452	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	000
49452	CMS	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	231.59	1	0	000
49452	CMS	"Accessory, Procedure"	SD206	"sheath, peel away"	item	42.72	1	0	000
49452	CMS	"Accessory, Procedure"	SD243	"tube, jejunostomy"	item	90.15	1	0	000
49452	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	000
49452	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
49452	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
49460	CMS	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1	0	000
49460	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
49460	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	000
49460	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
49460	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	4	0	000
49460	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
49460	CMS	"Accessory, Procedure"	SD043	"dilator, vessel, angiographic"	item	7.34	2	0	000
49460	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	000
49460	CMS	"Accessory, Procedure"	SD174	"guidewire, steerable (Hi-Torque)"	item	40.47	1	0	000
49460	CMS	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	231.59	1	0	000
49460	CMS	"Accessory, Procedure"	SD176	"guidewire, torque"	item	59.22	1	0	000
49460	CMS	"Accessory, Procedure"	SD206	"sheath, peel away"	item	42.72	1	0	000
49460	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	000
49460	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	4	0	000
49460	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
49465	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
49465	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	000
49465	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
49465	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
49465	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
49465	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	1	0	000
49465	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
49491	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
49491	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
49492	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
49492	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
49495	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
49495	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
49496	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
49496	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
49500	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
49500	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
49501	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
49501	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
49505	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
49505	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
49507	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
49507	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
49520	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
49520	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
49521	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
49521	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
49525	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
49525	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
49540	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
49540	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
49550	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
49550	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
49553	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
49553	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
49555	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
49555	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
49557	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
49557	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
49600	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
49600	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
49605	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
49605	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
49606	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
49610	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
49611	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
49611	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
49650	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
49650	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
49651	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
49651	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
49900	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
49900	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
49904	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
49904	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
49904	CMS	"Wound Care, Dressings"	SG013	"bandage, elastic wrap 6in (Ace)"	item	0.8		5	090
49904	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		5	090
49904	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		10	090
49904	CMS	"Wound Care, Dressings"	SG040	"dressing, 5in x 9in (Adaptic)"	item	1.04		5	090
50010	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
50010	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
50020	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
50020	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
50040	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
50040	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
50045	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
50045	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
50060	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
50060	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
50065	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
50065	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
50070	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
50070	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
50075	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3.5	090
50075	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
50080	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	090
50080	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
50080	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
50080	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		3	090
50080	CMS	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03		12	090
50081	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	090
50081	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
50081	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
50081	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		3	090
50081	CMS	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03		12	090
50100	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
50100	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
50120	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
50120	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
50125	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
50125	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
50130	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
50130	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
50200	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
50200	CMS	"Kit, Pack, Tray"	SA061	"tray, biopsy procedure"	tray	21.58	1	0	000
50200	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
50200	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
50200	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
50200	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
50200	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1	0	000
50200	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1	0	000
50200	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
50200	CMS	"Hypodermic, IV"	SC033	"needle, biopsy, spring-loaded"	item	25.53	1	0	000
50200	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	000
50200	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	000
50200	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
50200	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	1	0	000
50200	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	30	0	000
50200	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	000
50200	CMS	Lab	SL040	"cytology, preservative and vial (Preserv-cyt)"	item	1.18	3	0	000
50205	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
50205	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
50220	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
50220	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
50225	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
50225	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
50230	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2.5	090
50230	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
50234	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
50234	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
50236	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
50236	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		2	090
50240	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
50240	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
50250	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
50250	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
50280	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
50280	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
50290	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
50290	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
50320	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
50320	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
50340	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3.5	090
50340	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
50360	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
50360	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
50365	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		9	090
50365	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
50370	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
50370	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
50380	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		9	090
50380	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
50382	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	0	000
50382	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
50382	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
50382	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
50382	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
50382	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
50382	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
50382	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
50382	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
50382	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
50382	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
50382	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	0	000
50382	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	2	0	000
50382	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
50382	CMS	"Accessory, Procedure"	SD088	guidewire	item	15.85	1	0	000
50382	CMS	"Accessory, Procedure"	SD146	catheter percutaneous fastener (Percu-Stay)	item	8.75	1	0	000
50382	CMS	"Accessory, Procedure"	SD161	"drainage catheter, all purpose"	item	88.58	1	0	000
50382	CMS	"Accessory, Procedure"	SD163	"drainage pouch, nephrostomy-biliary"	item	10.09	1	0	000
50382	CMS	"Accessory, Procedure"	SD218	"stent, ureteral, without guidewire"	item	109.14	1	0	000
50382	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
50382	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	000
50382	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
50382	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
50382	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
50382	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
50382	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
50382	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
50384	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	0	000
50384	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
50384	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
50384	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
50384	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
50384	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
50384	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
50384	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
50384	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
50384	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
50384	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
50384	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	0	000
50384	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	2	0	000
50384	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
50384	CMS	"Accessory, Procedure"	SD088	guidewire	item	15.85	1	0	000
50384	CMS	"Accessory, Procedure"	SD146	catheter percutaneous fastener (Percu-Stay)	item	8.75	1	0	000
50384	CMS	"Accessory, Procedure"	SD161	"drainage catheter, all purpose"	item	88.58	1	0	000
50384	CMS	"Accessory, Procedure"	SD163	"drainage pouch, nephrostomy-biliary"	item	10.09	1	0	000
50384	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
50384	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	000
50384	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
50384	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
50384	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
50384	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
50384	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
50384	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
50385	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
50385	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
50385	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
50385	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
50385	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
50385	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
50385	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
50385	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
50385	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
50385	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
50385	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
50385	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	0	000
50385	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	2	0	000
50385	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
50385	CMS	"Accessory, Procedure"	SD024	"catheter, Foley"	item	10.85	1	0	000
50385	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	000
50385	CMS	"Accessory, Procedure"	SD146	catheter percutaneous fastener (Percu-Stay)	item	8.75	1	0	000
50385	CMS	"Accessory, Procedure"	SD161	"drainage catheter, all purpose"	item	88.58	1	0	000
50385	CMS	"Accessory, Procedure"	SD218	"stent, ureteral, without guidewire"	item	109.14	1	0	000
50385	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	000
50385	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
50385	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	4	0	000
50385	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
50385	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
50386	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
50386	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
50386	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
50386	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
50386	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
50386	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
50386	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
50386	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
50386	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
50386	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
50386	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
50386	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	0	000
50386	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	2	0	000
50386	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
50386	CMS	"Accessory, Procedure"	SD024	"catheter, Foley"	item	10.85	1	0	000
50386	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	000
50386	CMS	"Accessory, Procedure"	SD146	catheter percutaneous fastener (Percu-Stay)	item	8.75	1	0	000
50386	CMS	"Accessory, Procedure"	SD161	"drainage catheter, all purpose"	item	88.58	1	0	000
50386	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	000
50386	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
50386	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	4	0	000
50386	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
50386	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
50387	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	0	000
50387	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
50387	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
50387	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
50387	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
50387	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
50387	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
50387	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
50387	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
50387	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
50387	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
50387	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	0	000
50387	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	2	0	000
50387	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
50387	CMS	"Accessory, Procedure"	SD088	guidewire	item	15.85	1	0	000
50387	CMS	"Accessory, Procedure"	SD146	catheter percutaneous fastener (Percu-Stay)	item	8.75	1	0	000
50387	CMS	"Accessory, Procedure"	SD161	"drainage catheter, all purpose"	item	88.58	1	0	000
50387	CMS	"Accessory, Procedure"	SD163	"drainage pouch, nephrostomy-biliary"	item	10.09	1	0	000
50387	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
50387	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	000
50387	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
50387	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
50387	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
50387	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
50387	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
50387	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
50389	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	0	000
50389	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
50389	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
50389	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
50389	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
50389	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
50389	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
50389	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
50389	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
50389	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
50389	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
50389	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	0	000
50389	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	2	0	000
50389	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
50389	CMS	"Accessory, Procedure"	SD088	guidewire	item	15.85	1	0	000
50389	CMS	"Accessory, Procedure"	SD146	catheter percutaneous fastener (Percu-Stay)	item	8.75	1	0	000
50389	CMS	"Accessory, Procedure"	SD161	"drainage catheter, all purpose"	item	88.58	1	0	000
50389	CMS	"Accessory, Procedure"	SD163	"drainage pouch, nephrostomy-biliary"	item	10.09	1	0	000
50389	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
50389	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	000
50389	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
50389	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
50389	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
50389	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
50389	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
50389	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
50391	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
50391	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
50391	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
50391	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	1	0	000
50391	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
50391	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	1	0	000
50391	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	3	0	000
50391	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
50391	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
50391	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	000
50391	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
50400	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
50400	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
50405	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3.5	090
50405	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
50430	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1	0	000
50430	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
50430	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
50430	CMS	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	000
50430	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	000
50430	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	000
50430	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	000
50430	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
50430	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
50430	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
50430	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
50430	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
50430	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	000
50430	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
50430	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
50430	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	0	000
50430	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
50430	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	2	0	000
50430	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
50430	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
50430	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	000
50430	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
50430	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
50430	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
50430	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
50430	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
50430	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	000
50430	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
50431	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1	0	000
50431	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
50431	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
50431	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
50431	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
50431	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
50431	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
50431	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
50431	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
50431	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
50431	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
50431	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
50431	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
50431	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	0	000
50431	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
50431	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	2	0	000
50431	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
50431	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
50432	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1	0	000
50432	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
50432	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
50432	CMS	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	000
50432	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	000
50432	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	000
50432	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	000
50432	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
50432	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
50432	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
50432	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
50432	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
50432	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	000
50432	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
50432	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
50432	CMS	"Hypodermic, IV"	SC035	"needle, Chiba"	item	10.1	1	0	000
50432	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	0	000
50432	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
50432	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	2	0	000
50432	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
50432	CMS	"Accessory, Procedure"	SD043	"dilator, vessel, angiographic"	item	7.34	2	0	000
50432	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	000
50432	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	000
50432	CMS	"Accessory, Procedure"	SD146	catheter percutaneous fastener (Percu-Stay)	item	8.75	1	0	000
50432	CMS	"Accessory, Procedure"	SD161	"drainage catheter, all purpose"	item	88.58	1	0	000
50432	CMS	"Accessory, Procedure"	SD163	"drainage pouch, nephrostomy-biliary"	item	10.09	1	0	000
50432	CMS	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	1	0	000
50432	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	000
50432	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
50432	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	000
50432	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
50432	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
50432	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
50432	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
50432	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
50432	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	000
50432	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
50433	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1	0	000
50433	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
50433	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
50433	CMS	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	000
50433	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	000
50433	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	000
50433	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	000
50433	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
50433	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
50433	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
50433	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
50433	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
50433	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	000
50433	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
50433	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
50433	CMS	"Hypodermic, IV"	SC035	"needle, Chiba"	item	10.1	1	0	000
50433	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	0	000
50433	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
50433	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	2	0	000
50433	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
50433	CMS	"Accessory, Procedure"	SD043	"dilator, vessel, angiographic"	item	7.34	2	0	000
50433	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	000
50433	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	000
50433	CMS	"Accessory, Procedure"	SD146	catheter percutaneous fastener (Percu-Stay)	item	8.75	1	0	000
50433	CMS	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	50.65	1	0	000
50433	CMS	"Accessory, Procedure"	SD161	"drainage catheter, all purpose"	item	88.58	1	0	000
50433	CMS	"Accessory, Procedure"	SD163	"drainage pouch, nephrostomy-biliary"	item	10.09	1	0	000
50433	CMS	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	1	0	000
50433	CMS	"Accessory, Procedure"	SD306	Nephroureteral Catheter	item	104.17	1	0	000
50433	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	000
50433	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
50433	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	000
50433	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
50433	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
50433	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
50433	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
50433	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
50433	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	000
50433	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
50434	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1	0	000
50434	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
50434	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
50434	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	000
50434	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	000
50434	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
50434	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
50434	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
50434	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
50434	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
50434	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	000
50434	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
50434	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
50434	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	0	000
50434	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
50434	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	2	0	000
50434	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
50434	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	000
50434	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	000
50434	CMS	"Accessory, Procedure"	SD146	catheter percutaneous fastener (Percu-Stay)	item	8.75	1	0	000
50434	CMS	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	50.65	1	0	000
50434	CMS	"Accessory, Procedure"	SD161	"drainage catheter, all purpose"	item	88.58	1	0	000
50434	CMS	"Accessory, Procedure"	SD163	"drainage pouch, nephrostomy-biliary"	item	10.09	1	0	000
50434	CMS	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	1	0	000
50434	CMS	"Accessory, Procedure"	SD306	Nephroureteral Catheter	item	104.17	1	0	000
50434	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
50434	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	000
50434	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
50434	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
50434	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
50434	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
50434	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
50434	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
50435	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1	0	000
50435	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
50435	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
50435	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
50435	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	000
50435	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
50435	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
50435	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
50435	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
50435	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
50435	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
50435	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
50435	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
50435	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	0	000
50435	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
50435	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	2	0	000
50435	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
50435	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	000
50435	CMS	"Accessory, Procedure"	SD146	catheter percutaneous fastener (Percu-Stay)	item	8.75	1	0	000
50435	CMS	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	50.65	1	0	000
50435	CMS	"Accessory, Procedure"	SD161	"drainage catheter, all purpose"	item	88.58	1	0	000
50435	CMS	"Accessory, Procedure"	SD163	"drainage pouch, nephrostomy-biliary"	item	10.09	1	0	000
50435	CMS	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	1	0	000
50435	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
50435	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	000
50435	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
50435	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
50435	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
50435	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
50435	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
50435	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
50500	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
50500	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
50520	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
50520	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
50525	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3.5	090
50525	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
50526	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3.5	090
50526	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
50540	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
50540	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
50541	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
50541	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
50542	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
50542	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
50543	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	090
50543	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
50543	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
50544	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
50544	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
50545	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
50545	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
50546	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
50546	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
50547	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
50547	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
50548	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
50548	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
50551	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
50551	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
50551	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
50551	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
50551	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1	0	000
50551	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
50553	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
50553	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
50553	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
50553	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
50553	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1	0	000
50553	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
50555	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
50555	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
50555	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
50555	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
50555	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
50557	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
50557	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
50557	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
50557	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
50557	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1	0	000
50557	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
50561	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
50561	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
50561	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
50561	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
50561	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1	0	000
50561	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
50562	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
50590	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
50592	CMS	"Kit, Pack, Tray"	SA026	"kit, radiofrequency introducer"	kit	28.575	1	0	010
50592	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
50592	CMS	"Kit, Pack, Tray"	SA061	"tray, biopsy procedure"	tray	21.58	1	0	010
50592	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	010
50592	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
50592	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	010
50592	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	010
50592	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
50592	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	010
50592	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	010
50592	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	010
50592	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	010
50592	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
50592	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
50592	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	010
50592	CMS	"Accessory, Procedure"	SD109	"probe, radiofrequency, 3 array (StarBurstSDE)"	item	2289	1	0	010
50592	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
50592	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
50592	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	010
50592	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	3	0	010
50592	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	010
50592	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
50592	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	010
50592	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	010
50592	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	010
50592	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	010
50592	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33	1	0	010
50592	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	010
50592	CMS	Lab	SL038	"cup-container, sterile, graduated 1000ml"	item	1.15	1	0	010
50593	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
50593	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	010
50593	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
50593	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	010
50593	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
50593	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	010
50593	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
50593	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	010
50593	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	010
50593	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	010
50593	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	010
50593	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
50593	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	010
50593	CMS	"Accessory, Procedure"	SD233	"probe, cryoablation, renal"	item	1170.22	2.5	0	010
50593	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	010
50593	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
50593	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	010
50593	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	010
50593	CMS	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	1	0	010
50593	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	3	0	010
50593	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
50593	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	010
50593	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	010
50593	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	010
50593	CMS	Lab	SL038	"cup-container, sterile, graduated 1000ml"	item	1.15	1	0	010
50593	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	010
50600	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2.5	090
50600	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
50605	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2.5	090
50605	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
50606	CMS	"Accessory, Procedure"	SD008	"brush, ureteral"	item	37.79	1	0	ZZZ
50606	CMS	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	50.65	1	0	ZZZ
50606	CMS	"Accessory, Procedure"	SD250	"introducer sheath, Ansel [45 cm 6 Fr Ansel]"	item	72.64	1	0	ZZZ
50606	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	ZZZ
50610	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2.5	090
50610	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
50620	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2.5	090
50620	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
50630	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2.5	090
50630	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
50650	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
50650	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
50660	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
50660	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
50684	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
50684	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
50684	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
50684	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	000
50684	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	000
50684	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
50684	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
50684	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
50684	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
50684	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
50684	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
50684	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	1	0	000
50684	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	1	0	000
50684	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
50684	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
50686	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
50686	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
50686	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
50686	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
50686	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
50686	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
50686	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
50686	CMS	"Hypodermic, IV"	SC048	spinal manometer	item	4.29	1	0	000
50686	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
50686	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	1	0	000
50686	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
50686	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
50690	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
50690	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
50690	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
50690	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
50690	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
50690	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
50690	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
50690	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	0	000
50690	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
50690	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
50690	CMS	"Accessory, Procedure"	SD024	"catheter, Foley"	item	10.85	1	0	000
50690	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	000
50690	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
50693	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1	0	000
50693	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
50693	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
50693	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	000
50693	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	000
50693	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
50693	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
50693	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
50693	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
50693	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
50693	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	000
50693	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
50693	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
50693	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	0	000
50693	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
50693	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	2	0	000
50693	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
50693	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	000
50693	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	000
50693	CMS	"Accessory, Procedure"	SD146	catheter percutaneous fastener (Percu-Stay)	item	8.75	1	0	000
50693	CMS	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	50.65	1	0	000
50693	CMS	"Accessory, Procedure"	SD161	"drainage catheter, all purpose"	item	88.58	1	0	000
50693	CMS	"Accessory, Procedure"	SD163	"drainage pouch, nephrostomy-biliary"	item	10.09	1	0	000
50693	CMS	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	1	0	000
50693	CMS	"Accessory, Procedure"	SD218	"stent, ureteral, without guidewire"	item	109.14	1	0	000
50693	CMS	"Accessory, Procedure"	SD250	"introducer sheath, Ansel [45 cm 6 Fr Ansel]"	item	72.64	1	0	000
50693	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
50693	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	000
50693	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
50693	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
50693	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
50693	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
50693	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
50693	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
50694	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1	0	000
50694	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
50694	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
50694	CMS	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	000
50694	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	000
50694	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	000
50694	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	000
50694	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
50694	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
50694	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
50694	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
50694	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
50694	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	000
50694	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
50694	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
50694	CMS	"Hypodermic, IV"	SC035	"needle, Chiba"	item	10.1	1	0	000
50694	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	0	000
50694	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
50694	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	2	0	000
50694	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
50694	CMS	"Accessory, Procedure"	SD043	"dilator, vessel, angiographic"	item	7.34	2	0	000
50694	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	000
50694	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	000
50694	CMS	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	50.65	1	0	000
50694	CMS	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	1	0	000
50694	CMS	"Accessory, Procedure"	SD218	"stent, ureteral, without guidewire"	item	109.14	1	0	000
50694	CMS	"Accessory, Procedure"	SD250	"introducer sheath, Ansel [45 cm 6 Fr Ansel]"	item	72.64	1	0	000
50694	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	000
50694	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
50694	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	000
50694	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
50694	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
50694	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
50694	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
50694	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
50694	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	000
50694	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
50695	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1	0	000
50695	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
50695	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
50695	CMS	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	000
50695	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	000
50695	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	000
50695	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	000
50695	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
50695	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
50695	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
50695	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
50695	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
50695	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	000
50695	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
50695	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
50695	CMS	"Hypodermic, IV"	SC035	"needle, Chiba"	item	10.1	1	0	000
50695	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	0	000
50695	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
50695	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	2	0	000
50695	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
50695	CMS	"Accessory, Procedure"	SD043	"dilator, vessel, angiographic"	item	7.34	2	0	000
50695	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	000
50695	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	000
50695	CMS	"Accessory, Procedure"	SD146	catheter percutaneous fastener (Percu-Stay)	item	8.75	1	0	000
50695	CMS	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	50.65	1	0	000
50695	CMS	"Accessory, Procedure"	SD161	"drainage catheter, all purpose"	item	88.58	1	0	000
50695	CMS	"Accessory, Procedure"	SD163	"drainage pouch, nephrostomy-biliary"	item	10.09	1	0	000
50695	CMS	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	1	0	000
50695	CMS	"Accessory, Procedure"	SD218	"stent, ureteral, without guidewire"	item	109.14	1	0	000
50695	CMS	"Accessory, Procedure"	SD250	"introducer sheath, Ansel [45 cm 6 Fr Ansel]"	item	72.64	1	0	000
50695	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	000
50695	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
50695	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	000
50695	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
50695	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
50695	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
50695	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
50695	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
50695	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	000
50695	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
50700	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
50700	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
50705	CMS	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	50.65	1	0	ZZZ
50705	CMS	"Accessory, Procedure"	SD250	"introducer sheath, Ansel [45 cm 6 Fr Ansel]"	item	72.64	1	0	ZZZ
50705	CMS	"Cutters, Closures, Cautery"	SF057	Non-detachable embolization coil	item	260.53	6	0	ZZZ
50706	CMS	"Accessory, Procedure"	SD019	"catheter, balloon, ureteral-GI (strictures)"	item	205.91	1	0	ZZZ
50706	CMS	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	50.65	1	0	ZZZ
50706	CMS	"Accessory, Procedure"	SD149	"catheter, balloon inflation device"	item	73.36	1	0	ZZZ
50706	CMS	"Accessory, Procedure"	SD250	"introducer sheath, Ansel [45 cm 6 Fr Ansel]"	item	72.64	1	0	ZZZ
50715	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
50715	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
50722	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
50722	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
50725	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
50725	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
50727	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
50727	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
50728	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
50728	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
50740	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
50740	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
50750	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
50750	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
50760	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
50760	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
50770	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
50770	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
50780	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
50780	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
50782	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
50782	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
50783	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
50783	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
50785	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
50785	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
50800	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3.5	090
50800	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
50810	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4.5	090
50810	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
50815	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
50815	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
50820	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3.5	090
50820	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
50825	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
50825	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
50830	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
50830	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
50840	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
50840	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
50845	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
50845	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
50860	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
50860	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
50900	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
50900	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
50920	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
50920	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
50930	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
50930	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
50940	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
50940	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
50945	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
50945	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
50947	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
50947	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
50948	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
50948	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
50951	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
50951	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
50951	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
50951	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
50951	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1	0	000
50951	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
50953	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
50953	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
50953	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
50953	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
50953	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1	0	000
50953	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
50955	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
50955	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
50955	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
50955	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
50955	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1	0	000
50955	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
50957	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
50957	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
50957	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
50957	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
50957	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1	0	000
50957	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
50961	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
50961	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
50961	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
50961	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
50961	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1	0	000
50961	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
51020	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
51020	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
51020	CMS	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
51020	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
51040	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
51040	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
51040	CMS	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
51040	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		15	090
51045	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
51045	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
51045	CMS	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
51045	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
51050	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
51050	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
51050	CMS	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
51050	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		15	090
51060	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
51060	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
51060	CMS	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
51060	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
51065	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
51065	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
51065	CMS	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
51065	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
51080	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
51080	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
51080	CMS	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
51080	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
51100	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
51100	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
51100	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
51100	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
51100	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
51100	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	1	0	000
51100	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	000
51100	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
51100	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
51100	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	000
51100	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
51100	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
51100	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1	0	000
51101	CMS	"Kit, Pack, Tray"	SA006	"kit, catheter, suprapubic"	kit	52.68	1	0	000
51101	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	0	000
51101	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
51101	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
51101	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
51101	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
51101	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
51101	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	1	0	000
51101	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	000
51101	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
51101	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
51101	CMS	"Cutters, Closures, Cautery"	SF038	"suture, prolene, 3-0 to 7-0, p, ps, pc"	item	19.79	1	0	000
51101	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	000
51101	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
51101	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
51101	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	5	0	000
51102	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	0	1	000
51102	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5	1	1	000
51102	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	000
51102	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
51102	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
51102	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
51102	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
51102	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	1	0	000
51102	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	000
51102	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
51102	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
51102	CMS	"Accessory, Procedure"	SD034	"catheter, ureteral, Stamey open-tip"	item	41.4	1	0	000
51102	CMS	"Cutters, Closures, Cautery"	SF038	"suture, prolene, 3-0 to 7-0, p, ps, pc"	item	19.79	1	0	000
51102	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	000
51102	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	000
51102	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	30	0	000
51102	CMS	"Pharmacy, NonRx"	SJ031	leg or urinary drainage bag	item	4.16	1	0	000
51102	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	5	0	000
51500	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
51500	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
51500	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		4	090
51500	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		15	090
51520	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
51520	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
51520	CMS	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
51520	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
51525	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
51525	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
51525	CMS	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
51525	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
51530	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
51530	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
51530	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
51535	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
51535	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
51535	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
51550	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
51550	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
51550	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
51555	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
51555	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
51555	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
51565	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
51565	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
51565	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
51570	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
51570	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
51570	CMS	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		0.3	090
51570	CMS	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
51575	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
51575	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
51575	CMS	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		0.3	090
51575	CMS	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
51580	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
51580	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
51580	CMS	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		0.3	090
51580	CMS	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
51585	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
51585	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
51585	CMS	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		0.3	090
51585	CMS	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
51590	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
51590	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
51590	CMS	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		0.3	090
51590	CMS	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
51595	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
51595	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
51595	CMS	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		0.3	090
51595	CMS	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
51596	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
51596	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
51596	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		30	090
51597	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
51597	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
51597	CMS	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
51600	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
51600	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
51600	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	000
51600	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	000
51600	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
51600	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
51600	CMS	"Hypodermic, IV"	SC018	iv infusion set	item	1.27	1	0	000
51600	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	0	000
51600	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
51600	CMS	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.95	2	0	000
51600	CMS	"Accessory, Procedure"	SD024	"catheter, Foley"	item	10.85	1	0	000
51600	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	000
51600	CMS	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	1.04	5	0	000
51610	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
51610	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
51610	CMS	"Accessory, Procedure"	SD024	"catheter, Foley"	item	10.85	1	0	000
51610	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
51610	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	20	0	000
51700	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
51700	CMS	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	1.27	1	0	000
51700	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	000
51700	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
51700	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
51700	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	1	0	000
51700	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
51700	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
51700	CMS	"Hypodermic, IV"	SC062	"syringe, Toomey"	item	3.35	1	0	000
51700	CMS	"Accessory, Procedure"	SD024	"catheter, Foley"	item	10.85	1	0	000
51700	CMS	"Pharmacy, NonRx"	SJ031	leg or urinary drainage bag	item	4.16	1	0	000
51700	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
51700	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	5	0	000
51701	CMS	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	1.27	1	0	000
51701	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	000
51701	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
51701	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
51701	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	1	0	000
51701	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
51701	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
51701	CMS	"Accessory, Procedure"	SD030	"catheter, straight"	item	2.76	1	0	000
51701	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
51701	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	5	0	000
51702	CMS	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	1.27	1	0	000
51702	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	000
51702	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
51702	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
51702	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	1	0	000
51702	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
51702	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
51702	CMS	"Accessory, Procedure"	SD024	"catheter, Foley"	item	10.85	1	0	000
51702	CMS	"Pharmacy, NonRx"	SJ031	leg or urinary drainage bag	item	4.16	1	0	000
51702	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
51702	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	5	0	000
51703	CMS	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	1.27	1	0	000
51703	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	000
51703	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
51703	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
51703	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	1	0	000
51703	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
51703	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
51703	CMS	"Accessory, Procedure"	SD014	catheter stylet	item	38.02	1	0	000
51703	CMS	"Accessory, Procedure"	SD024	"catheter, Foley"	item	10.85	1	0	000
51703	CMS	"Pharmacy, NonRx"	SJ031	leg or urinary drainage bag	item	4.16	1	0	000
51703	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
51703	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	5	0	000
51705	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
51705	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
51705	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
51705	CMS	"Hypodermic, IV"	SC062	"syringe, Toomey"	item	3.35	1	0	000
51705	CMS	"Accessory, Procedure"	SD024	"catheter, Foley"	item	10.85	1	0	000
51705	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	4	0	000
51705	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	8	0	000
51705	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	000
51705	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	000
51705	CMS	"Pharmacy, Rx"	SH075	"water, sterile inj"	ml	0.05	30	0	000
51705	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	15	0	000
51705	CMS	"Pharmacy, NonRx"	SJ031	leg or urinary drainage bag	item	4.16	1	0	000
51705	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	1	0	000
51710	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	000
51710	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
51710	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
51710	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
51710	CMS	"Accessory, Procedure"	SD024	"catheter, Foley"	item	10.85	1	0	000
51710	CMS	"Accessory, Procedure"	SD088	guidewire	item	15.85	1	0	000
51710	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	000
51710	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	1	0	000
51710	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	000
51710	CMS	"Pharmacy, Rx"	SH075	"water, sterile inj"	ml	0.05	3	0	000
51710	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	1	0	000
51710	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	20	0	000
51715	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
51715	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
51715	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	75.67	1	0	000
51715	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	000
51715	CMS	"Accessory, Procedure"	SD024	"catheter, Foley"	item	10.85	1	0	000
51715	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	000
51720	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
51720	CMS	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	1.27	1	0	000
51720	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
51720	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
51720	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
51720	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
51720	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
51720	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
51720	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
51720	CMS	"Accessory, Procedure"	SD030	"catheter, straight"	item	2.76	1	0	000
51720	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
51720	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	5	0	000
51721	RUC	"Kit, Pack, Tray"	SA006	"kit, catheter, suprapubic"	kit	52.68	1	0	000
51721	RUC	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1	0	000
51721	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1	0	000
51721	RUC	"Kit, Pack, Tray"	SA045	"pack, drapes, cystoscopy"	pack	14.99	1	0	000
51721	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
51721	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
51721	RUC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	000
51721	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
51721	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
51721	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	000
51721	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
51721	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
51721	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
51721	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
51721	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
51721	RUC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	000
51721	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
51721	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	000
51721	RUC	"Accessory, Procedure"	SD024	"catheter, Foley"	item	10.85	1	0	000
51721	RUC	"Accessory, Procedure"	SD252	"guidewire, Amplatz wire 260 cm"	item	34.91	1	0	000
51721	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
51721	RUC	"Wound Care, Dressings"	SG057	"gauze, x-ray detectable, sterile 4in x 4in (10 pack uou)"	item	2.64	1	0	000
51721	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
51721	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
51721	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	2	0	000
51721	RUC	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.57	60	0	000
51721	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
51725	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	75.67	1		000
51725	CMS	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	1.27	1		000
51725	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	3		000
51725	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	3		000
51725	CMS	"Hypodermic, IV"	SC048	spinal manometer	item	4.29	1		000
51725	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		000
51725	CMS	"Accessory, Procedure"	SD012	catheter adapter	item	0.59	1		000
51725	CMS	"Accessory, Procedure"	SD130	"tubing, latex"	foot	0.55	3		000
51725	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12		000
51725	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		000
51726	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		000
51726	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	75.67	1		000
51726	CMS	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	1.27	1		000
51726	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	3		000
51726	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	3		000
51726	CMS	"Hypodermic, IV"	SC018	iv infusion set	item	1.27	1		000
51726	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		000
51726	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		000
51726	CMS	"Accessory, Procedure"	SD027	"catheter, pressure, urodynamic"	item	19.35	1		000
51726	CMS	"Accessory, Procedure"	SD125	transducer dome (pressure)	item	3.58	1		000
51726	CMS	"Accessory, Procedure"	SD128	"tubing, for pump head"	item	4.85	1		000
51726	CMS	"Accessory, Procedure"	SD131	"tubing, pressure"	item	2.9	2		000
51726	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12		000
51726	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		000
51727	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		000
51727	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	75.67	1		000
51727	CMS	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	1.27	1		000
51727	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	3		000
51727	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	4		000
51727	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2		000
51727	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	3		000
51727	CMS	"Hypodermic, IV"	SC018	iv infusion set	item	1.27	1		000
51727	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		000
51727	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	3		000
51727	CMS	"Accessory, Procedure"	SD017	"catheter, balloon, rectal pressure"	item	35.89	1		000
51727	CMS	"Accessory, Procedure"	SD027	"catheter, pressure, urodynamic"	item	19.35	1		000
51727	CMS	"Accessory, Procedure"	SD030	"catheter, straight"	item	2.76	1		000
51727	CMS	"Accessory, Procedure"	SD062	"electrode, surface"	item	1.58	3		000
51727	CMS	"Accessory, Procedure"	SD125	transducer dome (pressure)	item	3.58	2		000
51727	CMS	"Accessory, Procedure"	SD128	"tubing, for pump head"	item	4.85	1		000
51727	CMS	"Accessory, Procedure"	SD130	"tubing, latex"	foot	0.55	3		000
51727	CMS	"Accessory, Procedure"	SD131	"tubing, pressure"	item	2.9	2		000
51727	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12		000
51727	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10		000
51727	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1		000
51727	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		000
51727	CMS	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.015	5		000
51727	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		000
51727	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	5		000
51728	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		000
51728	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	75.67	1		000
51728	CMS	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	1.27	1		000
51728	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	3		000
51728	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	4		000
51728	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2		000
51728	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	3		000
51728	CMS	"Hypodermic, IV"	SC018	iv infusion set	item	1.27	1		000
51728	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		000
51728	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	3		000
51728	CMS	"Accessory, Procedure"	SD017	"catheter, balloon, rectal pressure"	item	35.89	1		000
51728	CMS	"Accessory, Procedure"	SD027	"catheter, pressure, urodynamic"	item	19.35	1		000
51728	CMS	"Accessory, Procedure"	SD030	"catheter, straight"	item	2.76	1		000
51728	CMS	"Accessory, Procedure"	SD125	transducer dome (pressure)	item	3.58	2		000
51728	CMS	"Accessory, Procedure"	SD128	"tubing, for pump head"	item	4.85	1		000
51728	CMS	"Accessory, Procedure"	SD130	"tubing, latex"	foot	0.55	3		000
51728	CMS	"Accessory, Procedure"	SD131	"tubing, pressure"	item	2.9	2		000
51728	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12		000
51728	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10		000
51728	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1		000
51728	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		000
51728	CMS	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.015	5		000
51728	CMS	Lab	SL018	"beaker, 250 ml"	item	0.44	1		000
51728	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		000
51728	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	5		000
51729	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		000
51729	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	75.67	1		000
51729	CMS	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	1.27	1		000
51729	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	3		000
51729	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	4		000
51729	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2		000
51729	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	3		000
51729	CMS	"Hypodermic, IV"	SC018	iv infusion set	item	1.27	1		000
51729	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		000
51729	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	3		000
51729	CMS	"Accessory, Procedure"	SD017	"catheter, balloon, rectal pressure"	item	35.89	1		000
51729	CMS	"Accessory, Procedure"	SD027	"catheter, pressure, urodynamic"	item	19.35	1		000
51729	CMS	"Accessory, Procedure"	SD030	"catheter, straight"	item	2.76	1		000
51729	CMS	"Accessory, Procedure"	SD062	"electrode, surface"	item	1.58	3		000
51729	CMS	"Accessory, Procedure"	SD125	transducer dome (pressure)	item	3.58	2		000
51729	CMS	"Accessory, Procedure"	SD128	"tubing, for pump head"	item	4.85	1		000
51729	CMS	"Accessory, Procedure"	SD130	"tubing, latex"	foot	0.55	3		000
51729	CMS	"Accessory, Procedure"	SD131	"tubing, pressure"	item	2.9	2		000
51729	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12		000
51729	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10		000
51729	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1		000
51729	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		000
51729	CMS	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.015	5		000
51729	CMS	Lab	SL018	"beaker, 250 ml"	item	0.44	1		000
51729	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		000
51729	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	5		000
51736	CMS	Lab	SL018	"beaker, 250 ml"	item	0.44	1		XXX
51741	CMS	"Office Supply, Grocery"	SK060	"paper, recording, roll (per foot)"	foot	0.14	1		XXX
51741	CMS	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.015	4		XXX
51741	CMS	Lab	SL018	"beaker, 250 ml"	item	0.44	1		XXX
51741	CMS	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	1		XXX
51741	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1		XXX
51784	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	3		XXX
51784	CMS	"Accessory, Procedure"	SD062	"electrode, surface"	item	1.58	3		XXX
51784	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12		XXX
51784	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
51784	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
51785	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
51785	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	75.67	1		XXX
51785	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	3		XXX
51785	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	3		XXX
51785	CMS	"Accessory, Procedure"	SD051	"electrode needle, monopolar EMG w-lead"	item	2.95	2		XXX
51785	CMS	"Accessory, Procedure"	SD062	"electrode, surface"	item	1.58	1		XXX
51785	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12		XXX
51785	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
51785	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
51792	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	75.67	1		000
51792	CMS	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	1.27	1		000
51792	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	3		000
51792	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	3		000
51792	CMS	"Hypodermic, IV"	SC048	spinal manometer	item	4.29	1		000
51792	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		000
51792	CMS	"Accessory, Procedure"	SD012	catheter adapter	item	0.59	1		000
51792	CMS	"Accessory, Procedure"	SD024	"catheter, Foley"	item	10.85	1		000
51792	CMS	"Accessory, Procedure"	SD056	"electrode, EMG sponge"	item	16.57	1		000
51792	CMS	"Accessory, Procedure"	SD130	"tubing, latex"	foot	0.55	3		000
51792	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12		000
51792	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		000
51797	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		ZZZ
51797	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	75.67	1		ZZZ
51797	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	1		ZZZ
51797	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		ZZZ
51797	CMS	"Hypodermic, IV"	SC050	"stop cock, 4-way"	item	0.66	1		ZZZ
51797	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		ZZZ
51797	CMS	"Accessory, Procedure"	SD017	"catheter, balloon, rectal pressure"	item	35.89	1		ZZZ
51797	CMS	"Accessory, Procedure"	SD125	transducer dome (pressure)	item	3.58	1		ZZZ
51797	CMS	"Accessory, Procedure"	SD131	"tubing, pressure"	item	2.9	1		ZZZ
51797	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12		ZZZ
51798	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
51798	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	10		XXX
51798	CMS	"Office Supply, Grocery"	SK060	"paper, recording, roll (per foot)"	foot	0.14	1		XXX
51798	CMS	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	1		XXX
51798	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
51798	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1		XXX
51800	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
51800	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
51800	CMS	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
51800	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
51820	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
51820	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
51820	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
51820	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		25	090
51840	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
51840	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2.5	090
51840	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
51840	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1.5	090
51841	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
51841	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2.5	090
51841	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
51841	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1.5	090
51845	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
51845	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
51845	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
51860	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
51860	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
51860	CMS	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
51860	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		25	090
51865	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
51865	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
51865	CMS	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
51865	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		25	090
51880	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
51880	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
51880	CMS	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
51880	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		15	090
51900	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
51900	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
51900	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
51900	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
51920	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
51920	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
51920	CMS	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
51920	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
51925	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
51925	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		4	090
51925	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
51925	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		4	090
51940	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
51940	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
51940	CMS	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
51940	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		30	090
51960	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
51960	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
51960	CMS	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
51960	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		30	090
51980	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
51980	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
51980	CMS	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
51980	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
51990	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
51990	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
51990	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		8	090
51990	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		20	090
51992	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
51992	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
51992	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		8	090
51992	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		20	090
52000	CMS	"Kit, Pack, Tray"	SA027	"kit, scissors and clamp"	kit	0.82	1	0	000
52000	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
52000	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	75.67	1	0	000
52000	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
52000	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
52000	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
52000	CMS	"Hypodermic, IV"	SC062	"syringe, Toomey"	item	3.35	1	0	000
52000	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	3	0	000
52000	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	4	0	000
52001	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
52001	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	75.67	1	0	000
52001	CMS	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	1.27	1	0	000
52001	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	3	0	000
52001	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	3	0	000
52001	CMS	"Hypodermic, IV"	SC062	"syringe, Toomey"	item	3.35	1	0	000
52001	CMS	"Pharmacy, Rx"	SH075	"water, sterile inj"	ml	0.05	3	0	000
52001	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1	0	000
52001	CMS	Lab	SL038	"cup-container, sterile, graduated 1000ml"	item	1.15	1	0	000
52005	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
52005	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
52005	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	75.67	1	0	000
52005	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	3	0	000
52005	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
52005	CMS	"Accessory, Procedure"	SD015	catheter tip adapter	item	1.03	1	0	000
52005	CMS	"Accessory, Procedure"	SD033	"catheter, ureteral, open-ended"	item	10.31	1	0	000
52005	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1	0	000
52007	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
52007	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	000
52007	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
52007	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	75.67	1	0	000
52007	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	3	0	000
52007	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
52007	CMS	"Accessory, Procedure"	SD015	catheter tip adapter	item	1.03	1	0	000
52007	CMS	"Accessory, Procedure"	SD033	"catheter, ureteral, open-ended"	item	10.31	1	0	000
52007	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	000
52007	CMS	"Accessory, Procedure"	SD157	"catheter, ureteral, acorn tip"	item	11.67	1	0	000
52007	CMS	"Accessory, Procedure"	SD167	endoscopic deflecting brush	item	79.72	1	0	000
52010	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
52010	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	000
52010	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
52010	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	75.67	1	0	000
52010	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	3	0	000
52010	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
52010	CMS	"Accessory, Procedure"	SD015	catheter tip adapter	item	1.03	1	0	000
52010	CMS	"Accessory, Procedure"	SD033	"catheter, ureteral, open-ended"	item	10.31	1	0	000
52010	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	000
52010	CMS	"Accessory, Procedure"	SD157	"catheter, ureteral, acorn tip"	item	11.67	1	0	000
52204	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
52204	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
52204	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	75.67	1	0	000
52204	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	3	0	000
52204	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
52204	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
52204	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
52204	CMS	"Accessory, Procedure"	SD033	"catheter, ureteral, open-ended"	item	10.31	1	0	000
52204	CMS	"Accessory, Procedure"	SD164	"electrode, Bugbee"	item	71.56	1	0	000
52204	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	000
52204	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
52214	CMS	"Kit, Pack, Tray"	SA027	"kit, scissors and clamp"	kit	0.82	1	0	000
52214	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
52214	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	75.67	1	0	000
52214	CMS	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	1.27	1	0	000
52214	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	1	0	000
52214	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
52214	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
52214	CMS	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.95	1	0	000
52214	CMS	"Hypodermic, IV"	SC062	"syringe, Toomey"	item	3.35	1	0	000
52214	CMS	"Accessory, Procedure"	SD015	catheter tip adapter	item	1.03	1	0	000
52214	CMS	"Accessory, Procedure"	SD024	"catheter, Foley"	item	10.85	1	0	000
52214	CMS	"Accessory, Procedure"	SD030	"catheter, straight"	item	2.76	1	0	000
52214	CMS	"Cutters, Closures, Cautery"	SF028	laser tip (single use)	item	369.99	1	0	000
52214	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	50	0	000
52214	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	2	0	000
52214	CMS	"Pharmacy, NonRx"	SJ031	leg or urinary drainage bag	item	4.16	1	0	000
52214	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	4	0	000
52224	CMS	"Kit, Pack, Tray"	SA027	"kit, scissors and clamp"	kit	0.82	1	0	000
52224	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
52224	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
52224	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	75.67	1	0	000
52224	CMS	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	1.27	1	0	000
52224	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
52224	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
52224	CMS	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.95	1	0	000
52224	CMS	"Hypodermic, IV"	SC062	"syringe, Toomey"	item	3.35	1	0	000
52224	CMS	"Accessory, Procedure"	SD015	catheter tip adapter	item	1.03	1	0	000
52224	CMS	"Accessory, Procedure"	SD024	"catheter, Foley"	item	10.85	1	0	000
52224	CMS	"Accessory, Procedure"	SD030	"catheter, straight"	item	2.76	1	0	000
52224	CMS	"Cutters, Closures, Cautery"	SF028	laser tip (single use)	item	369.99	1	0	000
52224	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
52224	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	2	0	000
52224	CMS	"Pharmacy, NonRx"	SJ031	leg or urinary drainage bag	item	4.16	1	0	000
52224	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	3	0	000
52224	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	4	0	000
52265	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
52265	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	75.67	1	0	000
52265	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	3	0	000
52265	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
52265	CMS	"Accessory, Procedure"	SD164	"electrode, Bugbee"	item	71.56	1	0	000
52265	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	000
52265	CMS	Lab	SL038	"cup-container, sterile, graduated 1000ml"	item	1.15	1	0	000
52270	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
52270	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
52270	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	75.67	1	0	000
52270	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	3	0	000
52270	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
52270	CMS	"Hypodermic, IV"	SC062	"syringe, Toomey"	item	3.35	1	0	000
52270	CMS	"Cutters, Closures, Cautery"	SF045	"blade, urethrotome"	item	92.36	1	0	000
52275	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
52275	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
52275	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	75.67	1	0	000
52275	CMS	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	1.27	1	0	000
52275	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	3	0	000
52275	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
52275	CMS	"Hypodermic, IV"	SC062	"syringe, Toomey"	item	3.35	1	0	000
52275	CMS	"Accessory, Procedure"	SD074	filiform	item	65.56	1	0	000
52275	CMS	"Accessory, Procedure"	SD164	"electrode, Bugbee"	item	71.56	1	0	000
52275	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	000
52275	CMS	"Pharmacy, NonRx"	SJ031	leg or urinary drainage bag	item	4.16	1	0	000
52281	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
52281	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	75.67	1	0	000
52281	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	3	0	000
52281	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
52281	CMS	"Accessory, Procedure"	SD024	"catheter, Foley"	item	10.85	1	0	000
52281	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	000
52281	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1	0	000
52283	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
52283	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
52283	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	75.67	1	0	000
52283	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	3	0	000
52283	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
52283	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
52283	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
52283	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1	0	000
52284	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
52284	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
52284	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	75.67	1	0	000
52284	CMS	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	1.27	2	0	000
52284	CMS	"Kit, Pack, Tray"	SA114	"Kit, Contrast Imaging"	kit	7.59	1	0	000
52284	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
52284	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
52284	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	6	0	000
52284	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	3	0	000
52284	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
52284	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
52284	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
52284	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
52284	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	000
52284	CMS	"Hypodermic, IV"	SC062	"syringe, Toomey"	item	3.35	1	0	000
52284	CMS	"Accessory, Procedure"	SD024	"catheter, Foley"	item	10.85	2	0	000
52284	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1	0	000
52284	CMS	"Accessory, Procedure"	SD287	"endoscopic balloon, dilation"	item	162.43	1	0	000
52284	CMS	"Accessory, Procedure"	SD359	"Optilume DCB, guidewire, and inflation device"	item	2245	1	0	000
52284	CMS	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	1.04	20	0	000
52284	CMS	"Pharmacy, NonRx"	SJ031	leg or urinary drainage bag	item	4.16	1	0	000
52284	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	1	0	000
52284	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	4	0	000
52285	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
52285	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	75.67	1	0	000
52285	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	3	0	000
52285	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
52285	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1	0	000
52287	CMS	"Kit, Pack, Tray"	SA027	"kit, scissors and clamp"	kit	0.82	1	0	000
52287	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
52287	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
52287	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	75.67	1	0	000
52287	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
52287	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	4	0	000
52287	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	2	0	000
52287	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	4	0	000
52287	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
52287	CMS	"Hypodermic, IV"	SC062	"syringe, Toomey"	item	3.35	1	0	000
52287	CMS	"Hypodermic, IV"	SC099	"needle, cystoscope"	item	35.52	1	0	000
52287	CMS	"Accessory, Procedure"	SD030	"catheter, straight"	item	2.76	1	0	000
52287	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	50	0	000
52287	CMS	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.47	3	0	000
52287	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	000
52287	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	1	0	000
52287	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	4	0	000
52310	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
52310	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
52310	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	75.67	1	0	000
52310	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	3	0	000
52310	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
52315	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
52315	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	000
52315	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
52315	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	75.67	1	0	000
52315	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	3	0	000
52315	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
52315	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	000
52317	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
52317	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
52317	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	75.67	1	0	000
52317	CMS	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	1.27	1	0	000
52317	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	3	0	000
52317	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
52317	CMS	"Cutters, Closures, Cautery"	SF028	laser tip (single use)	item	369.99	1	0	000
52317	CMS	"Pharmacy, NonRx"	SJ031	leg or urinary drainage bag	item	4.16	1	0	000
52330	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
52330	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
52330	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	75.67	1	0	000
52330	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	3	0	000
52330	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
52330	CMS	"Accessory, Procedure"	SD015	catheter tip adapter	item	1.03	1	0	000
52330	CMS	"Accessory, Procedure"	SD033	"catheter, ureteral, open-ended"	item	10.31	1	0	000
52330	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	000
52330	CMS	"Accessory, Procedure"	SD150	"catheter, balloon ureteral (Dowd)"	item	149.16	1	0	000
52330	CMS	"Accessory, Procedure"	SD157	"catheter, ureteral, acorn tip"	item	11.67	1	0	000
52332	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
52332	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	75.67	1	0	000
52332	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	3	0	000
52332	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
52332	CMS	"Accessory, Procedure"	SD033	"catheter, ureteral, open-ended"	item	10.31	1	0	000
52332	CMS	"Accessory, Procedure"	SD239	"stent, ureteral, w-guidewire, 3cm flexible tip"	item	114.78	1	0	000
52400	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
52441	CMS	"Kit, Pack, Tray"	SA027	"kit, scissors and clamp"	kit	0.82	1	0	000
52441	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
52441	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
52441	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	75.67	1	0	000
52441	CMS	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	1.27	2	0	000
52441	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
52441	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
52441	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
52441	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
52441	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
52441	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
52441	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
52441	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	000
52441	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
52441	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	000
52441	CMS	"Hypodermic, IV"	SC062	"syringe, Toomey"	item	3.35	1	0	000
52441	CMS	"Accessory, Procedure"	SD024	"catheter, Foley"	item	10.85	1	0	000
52441	CMS	"Accessory, Procedure"	SD030	"catheter, straight"	item	2.76	1	0	000
52441	CMS	"Accessory, Procedure"	SD291	Urolift Implant and implantation device	item	875	1	0	000
52441	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	000
52441	CMS	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	1.04	30	0	000
52441	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
52441	CMS	"Pharmacy, NonRx"	SJ031	leg or urinary drainage bag	item	4.16	1	0	000
52441	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	1	0	000
52441	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
52441	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	4	0	000
52442	CMS	"Accessory, Procedure"	SD291	Urolift Implant and implantation device	item	875	1	0	ZZZ
52443	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
52443	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
52443	RUC	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	75.67	1	0	000
52443	RUC	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	1.27	1	0	000
52443	RUC	"Kit, Pack, Tray"	SA138	Optilume BPH Prostatic Dilation Kit	item	5900	1	0	000
52443	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
52443	RUC	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	000
52443	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	000
52443	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
52443	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
52443	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	000
52443	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
52443	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
52443	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
52443	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
52443	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	000
52443	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
52443	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	000
52443	RUC	"Hypodermic, IV"	SC062	"syringe, Toomey"	item	3.35	1	0	000
52443	RUC	"Accessory, Procedure"	SD024	"catheter, Foley"	item	10.85	1	0	000
52443	RUC	"Accessory, Procedure"	SD030	"catheter, straight"	item	2.76	1	0	000
52443	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	000
52443	RUC	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	1.04	30	0	000
52443	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
52443	RUC	"Pharmacy, NonRx"	SJ031	leg or urinary drainage bag	item	4.16	1	0	000
52443	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	1	0	000
52443	RUC	"Pharmacy, NonRx"	SJ081	"swab, patient prep, 1.5 ml  (chloraprep)"	item	1.09	1	0	000
52443	RUC	"Pharmacy, NonRx"	SJ089	"ultrasound transmission gel, sterile (single use)"	item	2.28	1	0	000
52443	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1	0	000
52443	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	4	0	000
52450	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
52500	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
52500	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		1	090
52500	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
52500	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13		1	090
52500	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34		1	090
52500	RUC	Lab	SL038	"cup-container, sterile, graduated 1000ml"	item	1.15		1	090
52597	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
52597	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		1	090
52597	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
52597	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13		1	090
52597	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34		1	090
52597	RUC	Lab	SL038	"cup-container, sterile, graduated 1000ml"	item	1.15		1	090
52601	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
52601	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		1	090
52601	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
52601	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13		1	090
52601	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34		1	090
52601	RUC	Lab	SL038	"cup-container, sterile, graduated 1000ml"	item	1.15		1	090
52630	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
52630	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		1	090
52630	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
52630	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13		1	090
52630	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34		1	090
52630	RUC	Lab	SL038	"cup-container, sterile, graduated 1000ml"	item	1.15		1	090
52640	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
52648	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
52648	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		1	090
52648	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
52648	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13		1	090
52648	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34		1	090
52648	RUC	Lab	SL038	"cup-container, sterile, graduated 1000ml"	item	1.15		1	090
52649	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
52649	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		1	090
52649	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
52649	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13		1	090
52649	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34		1	090
52649	RUC	Lab	SL038	"cup-container, sterile, graduated 1000ml"	item	1.15		1	090
52700	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
53000	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	010
53000	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	010
53010	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
53010	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
53010	CMS	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
53010	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		15	090
53040	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
53040	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
53060	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
53060	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
53060	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	1	0	010
53060	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	010
53060	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
53080	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
53080	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
53080	CMS	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		3	090
53080	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
53085	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
53085	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
53085	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51		3	090
53085	CMS	"Wound Care, Dressings"	SG065	"packing, gauze w-iodoform 1in (5 yd uou)"	item	5.215		1	090
53085	CMS	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		3	090
53085	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
53200	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
53210	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
53210	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
53210	CMS	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
53215	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
53215	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
53215	CMS	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
53220	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
53220	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
53220	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
53230	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
53230	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
53230	CMS	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
53230	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
53235	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
53235	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
53235	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
53240	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
53240	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
53240	CMS	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
53240	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
53250	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
53250	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
53250	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		15	090
53260	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
53260	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
53260	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	1	0	010
53260	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	010
53260	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
53265	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
53265	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
53265	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
53265	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	1	0	010
53265	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	010
53265	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
53265	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	010
53265	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
53265	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	3	0	010
53270	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
53270	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
53270	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	1	0	010
53270	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	010
53270	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
53275	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	010
53275	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	010
53400	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
53400	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
53400	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		25	090
53405	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
53405	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
53405	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		25	090
53410	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
53410	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
53410	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		25	090
53415	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
53415	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
53415	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		25	090
53420	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
53420	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
53420	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		25	090
53425	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
53425	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
53425	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		25	090
53430	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
53430	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
53430	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		25	090
53431	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
53431	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
53431	CMS	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
53431	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
53440	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
53440	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
53442	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
53442	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
53444	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
53444	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
53445	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
53445	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
53445	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		25	090
53446	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
53446	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		2	090
53447	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
53447	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		2	090
53448	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
53448	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		2	090
53449	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
53449	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
53449	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
53450	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
53450	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
53450	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
53460	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
53460	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
53460	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
53500	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
53500	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
53500	CMS	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	1.27		1	090
53500	CMS	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		3	090
53500	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		3	090
53502	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
53502	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
53502	CMS	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
53502	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
53505	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
53505	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
53505	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
53510	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
53510	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
53510	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
53515	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
53515	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
53515	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
53520	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
53520	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
53520	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
53600	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	000
53600	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
53600	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
53600	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
53600	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
53600	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	1	0	000
53600	CMS	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	1.04	5	0	000
53600	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
53600	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
53600	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	5	0	000
53601	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	000
53601	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
53601	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
53601	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
53601	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
53601	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	1	0	000
53601	CMS	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	1.04	5	0	000
53601	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
53601	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
53601	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	5	0	000
53620	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	000
53620	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
53620	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
53620	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
53620	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
53620	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
53620	CMS	"Accessory, Procedure"	SD074	filiform	item	65.56	1	0	000
53620	CMS	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	1.04	5	0	000
53620	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
53620	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.67	0	000
53620	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	5	0	000
53621	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	000
53621	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
53621	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
53621	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
53621	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
53621	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
53621	CMS	"Accessory, Procedure"	SD074	filiform	item	65.56	1	0	000
53621	CMS	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	1.04	5	0	000
53621	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
53621	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.67	0	000
53621	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	5	0	000
53660	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	000
53660	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
53660	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
53660	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
53660	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
53660	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	1	0	000
53660	CMS	"Accessory, Procedure"	SD030	"catheter, straight"	item	2.76	1	0	000
53660	CMS	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	1.04	5	0	000
53660	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
53660	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
53660	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	5	0	000
53661	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	000
53661	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
53661	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
53661	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
53661	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
53661	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	1	0	000
53661	CMS	"Accessory, Procedure"	SD030	"catheter, straight"	item	2.76	1	0	000
53661	CMS	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	1.04	5	0	000
53661	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
53661	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
53661	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	5	0	000
53850	CMS	"Kit, Pack, Tray"	SA036	"kit, transurethral microwave thermotherapy"	kit	1000	1	0	090
53850	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
53850	CMS	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	1.27	1	0	090
53850	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
53850	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	090
53850	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
53850	CMS	"Gown, Drape"	SB017	"drape-sleeve, sterile (4in x 8ft)"	item	0.2	1	0	090
53850	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	090
53850	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
53850	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
53850	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
53850	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
53850	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
53850	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2	0	090
53850	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
53850	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	090
53850	CMS	"Hypodermic, IV"	SC062	"syringe, Toomey"	item	3.35	1	0	090
53850	CMS	"Accessory, Procedure"	SD024	"catheter, Foley"	item	10.85	1	0	090
53850	CMS	"Accessory, Procedure"	SD271	Rectal probe	item	51.63	1	0	090
53850	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	1	0	090
53850	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	30	0	090
53850	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	30	0	090
53850	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	2	0	090
53850	CMS	"Pharmacy, NonRx"	SJ031	leg or urinary drainage bag	item	4.16	1	0	090
53850	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	6	0	090
53850	CMS	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.015	10	0	090
53850	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	2	0	090
53850	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	4	0	090
53852	CMS	"Kit, Pack, Tray"	SA037	"kit, transurethral needle ablation (TUNA)"	kit	900	1	0	090
53852	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	090
53852	CMS	"Kit, Pack, Tray"	SA045	"pack, drapes, cystoscopy"	pack	14.99	1	0	090
53852	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
53852	CMS	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	1.27	1	0	090
53852	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
53852	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	090
53852	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
53852	CMS	"Gown, Drape"	SB017	"drape-sleeve, sterile (4in x 8ft)"	item	0.2	1	0	090
53852	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	090
53852	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
53852	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
53852	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
53852	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
53852	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
53852	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2	0	090
53852	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
53852	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	090
53852	CMS	"Hypodermic, IV"	SC062	"syringe, Toomey"	item	3.35	1	0	090
53852	CMS	"Accessory, Procedure"	SD024	"catheter, Foley"	item	10.85	1	0	090
53852	CMS	"Accessory, Procedure"	SD129	"tubing, irrigation (cysto)"	item	3.54	1	0	090
53852	CMS	"Accessory, Procedure"	SD271	Rectal probe	item	51.63	1	0	090
53852	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	1	0	090
53852	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	30	0	090
53852	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	30	0	090
53852	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	2	0	090
53852	CMS	"Pharmacy, NonRx"	SJ031	leg or urinary drainage bag	item	4.16	1	0	090
53852	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	6	0	090
53852	CMS	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.015	10	0	090
53852	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	2	0	090
53852	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	4	0	090
53854	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	090
53854	CMS	"Kit, Pack, Tray"	SA045	"pack, drapes, cystoscopy"	pack	14.99	1	0	090
53854	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
53854	CMS	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	1.27	1	0	090
53854	CMS	"Kit, Pack, Tray"	SA128	"kit, Rezum delivery device"	item	3090	1	0	090
53854	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
53854	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	090
53854	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
53854	CMS	"Gown, Drape"	SB017	"drape-sleeve, sterile (4in x 8ft)"	item	0.2	1	0	090
53854	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	090
53854	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3	0	090
53854	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
53854	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
53854	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
53854	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
53854	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2	0	090
53854	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
53854	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	090
53854	CMS	"Hypodermic, IV"	SC062	"syringe, Toomey"	item	3.35	1	0	090
53854	CMS	"Accessory, Procedure"	SD024	"catheter, Foley"	item	10.85	1	0	090
53854	CMS	"Accessory, Procedure"	SD129	"tubing, irrigation (cysto)"	item	3.54	1	0	090
53854	CMS	"Accessory, Procedure"	SD271	Rectal probe	item	51.63	1	0	090
53854	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	1	0	090
53854	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	30	0	090
53854	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	30	0	090
53854	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	2	0	090
53854	CMS	"Pharmacy, NonRx"	SJ031	leg or urinary drainage bag	item	4.16	1	0	090
53854	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	6	0	090
53854	CMS	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.015	10	0	090
53854	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	2	0	090
53854	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	4	0	090
53855	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
53855	CMS	"Kit, Pack, Tray"	SA101	"kit, stent, urethral, prostatic, insertion tool and surveyor"	kit	512.34	1	0	000
53855	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
53855	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
53855	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	1	0	000
53855	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
53855	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
53855	CMS	"Accessory, Procedure"	SD024	"catheter, Foley"	item	10.85	1	0	000
53855	CMS	"Accessory, Procedure"	SD074	filiform	item	65.56	1	0	000
53855	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	000
53855	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	000
53855	CMS	"Pharmacy, NonRx"	SJ031	leg or urinary drainage bag	item	4.16	1	0	000
53855	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	2	0	000
53860	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3	0	090
53860	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
53860	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	090
53860	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	3	0	090
53860	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	1	0	090
53860	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
53860	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	090
53860	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
53860	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
53860	CMS	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.45	3	0	090
53860	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	3	0	090
53860	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	6	0	090
53860	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
53860	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
53860	CMS	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.95	1	0	090
53860	CMS	"Accessory, Procedure"	SD024	"catheter, Foley"	item	10.85	1	0	090
53860	CMS	"Accessory, Procedure"	SD245	Renessa probe	item	2206.82	1	0	090
53860	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	2	0	090
53860	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
53860	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	1	0	090
53860	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	090
53860	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	090
53860	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	090
53860	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	090
53860	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	1	0	090
53860	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
53860	CMS	"Office Supply, Grocery"	SK051	"pad, feminine maxi"	item	0.39	1	0	090
53860	CMS	Lab	SL038	"cup-container, sterile, graduated 1000ml"	item	1.15	1	0	090
53860	CMS	Lab	SL157	"cup, sterile, 8 oz"	item	0.58	1	0	090
53860	CMS	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	1	0	090
53865	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
53865	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
53865	RUC	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	75.67	1	0	000
53865	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
53865	RUC	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	000
53865	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
53865	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
53865	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
53865	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
53865	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
53865	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
53865	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
53865	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
53865	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	000
53865	RUC	"Hypodermic, IV"	SC101	ultrasound needle	item	13.54	1	0	000
53865	RUC	"Accessory, Procedure"	SD366	iTIND device	item	2972.5	1	0	000
53865	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	000
53865	RUC	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	1.04	20	0	000
53865	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	1	0	000
53865	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
53865	RUC	"Pharmacy, NonRx"	SJ089	"ultrasound transmission gel, sterile (single use)"	item	2.28	1	0	000
53865	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	4	0	000
53866	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
53866	RUC	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	1.27	1	0	000
53866	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
53866	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
53866	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
53866	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
53866	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
53866	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
53866	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
53866	RUC	"Accessory, Procedure"	SD024	"catheter, Foley"	item	10.85	1	0	000
53866	RUC	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	1.04	20	0	000
53866	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	4	0	000
54000	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
54000	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
54000	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	010
54000	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
54000	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	010
54000	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
54000	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
54000	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
54000	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	1	0	010
54000	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	1	0	010
54000	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	010
54001	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
54001	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
54001	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	010
54001	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
54001	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	010
54001	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
54001	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	010
54001	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
54001	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
54001	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
54001	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	1	0	010
54001	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	010
54001	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	1	0	010
54001	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	010
54015	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	010
54015	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	010
54050	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	1	010
54050	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
54050	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
54050	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
54050	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
54050	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	010
54050	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	1	0	010
54050	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	20	0	010
54050	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	010
54050	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1	0	010
54050	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1	0	010
54055	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
54055	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
54055	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
54055	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
54055	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
54055	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	010
54055	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	1	0	010
54055	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	20	0	010
54055	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	010
54055	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1	0	010
54055	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1	0	010
54056	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	1	010
54056	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
54056	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	3	0	010
54056	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	010
54056	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	010
54056	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	010
54056	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
54056	CMS	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.06	30	0	010
54056	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	1	0	010
54056	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	1	0	010
54056	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	1	0	010
54056	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	010
54056	CMS	Lab	SL038	"cup-container, sterile, graduated 1000ml"	item	1.15	1	0	010
54056	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1	0	010
54057	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
54057	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
54057	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	3	0	010
54057	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	010
54057	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	010
54057	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	010
54057	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
54057	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	1	0	010
54057	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	1	0	010
54057	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	1	0	010
54057	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	010
54057	CMS	Lab	SL038	"cup-container, sterile, graduated 1000ml"	item	1.15	1	0	010
54057	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1	0	010
54060	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
54060	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
54060	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
54060	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
54060	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	3	0	010
54060	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
54060	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	010
54060	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	010
54060	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	010
54060	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
54060	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
54060	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
54060	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
54060	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	1	0	010
54060	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	1	0	010
54060	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	1	0	010
54060	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	010
54060	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1	0	010
54065	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
54065	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
54065	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
54065	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	3	0	010
54065	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
54065	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	010
54065	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	010
54065	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	010
54065	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
54065	CMS	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.06	1	0	010
54065	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	1	0	010
54065	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	1	0	010
54065	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	1	0	010
54065	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	010
54065	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1	0	010
54100	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5	1	0	000
54100	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	000
54100	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
54100	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
54100	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
54100	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
54100	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
54100	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
54100	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	000
54100	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	000
54100	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	000
54100	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
54100	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	000
54100	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	1	0	000
54100	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
54100	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	20	0	000
54100	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
54100	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1	0	000
54100	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1	0	000
54105	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
54105	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5	1	1	010
54105	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	1	0	010
54105	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
54105	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	010
54105	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	010
54105	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
54105	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	010
54105	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
54105	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
54105	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
54105	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	3	0	010
54105	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	20	0	010
54105	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	010
54110	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2.5	090
54110	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
54111	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2.5	090
54111	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
54112	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
54112	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
54115	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3.5	2.5	090
54115	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
54115	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	090
54115	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	090
54115	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	090
54115	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
54115	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
54120	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2.5	090
54120	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
54125	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2.5	090
54125	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
54130	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3.5	090
54130	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
54135	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3.5	090
54135	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
54150	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
54150	CMS	"Kit, Pack, Tray"	SA086	"tray, circumcision"	tray	23.54	1	0	000
54150	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
54150	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
54150	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	000
54150	CMS	"Pharmacy, Rx"	SH030	Emla cream	gm	2.19	1	0	000
54150	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	2	0	000
54150	CMS	Lab	SL157	"cup, sterile, 8 oz"	item	0.58	1	0	000
54160	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
54160	CMS	"Kit, Pack, Tray"	SA086	"tray, circumcision"	tray	23.54	1	0	010
54160	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
54160	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	010
54160	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	010
54160	CMS	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	4.97	1	0	010
54160	CMS	"Pharmacy, Rx"	SH030	Emla cream	gm	2.19	1	0	010
54161	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	010
54161	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	010
54161	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		1	010
54162	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
54162	CMS	"Kit, Pack, Tray"	SA086	"tray, circumcision"	tray	23.54	1	0	010
54162	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
54162	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	010
54162	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	010
54162	CMS	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	4.97	1	0	010
54162	CMS	"Pharmacy, Rx"	SH030	Emla cream	gm	2.19	1	0	010
54163	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	010
54163	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	010
54164	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	010
54164	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	010
54200	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
54200	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
54200	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
54200	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
54200	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	010
54200	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
54200	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
54200	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	1	0	010
54200	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	010
54200	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
54200	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	010
54200	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1	0	010
54205	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
54205	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
54205	CMS	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6		2	090
54205	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
54220	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
54220	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5	1	0	000
54220	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	000
54220	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	000
54220	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
54220	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
54220	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
54220	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
54220	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
54220	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	000
54220	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	000
54220	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	000
54220	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
54220	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	000
54220	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	1	0	000
54220	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
54220	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
54220	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	20	0	000
54220	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
54220	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1	0	000
54230	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
54230	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
54230	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
54230	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
54230	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	000
54230	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	1	0	000
54230	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	20	0	000
54231	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
54231	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1.5	0	000
54231	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
54231	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	000
54231	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1	0	000
54231	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1	0	000
54235	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
54235	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	000
54235	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1	0	000
54235	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1	0	000
54240	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		000
54240	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	30		000
54240	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		000
54240	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1		000
54250	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		000
54300	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
54300	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
54300	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		25	090
54304	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
54304	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
54304	CMS	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6		2	090
54304	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		30	090
54308	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
54308	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
54308	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		30	090
54312	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
54312	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
54312	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		30	090
54316	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
54316	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
54316	CMS	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6		2	090
54316	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		30	090
54318	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
54318	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
54318	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		30	090
54322	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
54322	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
54322	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
54324	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
54324	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
54324	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		30	090
54326	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
54326	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
54326	CMS	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6		2	090
54326	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		25	090
54328	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
54328	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
54328	CMS	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6		2	090
54328	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		30	090
54332	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
54332	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
54332	CMS	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6		2	090
54332	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		30	090
54336	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
54336	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
54336	CMS	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6		2	090
54336	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		35	090
54340	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
54340	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
54340	CMS	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6		2	090
54340	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		25	090
54344	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
54344	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
54344	CMS	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6		2	090
54344	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		25	090
54348	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
54348	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
54348	CMS	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6		2	090
54348	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		30	090
54352	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
54352	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
54352	CMS	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6		2	090
54352	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		35	090
54360	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
54360	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
54360	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
54380	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
54380	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
54380	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		30	090
54385	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
54385	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
54385	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		30	090
54390	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
54390	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
54390	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		30	090
54400	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
54400	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
54400	CMS	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
54400	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
54401	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
54401	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
54401	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		25	090
54405	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
54405	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
54405	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		25	090
54406	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
54406	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
54408	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
54408	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
54410	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
54410	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
54411	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
54411	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
54415	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
54415	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
54416	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
54416	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
54417	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
54417	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
54420	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
54420	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
54420	CMS	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6		2	090
54420	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
54430	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
54430	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
54430	CMS	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6		2	090
54430	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
54435	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
54435	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
54435	CMS	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6		2	090
54435	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		15	090
54437	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
54450	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	5	0	000
54505	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	010
54505	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	010
54505	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		1	010
54512	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
54512	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
54512	CMS	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
54512	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		10	090
54520	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
54520	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
54520	CMS	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
54520	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		15	090
54522	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
54522	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
54522	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
54522	CMS	"Wound Care, Dressings"	SG071	scrotal support	item	6.695		1	090
54522	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		10	090
54530	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
54530	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
54530	CMS	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
54530	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
54535	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
54535	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
54535	CMS	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
54535	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
54550	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
54550	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
54550	CMS	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
54550	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
54560	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
54560	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
54560	CMS	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
54560	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
54600	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
54600	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
54600	CMS	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
54600	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		15	090
54620	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	010
54620	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	010
54620	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		1	010
54640	CMS	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22		1	090
54640	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3		2	090
54640	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014		7	090
54640	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		5	090
54650	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
54650	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
54650	CMS	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
54650	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
54660	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
54660	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
54660	CMS	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
54660	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		15	090
54670	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
54670	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
54670	CMS	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
54670	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		15	090
54680	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
54680	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
54680	CMS	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
54680	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
54690	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
54690	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
54690	CMS	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
54690	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
54692	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
54692	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
54700	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	010
54700	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	010
54830	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
54830	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
54830	CMS	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
54830	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		15	090
54840	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
54840	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
54840	CMS	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
54840	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		15	090
54860	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
54860	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
54860	CMS	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
54860	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
54861	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
54861	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
54861	CMS	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
54861	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
54865	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
54865	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
54865	CMS	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
54865	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		15	090
54900	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
54900	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
54900	CMS	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
54900	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
54901	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
54901	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
54901	CMS	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
54901	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		25	090
55000	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5	1	0	000
55000	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	000
55000	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
55000	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
55000	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
55000	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	000
55000	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	000
55000	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	1	0	000
55000	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
55000	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	20	0	000
55000	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
55000	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1	0	000
55000	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1	0	000
55040	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
55040	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
55040	CMS	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
55040	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		15	090
55041	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
55041	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
55041	CMS	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
55041	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
55060	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
55060	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
55060	CMS	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
55060	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		15	090
55100	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
55100	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5	1	1	010
55100	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	010
55100	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
55100	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
55100	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
55100	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	010
55100	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
55100	CMS	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32	1	0	010
55100	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
55100	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
55100	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
55100	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	1	0	010
55100	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
55100	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	010
55100	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	20	0	010
55100	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	010
55100	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1	0	010
55100	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1	0	010
55110	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
55110	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
55120	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
55120	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
55150	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2.5	090
55150	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
55175	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
55175	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
55180	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
55180	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
55200	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	090
55200	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
55200	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	090
55200	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	090
55200	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
55200	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	090
55200	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
55200	CMS	"Accessory, Procedure"	SD164	"electrode, Bugbee"	item	71.56	1	0	090
55200	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
55200	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
55200	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	30	0	090
55250	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2.5	1.5	090
55250	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
55250	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	090
55250	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	090
55250	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
55250	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	090
55250	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
55250	CMS	"Accessory, Procedure"	SD164	"electrode, Bugbee"	item	71.56	1	0	090
55250	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
55250	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
55250	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	30	0	090
55400	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2.5	090
55400	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
55500	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
55500	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
55500	CMS	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
55500	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		15	090
55520	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
55520	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
55520	CMS	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
55520	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		15	090
55530	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
55530	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
55530	CMS	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
55530	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		15	090
55535	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
55535	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
55535	CMS	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
55535	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		15	090
55540	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
55540	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
55540	CMS	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
55540	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		15	090
55550	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
55550	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
55550	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		4	090
55550	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		15	090
55600	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
55600	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
55600	CMS	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
55600	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
55605	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
55605	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
55605	CMS	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
55605	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
55650	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
55650	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
55650	CMS	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
55650	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
55680	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
55680	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
55680	CMS	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
55680	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		15	090
55705	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
55705	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
55705	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	000
55705	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	3	0	000
55705	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
55705	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
55705	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
55705	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
55705	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
55705	RUC	"Hypodermic, IV"	SC042	"needle, spine, Sprotte"	item	9.88	1	0	000
55705	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	000
55705	RUC	"Hypodermic, IV"	SC110	Disposable Prostate Core Biopsy Needle	item	43.85	1	0	000
55705	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
55705	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
55705	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	30	0	000
55705	RUC	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	1.04	10	0	000
55705	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	000
55705	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1	0	000
55705	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	12	0	000
55705	RUC	Lab	SL072	formalin	ml	0.009	48	0	000
55705	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1	0	000
55705	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2	0	000
55707	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
55707	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
55707	RUC	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	000
55707	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
55707	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	000
55707	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	3	0	000
55707	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	000
55707	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
55707	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
55707	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
55707	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
55707	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
55707	RUC	"Hypodermic, IV"	SC042	"needle, spine, Sprotte"	item	9.88	1	0	000
55707	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	000
55707	RUC	"Hypodermic, IV"	SC110	Disposable Prostate Core Biopsy Needle	item	43.85	1	0	000
55707	RUC	"Accessory, Procedure"	SD376	Transrectal Ultrasound Biopsy Guide	item	17.31	1	0	000
55707	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
55707	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
55707	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	50	0	000
55707	RUC	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	1.04	10	0	000
55707	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	2	0	000
55707	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	000
55707	RUC	"Pharmacy, NonRx"	SJ089	"ultrasound transmission gel, sterile (single use)"	item	2.28	1	0	000
55707	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1	0	000
55707	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	12	0	000
55707	RUC	Lab	SL072	formalin	ml	0.009	48	0	000
55707	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1	0	000
55707	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2	0	000
55708	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
55708	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
55708	RUC	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	000
55708	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
55708	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	000
55708	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	3	0	000
55708	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	000
55708	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
55708	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
55708	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
55708	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
55708	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
55708	RUC	"Hypodermic, IV"	SC042	"needle, spine, Sprotte"	item	9.88	1	0	000
55708	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	000
55708	RUC	"Hypodermic, IV"	SC110	Disposable Prostate Core Biopsy Needle	item	43.85	1	0	000
55708	RUC	"Accessory, Procedure"	SD376	Transrectal Ultrasound Biopsy Guide	item	17.31	1	0	000
55708	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
55708	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
55708	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	50	0	000
55708	RUC	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	1.04	10	0	000
55708	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	2	0	000
55708	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	000
55708	RUC	"Pharmacy, NonRx"	SJ089	"ultrasound transmission gel, sterile (single use)"	item	2.28	1	0	000
55708	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1	0	000
55708	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	13	0	000
55708	RUC	Lab	SL072	formalin	ml	0.009	52	0	000
55708	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1	0	000
55708	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2	0	000
55709	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
55709	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
55709	RUC	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	000
55709	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
55709	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	000
55709	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	3	0	000
55709	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	000
55709	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
55709	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
55709	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
55709	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
55709	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
55709	RUC	"Hypodermic, IV"	SC042	"needle, spine, Sprotte"	item	9.88	1	0	000
55709	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	000
55709	RUC	"Hypodermic, IV"	SC110	Disposable Prostate Core Biopsy Needle	item	43.85	1	0	000
55709	RUC	"Accessory, Procedure"	SD373	Transperineal Ultrasound Biopsy Guide	item	237	1	0	000
55709	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
55709	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
55709	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	50	0	000
55709	RUC	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	1.04	10	0	000
55709	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	2	0	000
55709	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	000
55709	RUC	"Pharmacy, NonRx"	SJ089	"ultrasound transmission gel, sterile (single use)"	item	2.28	1	0	000
55709	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1	0	000
55709	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	20	0	000
55709	RUC	Lab	SL072	formalin	ml	0.009	80	0	000
55709	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1	0	000
55709	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2	0	000
55710	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
55710	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
55710	RUC	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	000
55710	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
55710	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	000
55710	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	3	0	000
55710	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	000
55710	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
55710	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
55710	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
55710	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
55710	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
55710	RUC	"Hypodermic, IV"	SC042	"needle, spine, Sprotte"	item	9.88	1	0	000
55710	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	000
55710	RUC	"Hypodermic, IV"	SC110	Disposable Prostate Core Biopsy Needle	item	43.85	1	0	000
55710	RUC	"Accessory, Procedure"	SD373	Transperineal Ultrasound Biopsy Guide	item	237	1	0	000
55710	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
55710	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
55710	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	50	0	000
55710	RUC	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	1.04	10	0	000
55710	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	2	0	000
55710	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	000
55710	RUC	"Pharmacy, NonRx"	SJ089	"ultrasound transmission gel, sterile (single use)"	item	2.28	1	0	000
55710	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1	0	000
55710	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	21	0	000
55710	RUC	Lab	SL072	formalin	ml	0.009	84	0	000
55710	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1	0	000
55710	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2	0	000
55711	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
55711	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
55711	RUC	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	000
55711	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
55711	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	000
55711	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	3	0	000
55711	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	000
55711	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
55711	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
55711	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
55711	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
55711	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
55711	RUC	"Hypodermic, IV"	SC042	"needle, spine, Sprotte"	item	9.88	1	0	000
55711	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	000
55711	RUC	"Hypodermic, IV"	SC110	Disposable Prostate Core Biopsy Needle	item	43.85	1	0	000
55711	RUC	"Accessory, Procedure"	SD376	Transrectal Ultrasound Biopsy Guide	item	17.31	1	0	000
55711	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
55711	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
55711	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	50	0	000
55711	RUC	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	1.04	10	0	000
55711	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	2	0	000
55711	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	000
55711	RUC	"Pharmacy, NonRx"	SJ089	"ultrasound transmission gel, sterile (single use)"	item	2.28	1	0	000
55711	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1	0	000
55711	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	000
55711	RUC	Lab	SL072	formalin	ml	0.009	4	0	000
55711	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1	0	000
55711	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2	0	000
55712	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
55712	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
55712	RUC	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	000
55712	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
55712	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	000
55712	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	3	0	000
55712	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	000
55712	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
55712	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
55712	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
55712	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
55712	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
55712	RUC	"Hypodermic, IV"	SC042	"needle, spine, Sprotte"	item	9.88	1	0	000
55712	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	000
55712	RUC	"Hypodermic, IV"	SC110	Disposable Prostate Core Biopsy Needle	item	43.85	1	0	000
55712	RUC	"Accessory, Procedure"	SD373	Transperineal Ultrasound Biopsy Guide	item	237	1	0	000
55712	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
55712	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
55712	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	50	0	000
55712	RUC	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	1.04	10	0	000
55712	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	2	0	000
55712	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	000
55712	RUC	"Pharmacy, NonRx"	SJ089	"ultrasound transmission gel, sterile (single use)"	item	2.28	1	0	000
55712	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1	0	000
55712	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	000
55712	RUC	Lab	SL072	formalin	ml	0.009	4	0	000
55712	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1	0	000
55712	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2	0	000
55713	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1	0	000
55713	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	000
55713	RUC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2	0	000
55713	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	000
55713	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
55713	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
55713	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
55713	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
55713	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	1	0	000
55713	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
55713	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
55713	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
55713	RUC	"Accessory, Procedure"	SD374	Transrectal MRI-compatible -150mm fully automatic biopsy gun	item	180	1	0	000
55713	RUC	"Accessory, Procedure"	SD375	Transrectal MRI-compatible needle guide	item	150	1	0	000
55713	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
55713	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	000
55713	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	000
55713	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
55713	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	000
55713	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1	0	000
55714	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1	0	000
55714	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	000
55714	RUC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2	0	000
55714	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	000
55714	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
55714	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
55714	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
55714	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
55714	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	1	0	000
55714	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
55714	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
55714	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
55714	RUC	"Accessory, Procedure"	SD374	Transrectal MRI-compatible -150mm fully automatic biopsy gun	item	180	1	0	000
55714	RUC	"Accessory, Procedure"	SD375	Transrectal MRI-compatible needle guide	item	150	1	0	000
55714	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
55714	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	000
55714	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	000
55714	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
55714	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	000
55714	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1	0	000
55715	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	ZZZ
55715	RUC	Lab	SL072	formalin	ml	0.009	4	0	ZZZ
55720	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
55720	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
55720	CMS	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
55720	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
55725	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
55725	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
55725	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		25	090
55801	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
55801	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
55801	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		25	090
55810	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
55810	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
55810	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
55810	CMS	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
55812	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
55812	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
55812	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
55812	CMS	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
55815	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
55815	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
55815	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
55815	CMS	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
55821	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
55821	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
55821	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
55821	CMS	"Hypodermic, IV"	SC062	"syringe, Toomey"	item	3.35		1	090
55821	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34		1	090
55821	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2		1	090
55821	CMS	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
55821	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		1	090
55831	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
55831	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
55831	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
55831	CMS	"Hypodermic, IV"	SC062	"syringe, Toomey"	item	3.35		1	090
55831	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34		1	090
55831	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2		1	090
55831	CMS	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
55831	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		1	090
55840	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
55840	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
55840	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		1	090
55840	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
55840	RUC	"Hypodermic, IV"	SC062	"syringe, Toomey"	item	3.35		1	090
55840	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34		1	090
55840	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2		1	090
55840	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
55840	RUC	Lab	SL038	"cup-container, sterile, graduated 1000ml"	item	1.15		1	090
55840	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		1	090
55840	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07		2	090
55842	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
55842	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
55842	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		1	090
55842	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
55842	RUC	"Hypodermic, IV"	SC062	"syringe, Toomey"	item	3.35		1	090
55842	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34		1	090
55842	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2		1	090
55842	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
55842	RUC	Lab	SL038	"cup-container, sterile, graduated 1000ml"	item	1.15		1	090
55842	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		1	090
55842	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07		2	090
55845	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
55845	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
55845	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		1	090
55845	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
55845	RUC	"Hypodermic, IV"	SC062	"syringe, Toomey"	item	3.35		1	090
55845	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34		1	090
55845	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2		1	090
55845	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
55845	RUC	Lab	SL038	"cup-container, sterile, graduated 1000ml"	item	1.15		1	090
55845	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		1	090
55845	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07		2	090
55860	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
55860	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
55860	CMS	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
55860	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
55862	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
55862	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
55862	CMS	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
55862	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
55865	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
55865	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
55865	CMS	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
55865	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		25	090
55866	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
55866	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
55866	RUC	"Hypodermic, IV"	SC062	"syringe, Toomey"	item	3.35		1	090
55866	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34		1	090
55866	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2		1	090
55866	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
55866	RUC	Lab	SL038	"cup-container, sterile, graduated 1000ml"	item	1.15		1	090
55866	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		1	090
55866	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07		2	090
55867	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
55867	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		1	090
55867	RUC	"Hypodermic, IV"	SC062	"syringe, Toomey"	item	3.35		1	090
55867	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34		1	090
55867	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2		1	090
55867	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
55867	RUC	Lab	SL038	"cup-container, sterile, graduated 1000ml"	item	1.15		1	090
55867	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		1	090
55867	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07		2	090
55868	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
55868	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		1	090
55868	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
55868	RUC	"Hypodermic, IV"	SC062	"syringe, Toomey"	item	3.35		1	090
55868	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34		1	090
55868	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2		1	090
55868	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
55868	RUC	Lab	SL038	"cup-container, sterile, graduated 1000ml"	item	1.15		1	090
55868	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		1	090
55868	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07		2	090
55869	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
55869	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		1	090
55869	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
55869	RUC	"Hypodermic, IV"	SC062	"syringe, Toomey"	item	3.35		1	090
55869	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34		1	090
55869	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2		1	090
55869	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
55869	RUC	Lab	SL038	"cup-container, sterile, graduated 1000ml"	item	1.15		1	090
55869	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		1	090
55869	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07		2	090
55870	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
55870	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	000
55873	CMS	"Kit, Pack, Tray"	SA006	"kit, catheter, suprapubic"	kit	52.68	1	0	090
55873	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	090
55873	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
55873	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	75.67	1	0	090
55873	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	090
55873	CMS	"Kit, Pack, Tray"	SA099	"Kit, probe, cryoablation, prostate (Galil-Endocare)"	kit	4000	1	0	090
55873	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	090
55873	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
55873	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	2	0	090
55873	CMS	"Gown, Drape"	SB017	"drape-sleeve, sterile (4in x 8ft)"	item	0.2	2	0	090
55873	CMS	"Gown, Drape"	SB018	"drape-sleeve, sterile, for handpiece"	item	0.14	1	0	090
55873	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	090
55873	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	8	0	090
55873	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	4	0	090
55873	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	090
55873	CMS	"Accessory, Procedure"	SD024	"catheter, Foley"	item	10.85	1	0	090
55873	CMS	"Accessory, Procedure"	SD074	filiform	item	65.56	1	0	090
55873	CMS	"Accessory, Procedure"	SD079	"gas, helium"	cu ft	1.02	473	0	090
55873	CMS	"Accessory, Procedure"	SD088	guidewire	item	15.85	1	0	090
55873	CMS	"Accessory, Procedure"	SD227	"gas, argon"	cu ft	0.53	523	0	090
55873	CMS	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	4.97	1	0	090
55873	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	090
55873	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	2	0	090
55873	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	090
55873	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	2	0	090
55873	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	090
55873	CMS	"Pharmacy, NonRx"	SJ031	leg or urinary drainage bag	item	4.16	1	0	090
55873	CMS	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.02	50	0	090
55873	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4	0	090
55873	CMS	"Pharmacy, NonRx"	SJ079	"basin, sterile 500cc"	item	3.51	1	0	090
55873	CMS	Lab	SL157	"cup, sterile, 8 oz"	item	0.58	1	0	090
55873	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2	0	090
55874	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
55874	CMS	"Kit, Pack, Tray"	SA126	Biodegradable Material Kit - PeriProstatic	item	4036.22	1	0	000
55874	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
55874	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	000
55874	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
55874	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	5	0	000
55874	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
55874	CMS	"Hypodermic, IV"	SC042	"needle, spine, Sprotte"	item	9.88	1	0	000
55874	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	2	0	000
55874	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	2	0	000
55874	CMS	"Accessory, Procedure"	SD325	Endocavity Balloon	item	39.9	1	0	000
55874	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	000
55874	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
55874	CMS	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	1.04	10	0	000
55874	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
55874	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	20	0	000
55874	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	3	0	000
55874	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	10	0	000
55874	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2	0	000
55874	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2	0	000
55875	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
55875	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
55875	CMS	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
55875	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
55876	CMS	"Kit, Pack, Tray"	SA045	"pack, drapes, cystoscopy"	pack	14.99	1	0	000
55876	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
55876	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	2	0	000
55876	CMS	"Hypodermic, IV"	SC042	"needle, spine, Sprotte"	item	9.88	1	0	000
55876	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	000
55876	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
55877	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
55877	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
55877	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
55877	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		3	090
55880	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
55880	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
55880	CMS	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
55880	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		3	090
55881	RUC	"Kit, Pack, Tray"	SA136	TULSA-PRO Disposable Kit	item	8967	1	0	000
55881	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
55881	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	000
55881	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
55881	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
55881	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	3	0	000
55881	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
55881	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	2	0	000
55881	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
55881	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	000
55881	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	2	0	000
55881	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	3	0	000
55882	RUC	"Kit, Pack, Tray"	SA006	"kit, catheter, suprapubic"	kit	52.68	1	0	000
55882	RUC	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1	0	000
55882	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1	0	000
55882	RUC	"Kit, Pack, Tray"	SA045	"pack, drapes, cystoscopy"	pack	14.99	1	0	000
55882	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
55882	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
55882	RUC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	000
55882	RUC	"Kit, Pack, Tray"	SA136	TULSA-PRO Disposable Kit	item	8967	1	0	000
55882	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	000
55882	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
55882	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	000
55882	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	000
55882	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	4	0	000
55882	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	4	0	000
55882	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	4	0	000
55882	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	000
55882	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
55882	RUC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	000
55882	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	2	0	000
55882	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
55882	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	2	0	000
55882	RUC	"Accessory, Procedure"	SD024	"catheter, Foley"	item	10.85	1	0	000
55882	RUC	"Accessory, Procedure"	SD252	"guidewire, Amplatz wire 260 cm"	item	34.91	1	0	000
55882	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
55882	RUC	"Wound Care, Dressings"	SG057	"gauze, x-ray detectable, sterile 4in x 4in (10 pack uou)"	item	2.64	1	0	000
55882	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
55882	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
55882	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	2	0	000
55882	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	2	0	000
55882	RUC	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.57	60	0	000
55882	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
55882	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	3	0	000
56405	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	1	010
56405	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38	1	1	010
56405	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	1	010
56405	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
56405	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
56405	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2	0	010
56405	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	15	0	010
56405	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	2	0	010
56405	CMS	"Pharmacy, NonRx"	SJ036	Monsel's soln	ml	2.07	2	0	010
56405	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	55	0	010
56405	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	010
56405	CMS	Infection Control	SM003	autoclave tape	yd	0.05	0.67	0	010
56420	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
56420	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
56420	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38	2	1	010
56420	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
56420	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
56420	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2	0	010
56420	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	15	0	010
56420	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	45	0	010
56420	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	010
56440	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	010
56440	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	010
56441	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	1	010
56441	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38	1	1	010
56441	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	1	010
56441	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
56441	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
56441	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
56441	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
56441	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2	0	010
56441	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	15	0	010
56441	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	2	0	010
56441	CMS	"Pharmacy, NonRx"	SJ036	Monsel's soln	ml	2.07	2	0	010
56441	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	55	0	010
56441	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	010
56441	CMS	Infection Control	SM003	autoclave tape	yd	0.05	0.67	0	010
56501	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
56501	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38	2	1	010
56501	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	1	010
56501	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
56501	CMS	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.18	1	0	010
56501	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
56501	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
56501	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
56501	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2	0	010
56501	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	15	0	010
56501	CMS	"Pharmacy, Rx"	SH064	silver sulfadiazene cream (Silvadene)	gm	0.26	1	0	010
56501	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	1	0	010
56501	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	55	0	010
56501	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	010
56501	CMS	Infection Control	SM003	autoclave tape	yd	0.05	0.67	0	010
56515	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
56515	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38	2	1	010
56515	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	1	010
56515	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
56515	CMS	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.18	1	0	010
56515	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
56515	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
56515	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
56515	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2	0	010
56515	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	15	0	010
56515	CMS	"Pharmacy, Rx"	SH064	silver sulfadiazene cream (Silvadene)	gm	0.26	1	0	010
56515	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	1	0	010
56515	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	55	0	010
56515	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	010
56515	CMS	Infection Control	SM003	autoclave tape	yd	0.05	0.67	0	010
56605	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38	1	0	000
56605	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
56605	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
56605	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
56605	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
56605	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	000
56605	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
56605	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	000
56605	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	000
56606	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	ZZZ
56606	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	ZZZ
56606	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	ZZZ
56606	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	ZZZ
56606	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	ZZZ
56606	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	ZZZ
56620	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
56620	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		4	090
56620	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
56620	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		4	090
56620	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
56625	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
56625	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		3	090
56625	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
56625	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
56625	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		9	090
56630	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
56630	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		3	090
56630	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
56630	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
56630	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
56630	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84		1	090
56630	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		50	090
56630	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		16	090
56631	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
56631	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
56631	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
56631	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
56631	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
56631	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84		1	090
56631	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		50	090
56631	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		24	090
56632	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
56632	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		5	090
56632	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
56632	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		5	090
56632	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
56632	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84		1	090
56632	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		50	090
56632	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		24	090
56633	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
56633	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		3	090
56633	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
56633	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
56633	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
56633	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84		1	090
56633	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		50	090
56633	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		16	090
56634	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
56634	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
56634	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
56634	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
56634	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
56634	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84		1	090
56634	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		50	090
56634	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		24	090
56637	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
56637	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
56637	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
56637	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
56637	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84		1	090
56637	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		50	090
56637	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		24	090
56640	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
56640	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		3	090
56640	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
56640	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
56640	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84		1	090
56640	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		50	090
56640	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		24	090
56700	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	010
56700	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		1	010
56700	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	010
56700	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	010
56700	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		1	010
56700	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		2	010
56700	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		10	010
56700	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		2	010
56700	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	010
56740	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	010
56740	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		1	010
56740	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	010
56740	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	010
56740	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		1	010
56740	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		2	010
56740	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		10	010
56740	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		2	010
56740	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	010
56800	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	010
56800	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		1	010
56800	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	010
56805	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
56805	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		3	090
56805	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
56805	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
56805	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
56810	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	010
56810	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		1	010
56810	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	010
56820	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38	1	0	000
56820	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
56820	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
56820	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2	0	000
56820	CMS	"Pharmacy, Rx"	SH001	acetic acid 5%	ml	0.03	2.1	0	000
56820	CMS	Lab	SL136	"stain, Lugol's"	ml	0.6	2	0	000
56821	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
56821	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38	1	0	000
56821	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
56821	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
56821	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
56821	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	000
56821	CMS	"Hypodermic, IV"	SC046	"punch, biopsy"	item	2.69	1	0	000
56821	CMS	"Hypodermic, IV"	SC063	syringe-needle 10ml 26g	item	0.34	1	0	000
56821	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2	0	000
56821	CMS	"Pharmacy, Rx"	SH001	acetic acid 5%	ml	0.03	2.1	0	000
56821	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
56821	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	5	0	000
56821	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	000
56821	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	000
56821	CMS	Lab	SL136	"stain, Lugol's"	ml	0.6	2	0	000
56821	CMS	Infection Control	SM002	autoclave bag	item	0.07	2	0	000
56821	CMS	Infection Control	SM003	autoclave tape	yd	0.05	0.67	0	000
57000	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	010
57000	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		1	010
57000	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	010
57010	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
57010	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
57010	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
57010	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
57010	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
57020	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
57020	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38	1	0	000
57020	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
57020	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
57020	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
57020	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	55	0	000
57022	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	010
57022	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		1	010
57022	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	010
57023	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	010
57023	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		1	010
57023	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	010
57061	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	1	010
57061	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38	2	1	010
57061	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	1	010
57061	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
57061	CMS	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.18	1	0	010
57061	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
57061	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
57061	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
57061	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2	0	010
57061	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	15	0	010
57061	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	2	0	010
57061	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	55	0	010
57061	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	010
57061	CMS	Infection Control	SM003	autoclave tape	yd	0.05	0.67	0	010
57065	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
57065	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38	2	1	010
57065	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	1	010
57065	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
57065	CMS	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.18	1	0	010
57065	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
57065	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
57065	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
57065	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2	0	010
57065	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	15	0	010
57065	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	2	0	010
57065	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	55	0	010
57065	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	010
57065	CMS	Infection Control	SM003	autoclave tape	yd	0.05	0.67	0	010
57100	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38	1	0	000
57100	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
57100	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
57100	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
57100	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
57100	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	000
57100	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
57100	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	000
57105	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
57105	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38	2	1	010
57105	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	1	010
57105	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	1	010
57105	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
57105	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
57105	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
57105	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	010
57105	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	2	2	010
57105	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	12	010
57105	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	10	010
57105	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	2	010
57105	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33	1	1	010
57105	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	010
57106	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
57106	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		3	090
57106	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
57106	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
57106	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
57107	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
57107	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		3	090
57107	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
57107	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
57107	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
57109	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
57109	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		3	090
57109	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
57109	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
57109	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
57110	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
57110	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
57110	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
57110	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
57110	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
57111	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
57111	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		3	090
57111	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
57111	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
57111	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
57120	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
57120	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
57120	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
57120	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
57120	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
57130	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
57130	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38	2	1	010
57130	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	1	010
57130	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
57130	CMS	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.18	1	0	010
57130	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
57130	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
57130	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
57130	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2	0	010
57130	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	15	0	010
57130	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	2	0	010
57130	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	55	0	010
57130	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	010
57130	CMS	Infection Control	SM003	autoclave tape	yd	0.05	0.67	0	010
57135	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
57135	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38	2	1	010
57135	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	1	010
57135	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
57135	CMS	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.18	1	0	010
57135	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
57135	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
57135	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
57135	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2	0	010
57135	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	15	0	010
57135	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	2	0	010
57135	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	55	0	010
57135	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	010
57135	CMS	Infection Control	SM003	autoclave tape	yd	0.05	0.67	0	010
57150	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38	1	0	000
57150	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
57150	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	000
57150	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	3	0	000
57150	CMS	"Hypodermic, IV"	SC062	"syringe, Toomey"	item	3.35	1	0	000
57150	CMS	"Accessory, Procedure"	SD129	"tubing, irrigation (cysto)"	item	3.54	1	0	000
57150	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	000
57150	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	2	0	000
57150	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
57155	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	000
57155	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
57155	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38	1	0	000
57155	CMS	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	1.27	1	0	000
57155	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
57155	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	000
57155	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
57155	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
57155	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
57155	CMS	"Accessory, Procedure"	SD024	"catheter, Foley"	item	10.85	1	0	000
57156	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	000
57156	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
57156	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38	1	0	000
57156	CMS	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	1.27	1	0	000
57156	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
57156	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	000
57156	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
57156	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	000
57156	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
57156	CMS	"Accessory, Procedure"	SD024	"catheter, Foley"	item	10.85	1	0	000
57156	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	2	0	000
57160	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38	1	0	000
57160	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	000
57160	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
57160	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	2	0	000
57170	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
57170	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38	1	0	000
57180	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
57180	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
57180	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38	2	1	010
57180	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	010
57180	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
57180	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
57180	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2	0	010
57180	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	10	0	010
57180	CMS	"Wound Care, Dressings"	SG092	"packing, gauze, plain, 1 in (5 yd uou)"	item	5.79	1	0	010
57180	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	15	0	010
57180	CMS	"Pharmacy, NonRx"	SJ036	Monsel's soln	ml	2.07	2	0	010
57180	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	45	0	010
57180	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4	0	010
57180	CMS	Infection Control	SM003	autoclave tape	yd	0.05	1	0	010
57200	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
57200	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
57200	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
57200	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
57210	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
57210	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
57210	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
57210	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
57220	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
57220	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
57220	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
57220	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
57230	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
57230	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
57230	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
57230	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
57240	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
57240	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
57240	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
57250	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
57250	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
57250	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
57260	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
57260	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
57260	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
57265	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
57265	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
57265	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
57268	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
57268	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
57268	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
57268	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
57270	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
57270	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
57270	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
57270	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
57280	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
57280	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
57280	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
57280	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
57282	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
57282	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
57282	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
57283	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
57283	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
57283	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
57284	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	090
57284	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
57284	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
57284	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
57285	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	090
57285	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
57285	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
57285	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
57287	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
57287	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		4	090
57287	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
57287	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		4	090
57288	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
57288	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
57288	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
57288	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
57289	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
57289	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		3	090
57289	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
57289	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
57291	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
57291	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
57291	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
57291	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
57292	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
57292	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
57292	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
57292	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
57295	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
57295	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
57295	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
57295	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
57296	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	090
57296	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
57296	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
57296	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
57300	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
57300	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		3	090
57300	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
57300	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
57305	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
57305	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		3	090
57305	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
57305	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
57307	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
57307	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		3	090
57307	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
57307	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
57307	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		4	090
57307	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		15	090
57308	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
57308	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
57308	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
57308	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
57310	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
57310	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
57310	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
57310	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
57310	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
57310	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
57310	CMS	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
57310	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
57311	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
57311	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
57311	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
57311	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
57311	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
57311	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
57311	CMS	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
57311	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
57320	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
57320	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
57320	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
57320	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
57320	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
57320	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
57320	CMS	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
57320	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		20	090
57330	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
57330	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
57330	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
57330	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
57330	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
57335	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
57335	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		3	090
57335	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
57335	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
57335	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		9	090
57415	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	010
57415	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		1	010
57415	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	010
57420	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38	1	0	000
57420	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
57420	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
57420	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2	0	000
57420	CMS	"Pharmacy, Rx"	SH001	acetic acid 5%	ml	0.03	2.1	0	000
57420	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	5	0	000
57420	CMS	Lab	SL136	"stain, Lugol's"	ml	0.6	2	0	000
57421	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
57421	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38	1	0	000
57421	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
57421	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
57421	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
57421	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	000
57421	CMS	"Hypodermic, IV"	SC063	syringe-needle 10ml 26g	item	0.34	1	0	000
57421	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2	0	000
57421	CMS	"Pharmacy, Rx"	SH001	acetic acid 5%	ml	0.03	2.1	0	000
57421	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
57421	CMS	"Pharmacy, NonRx"	SJ036	Monsel's soln	ml	2.07	2	0	000
57421	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	5	0	000
57421	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	000
57421	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	000
57421	CMS	Lab	SL136	"stain, Lugol's"	ml	0.6	2	0	000
57421	CMS	Infection Control	SM002	autoclave bag	item	0.07	2	0	000
57421	CMS	Infection Control	SM003	autoclave tape	yd	0.05	0.67	0	000
57423	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	090
57423	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
57423	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
57423	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
57425	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
57425	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
57425	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
57426	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	090
57426	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
57426	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		3	090
57426	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
57452	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
57452	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38	1	0	000
57452	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
57452	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
57452	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2	0	000
57452	CMS	"Pharmacy, Rx"	SH001	acetic acid 5%	ml	0.03	2.1	0	000
57452	CMS	Lab	SL136	"stain, Lugol's"	ml	0.6	2	0	000
57454	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
57454	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38	1	0	000
57454	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
57454	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
57454	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2	0	000
57454	CMS	"Pharmacy, Rx"	SH001	acetic acid 5%	ml	0.03	2.1	0	000
57454	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	000
57454	CMS	Lab	SL136	"stain, Lugol's"	ml	0.6	2	0	000
57454	CMS	Infection Control	SM002	autoclave bag	item	0.07	2	0	000
57454	CMS	Infection Control	SM003	autoclave tape	yd	0.05	0.67	0	000
57455	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
57455	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38	1	0	000
57455	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
57455	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
57455	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2	0	000
57455	CMS	"Pharmacy, Rx"	SH001	acetic acid 5%	ml	0.03	2.1	0	000
57455	CMS	"Pharmacy, NonRx"	SJ036	Monsel's soln	ml	2.07	2	0	000
57455	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	3	0	000
57455	CMS	Lab	SL136	"stain, Lugol's"	ml	0.6	2	0	000
57455	CMS	Infection Control	SM002	autoclave bag	item	0.07	2	0	000
57455	CMS	Infection Control	SM003	autoclave tape	yd	0.05	0.67	0	000
57456	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
57456	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38	1	0	000
57456	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
57456	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
57456	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2	0	000
57456	CMS	"Pharmacy, Rx"	SH001	acetic acid 5%	ml	0.03	2.1	0	000
57456	CMS	"Pharmacy, NonRx"	SJ036	Monsel's soln	ml	2.07	2	0	000
57456	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	000
57456	CMS	Lab	SL136	"stain, Lugol's"	ml	0.6	2	0	000
57456	CMS	Infection Control	SM002	autoclave bag	item	0.07	2	0	000
57456	CMS	Infection Control	SM003	autoclave tape	yd	0.05	0.67	0	000
57460	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
57460	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38	1	0	000
57460	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
57460	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
57460	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	000
57460	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
57460	CMS	"Hypodermic, IV"	SC063	syringe-needle 10ml 26g	item	0.34	1	0	000
57460	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	4	0	000
57460	CMS	"Cutters, Closures, Cautery"	SF014	"cautery, electrode extender"	item	10.48	1	0	000
57460	CMS	"Cutters, Closures, Cautery"	SF017	"cautery, monopolar, electrode, loop"	item	25.11	1	0	000
57460	CMS	"Cutters, Closures, Cautery"	SF019	"cautery, monopolar, electrode, spatula"	item	45.4	1	0	000
57460	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	000
57460	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	000
57460	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	6	0	000
57460	CMS	"Pharmacy, Rx"	SH001	acetic acid 5%	ml	0.03	20	0	000
57460	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
57460	CMS	"Pharmacy, NonRx"	SJ036	Monsel's soln	ml	2.07	2	0	000
57460	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	5	0	000
57460	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	000
57460	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4	0	000
57460	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	000
57460	CMS	Lab	SL136	"stain, Lugol's"	ml	0.6	2	0	000
57460	CMS	Infection Control	SM002	autoclave bag	item	0.07	2	0	000
57460	CMS	Infection Control	SM003	autoclave tape	yd	0.05	0.67	0	000
57461	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
57461	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38	1	0	000
57461	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
57461	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
57461	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	000
57461	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
57461	CMS	"Hypodermic, IV"	SC063	syringe-needle 10ml 26g	item	0.34	1	0	000
57461	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	4	0	000
57461	CMS	"Cutters, Closures, Cautery"	SF014	"cautery, electrode extender"	item	10.48	1	0	000
57461	CMS	"Cutters, Closures, Cautery"	SF017	"cautery, monopolar, electrode, loop"	item	25.11	1	0	000
57461	CMS	"Cutters, Closures, Cautery"	SF019	"cautery, monopolar, electrode, spatula"	item	45.4	1	0	000
57461	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	000
57461	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	000
57461	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	6	0	000
57461	CMS	"Pharmacy, Rx"	SH001	acetic acid 5%	ml	0.03	20	0	000
57461	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
57461	CMS	"Pharmacy, NonRx"	SJ036	Monsel's soln	ml	2.07	2	0	000
57461	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	5	0	000
57461	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	000
57461	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4	0	000
57461	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	3	0	000
57461	CMS	Lab	SL136	"stain, Lugol's"	ml	0.6	2	0	000
57461	CMS	Infection Control	SM002	autoclave bag	item	0.07	2	0	000
57461	CMS	Infection Control	SM003	autoclave tape	yd	0.05	0.67	0	000
57465	CMS	"Accessory, Procedure"	SD337	digital imaging speculum	item	5.8	1	0	ZZZ
57500	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38	1	0	000
57500	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
57500	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
57500	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
57500	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1	0	000
57500	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1	0	000
57500	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
57500	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2	0	000
57500	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	000
57500	CMS	"Pharmacy, Rx"	SH001	acetic acid 5%	ml	0.03	2.1	0	000
57500	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	1	0	000
57500	CMS	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	1.04	30	0	000
57500	CMS	"Pharmacy, NonRx"	SJ036	Monsel's soln	ml	2.07	10	0	000
57500	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
57500	CMS	Lab	SL136	"stain, Lugol's"	ml	0.6	2	0	000
57500	CMS	Infection Control	SM002	autoclave bag	item	0.07	1	0	000
57500	CMS	Infection Control	SM003	autoclave tape	yd	0.05	0.67	0	000
57505	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	1	010
57505	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38	2	1	010
57505	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	1	010
57505	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
57505	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
57505	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
57505	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	30	0	010
57505	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	55	0	010
57505	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	010
57505	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	010
57510	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	010
57510	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38	1	0	010
57510	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	010
57510	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
57510	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
57510	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
57510	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
57510	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
57510	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	30	0	010
57510	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	55	0	010
57510	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	010
57511	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
57511	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38	2	1	010
57511	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	1	010
57511	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
57511	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
57511	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
57511	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
57511	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	30	0	010
57511	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	55	0	010
57511	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	3	0	010
57513	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
57513	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38	2	1	010
57513	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	1	010
57513	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
57513	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
57513	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	30	0	010
57513	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	55	0	010
57513	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	3	0	010
57520	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2.5	1.5	090
57520	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38	2.5	1.5	090
57520	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	2.5	1.5	090
57520	CMS	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.18	1	0	090
57520	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	090
57520	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
57520	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
57520	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	1	0	090
57520	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	090
57520	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	3	0	090
57522	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	090
57522	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38	2	1	090
57522	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	2	1	090
57522	CMS	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.18	1	0	090
57522	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	090
57522	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
57522	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
57522	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	1	0	090
57522	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	090
57522	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	3	0	090
57530	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
57530	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
57530	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
57530	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
57530	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
57531	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
57531	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		3	090
57531	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
57531	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
57531	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
57540	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
57540	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
57540	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
57540	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
57540	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
57545	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
57545	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
57545	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
57545	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
57545	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
57550	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
57550	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
57550	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
57550	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
57550	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
57555	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
57555	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
57555	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
57555	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
57555	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
57555	CMS	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1	090
57555	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07		15	090
57556	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
57556	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
57556	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
57556	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
57556	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
57558	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
57558	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38	2	1	010
57558	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	1	010
57558	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
57700	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
57700	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		3	090
57700	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
57700	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
57700	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
57720	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
57720	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
57720	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
57720	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
57720	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
57800	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
57800	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38	1	0	000
57800	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
57800	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
58100	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38	1	0	000
58100	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
58100	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
58100	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
58100	CMS	"Accessory, Procedure"	SD039	"curette, suction, endometrial (Pipelle)"	item	5.75	1	0	000
58100	CMS	"Accessory, Procedure"	SD329	Uterine Sound	item	3.17	1	0	000
58100	CMS	"Accessory, Procedure"	SD330	Tenaculum	item	3.77	1	0	000
58100	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	1	0	000
58100	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	000
58110	CMS	"Accessory, Procedure"	SD039	"curette, suction, endometrial (Pipelle)"	item	5.75	1	0	ZZZ
58120	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
58120	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
58120	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38	2	1	010
58120	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	1	010
58120	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
58120	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
58120	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
58120	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
58120	CMS	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32	1	0	010
58120	CMS	"Accessory, Procedure"	SD127	"tube, suction NG (Salem sump)"	item	3.13	1	0	010
58120	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	10	0	010
58120	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	15	0	010
58120	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	010
58120	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	010
58140	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
58140	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
58140	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
58140	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
58140	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
58145	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
58145	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
58145	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
58145	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
58145	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
58146	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
58146	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
58146	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
58146	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
58150	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
58150	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		1	090
58150	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
58150	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
58152	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
58152	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		1.5	090
58152	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
58152	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1.5	090
58180	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
58180	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		1	090
58180	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
58180	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
58200	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
58200	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		1	090
58200	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
58200	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
58210	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
58210	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
58210	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
58210	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
58240	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
58240	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		6	090
58240	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
58240	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		6	090
58260	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
58260	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
58260	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
58262	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
58262	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
58262	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
58263	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
58263	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
58263	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
58267	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
58267	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2.5	090
58267	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2.5	090
58270	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
58270	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
58270	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
58275	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
58275	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
58275	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
58280	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
58280	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
58280	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
58285	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
58285	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		3	090
58285	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
58290	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
58290	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
58290	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
58290	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
58291	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
58291	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
58291	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
58291	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
58292	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
58292	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
58292	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
58292	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
58294	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
58294	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
58294	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
58294	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
58300	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	XXX
58300	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38	1	0	XXX
58300	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	50	0	XXX
58301	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
58301	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	000
58301	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
58301	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	000
58301	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1	0	000
58301	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
58301	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
58301	CMS	"Accessory, Procedure"	SD118	"specula, vaginal"	item	1.36	1	0	000
58301	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	000
58301	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	1	0	000
58301	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	15	0	000
58301	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	1	0	000
58301	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	50	0	000
58301	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	4	0	000
58301	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
58301	CMS	"Office Supply, Grocery"	SK052	"pad, feminine mini"	item	0.37	1	0	000
58321	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
58321	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	000
58321	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
58321	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	000
58321	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1	0	000
58321	CMS	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.18	1	0	000
58321	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	000
58321	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
58321	CMS	"Accessory, Procedure"	SD118	"specula, vaginal"	item	1.36	1	0	000
58321	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	15	0	000
58321	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4	0	000
58321	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1	0	000
58321	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
58322	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
58322	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	000
58322	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
58322	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	000
58322	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1	0	000
58322	CMS	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.18	1	0	000
58322	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	000
58322	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
58322	CMS	"Accessory, Procedure"	SD118	"specula, vaginal"	item	1.36	1	0	000
58322	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	15	0	000
58322	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4	0	000
58322	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1	0	000
58322	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
58323	CMS	Lab	SL030	"cover slip, glass"	item	0.114	1	0	000
58323	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
58323	CMS	Lab	SL108	pipette	item	0.06	2	0	000
58323	CMS	Lab	SL122	"slide, microscope"	item	0.36	1	0	000
58323	CMS	Lab	SL143	test tube	item	0.2	5	0	000
58340	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
58340	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
58340	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	000
58340	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	000
58340	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	4	0	000
58340	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	3	0	000
58340	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	3	0	000
58340	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
58340	CMS	"Hypodermic, IV"	SC018	iv infusion set	item	1.27	1	0	000
58340	CMS	"Hypodermic, IV"	SC041	"needle, arterial (Seldinger)"	item	4.45	1	0	000
58340	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	0	000
58340	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	3	0	000
58340	CMS	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.95	3	0	000
58340	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	0	000
58340	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	000
58340	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	000
58345	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	010
58345	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		1	010
58345	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	010
58346	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
58346	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
58346	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
58350	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
58350	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38	2	1	010
58350	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	1	010
58350	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
58350	CMS	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.18	2	0	010
58350	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	010
58350	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
58350	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	30	0	010
58350	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	55	0	010
58350	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	010
58353	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
58353	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38	2	1	010
58353	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	1	010
58353	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
58353	CMS	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.18	2	0	010
58353	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	010
58353	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
58353	CMS	"Accessory, Procedure"	SD018	"catheter, balloon, thermal ablation (Thermachoice)"	tray	762.59	1	0	010
58353	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	30	0	010
58353	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	55	0	010
58353	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	010
58356	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
58356	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
58356	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38	2	1	010
58356	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
58356	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	3	0	010
58356	CMS	"Gown, Drape"	SB038	safety glasses	item	1.92	2	0	010
58356	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	010
58356	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
58356	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	010
58356	CMS	"Accessory, Procedure"	SD024	"catheter, Foley"	item	10.85	1	0	010
58356	CMS	"Accessory, Procedure"	SD039	"curette, suction, endometrial (Pipelle)"	item	5.75	1	0	010
58356	CMS	"Accessory, Procedure"	SD215	"probe, endometrial cryoablation (Her Option)"	item	1295	1	0	010
58356	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
58356	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	20	0	010
58356	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	20	0	010
58356	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1	0	010
58356	CMS	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.02	100	0	010
58356	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60	0	010
58356	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	5	0	010
58400	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
58400	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
58400	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
58400	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
58400	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
58410	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
58410	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
58410	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
58410	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
58410	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
58520	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
58520	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
58520	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
58520	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
58520	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
58540	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
58540	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
58540	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
58540	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
58540	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
58541	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	090
58541	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
58541	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
58541	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
58542	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	090
58542	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
58542	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
58542	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
58543	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	090
58543	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
58543	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
58543	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
58544	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	090
58544	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
58544	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
58544	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
58545	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
58545	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		1	090
58545	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
58546	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
58546	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		1	090
58546	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
58548	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
58548	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		3	090
58548	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
58548	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
58550	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
58550	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		1	090
58550	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
58552	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
58552	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		1	090
58552	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
58553	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
58553	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		1	090
58553	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
58554	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
58554	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		1	090
58554	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
58555	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
58555	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
58555	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38	1	0	000
58555	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	75.67	1	0	000
58555	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
58555	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
58555	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
58555	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
58555	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
58555	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	000
58555	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
58555	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	000
58555	CMS	"Accessory, Procedure"	SD070	endosheath	item	15.28	1	0	000
58555	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	000
58555	CMS	"Pharmacy, NonRx"	SJ036	Monsel's soln	ml	2.07	10	0	000
58555	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4	0	000
58558	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
58558	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
58558	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38	1	0	000
58558	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	75.67	1	0	000
58558	CMS	"Kit, Pack, Tray"	SA123	Hysteroscopic fluid management tubing kit	kit	320	1	0	000
58558	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
58558	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
58558	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
58558	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
58558	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
58558	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	000
58558	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
58558	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	000
58558	CMS	"Accessory, Procedure"	SD070	endosheath	item	15.28	1	0	000
58558	CMS	"Cutters, Closures, Cautery"	SF059	Hysteroscopic tissue removal device	item	721.03	1	0	000
58558	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	000
58558	CMS	"Pharmacy, NonRx"	SJ036	Monsel's soln	ml	2.07	10	0	000
58558	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4	0	000
58562	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
58562	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
58562	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38	1	0	000
58562	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	75.67	1	0	000
58562	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
58562	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
58562	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
58562	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
58562	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	000
58562	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
58562	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	000
58562	CMS	"Accessory, Procedure"	SD070	endosheath	item	15.28	1	0	000
58562	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	000
58562	CMS	"Pharmacy, NonRx"	SJ036	Monsel's soln	ml	2.07	10	0	000
58562	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4	0	000
58563	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
58563	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
58563	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38	1	0	000
58563	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	75.67	1	0	000
58563	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
58563	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
58563	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
58563	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
58563	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	2	0	000
58563	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	000
58563	CMS	"Accessory, Procedure"	SD070	endosheath	item	15.28	1	0	000
58563	CMS	"Accessory, Procedure"	SD177	"hysteroscope, ablation device"	item	1945.13	1	0	000
58563	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	1	0	000
58563	CMS	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.14	20	0	000
58563	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03	4	0	000
58563	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	10	0	000
58563	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	000
58563	CMS	"Pharmacy, NonRx"	SJ036	Monsel's soln	ml	2.07	10	0	000
58563	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	4	0	000
58563	CMS	"Office Supply, Grocery"	SK051	"pad, feminine maxi"	item	0.39	1	0	000
58565	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	090
58565	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3	2	090
58565	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38	3	2	090
58565	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	75.67	1	0	090
58565	CMS	"Kit, Pack, Tray"	SA075	"kit, hysteroscopic tubal implant for sterilization"	kit	1177.72	1	0	090
58565	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	090
58565	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	090
58565	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	090
58565	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	3	0	090
58565	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
58565	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	090
58565	CMS	"Hypodermic, IV"	SC062	"syringe, Toomey"	item	3.35	1	0	090
58565	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
58565	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	090
58565	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	3	0	090
58570	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	090
58570	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
58570	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
58570	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
58571	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	090
58571	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
58571	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
58571	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
58572	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	090
58572	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
58572	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
58572	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
58573	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	090
58573	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
58573	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
58573	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
58575	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	090
58575	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
58575	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		3	090
58575	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
58580	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
58580	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
58580	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38	2	0	010
58580	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
58580	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
58580	CMS	"Gown, Drape"	SB038	safety glasses	item	1.92	2	0	010
58580	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	010
58580	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
58580	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	010
58580	CMS	"Accessory, Procedure"	SD024	"catheter, Foley"	item	10.85	1	0	010
58580	CMS	"Accessory, Procedure"	SD039	"curette, suction, endometrial (Pipelle)"	item	5.75	1	0	010
58580	CMS	"Accessory, Procedure"	SD360	Dispersive electrode (Sonata)	item	30	2	0	010
58580	CMS	"Accessory, Procedure"	SD361	"RFA Handpiece, sterile (Sonata)"	item	2500	1	0	010
58580	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	0.5	0	010
58580	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	20	0	010
58580	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	20	0	010
58580	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1	0	010
58580	CMS	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.02	100	0	010
58580	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60	0	010
58580	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	5	0	010
58600	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
58600	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		1	090
58600	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
58600	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
58600	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
58605	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
58605	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		1	090
58605	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
58605	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
58605	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
58615	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	010
58615	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		1	010
58615	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	010
58615	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	010
58660	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
58660	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		1	090
58660	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
58660	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
58660	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
58661	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	010
58661	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	010
58661	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		1	010
58661	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	010
58662	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
58662	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		1	090
58662	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
58662	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
58662	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
58670	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
58670	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		1	090
58670	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
58670	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
58670	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
58671	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
58671	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		1	090
58671	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
58671	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
58671	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
58672	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
58672	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		1	090
58672	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
58672	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
58672	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
58673	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
58673	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		1	090
58673	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
58673	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
58673	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
58674	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
58674	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		1	090
58674	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
58674	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
58700	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
58700	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
58700	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
58700	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
58700	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
58720	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
58720	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
58720	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
58720	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
58720	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
58740	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
58740	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
58740	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
58740	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
58740	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
58750	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
58750	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
58750	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
58750	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
58750	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
58752	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
58752	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
58752	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
58752	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
58752	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
58760	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
58760	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
58760	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
58760	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
58760	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
58770	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
58770	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
58770	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
58770	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
58770	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
58800	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2.5	1.5	090
58800	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38	2.5	1.5	090
58800	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	2.5	1.5	090
58800	CMS	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.18	3	0	090
58800	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	2	0	090
58800	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
58800	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	090
58800	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
58800	CMS	Lab	SL033	culture swab system (Culturette)	item	0.96	1	0	090
58805	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
58805	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
58805	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
58805	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
58805	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
58820	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
58820	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
58820	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
58820	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
58820	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
58822	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
58822	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
58822	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
58822	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
58822	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
58825	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
58825	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
58825	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
58825	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
58825	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
58900	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
58900	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
58900	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
58900	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
58900	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
58920	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
58920	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
58920	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
58920	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
58920	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
58925	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
58925	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
58925	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
58925	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
58925	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
58940	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
58940	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
58940	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
58940	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
58940	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
58943	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
58943	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
58943	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
58943	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
58943	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		9	090
58950	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
58950	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		3	090
58950	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
58950	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
58950	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		9	090
58951	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
58951	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
58951	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
58951	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
58951	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		9	090
58952	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
58952	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		3	090
58952	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
58952	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
58952	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		9	090
58953	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
58953	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
58953	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
58953	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
58954	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
58954	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
58954	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
58954	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
58956	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
58956	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		1	090
58956	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
58956	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46		1	090
58958	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
58958	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		3	090
58958	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
58958	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
58960	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
58960	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
58960	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
58960	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
58960	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		9	090
58970	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
58970	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38	1	0	000
58970	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
58970	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
58970	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1.5	0	000
58970	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	000
58970	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	000
58976	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
58976	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38	1	0	000
58976	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
58976	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
58976	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1.5	0	000
58976	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	000
58976	CMS	"Accessory, Procedure"	SD025	"catheter, intrauterine insemination"	item	7.1	1	0	000
59000	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
59000	CMS	"Kit, Pack, Tray"	SA059	"tray, amniocentesis"	tray	11.51	1	0	000
59000	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
59000	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
59015	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
59015	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
59015	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
59020	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		000
59020	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		000
59020	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		000
59020	CMS	"Hypodermic, IV"	SC018	iv infusion set	item	1.27	1		000
59020	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		000
59020	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		000
59020	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1		000
59020	CMS	"Accessory, Procedure"	SD124	"tourniquet, non-latex 1in x 18in"	item	0.1	1		000
59020	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	1		000
59020	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	150		000
59020	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	6		000
59025	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		000
59025	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		000
59025	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	150		000
59025	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	6		000
59070	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
59070	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	000
59070	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	3	0	000
59070	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
59070	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	2	0	000
59070	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
59070	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	0	000
59070	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	000
59070	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1	0	000
59070	CMS	"Pharmacy, Rx"	SH041	Indigo Carmine soln 0.8% inj (5cc vial uou)	item	15.16	1	0	000
59070	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	000
59070	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
59070	CMS	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.57	1	0	000
59070	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
59074	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
59074	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	000
59074	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	3	0	000
59074	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
59074	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	2	0	000
59074	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
59074	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	0	000
59074	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	000
59074	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1	0	000
59074	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	000
59074	CMS	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.57	1	0	000
59074	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
59100	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
59100	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
59100	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
59100	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
59100	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
59120	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
59120	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
59120	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
59120	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
59120	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
59121	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
59121	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
59121	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
59121	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
59121	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
59130	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
59130	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
59130	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
59130	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
59130	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
59136	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
59136	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
59136	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
59136	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
59136	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		5	090
59140	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1.5	090
59140	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		1.5	090
59140	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1.5	090
59140	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46		1.5	090
59150	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
59150	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
59150	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
59150	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
59150	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		8	090
59151	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
59151	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
59151	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
59151	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		4	090
59160	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
59160	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
59160	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38	2	1	010
59160	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1	0	010
59160	CMS	"Hypodermic, IV"	SC018	iv infusion set	item	1.27	1	0	010
59160	CMS	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32	1	0	010
59160	CMS	"Accessory, Procedure"	SD100	nasal cannula	item	1.66	1	0	010
59160	CMS	"Accessory, Procedure"	SD127	"tube, suction NG (Salem sump)"	item	3.13	1	0	010
59160	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	100	0	010
59160	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
59160	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	010
59200	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
59200	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38	1	0	000
59200	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
59200	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
59200	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	000
59200	RUC	"Pharmacy, Rx"	SH045	Laminaria tent	item	4.23	5	0	000
59200	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	50	0	000
59300	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	000
59300	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
59300	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38	1	0	000
59300	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	000
59300	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
59300	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
59300	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	000
59300	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	10	0	000
59300	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	1.78	0.4	0	000
59300	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	15	0	000
59300	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	0.5	0	000
59300	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	45	0	000
59300	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
59400	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		14	MMM
59400	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		3	MMM
59400	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	MMM
59400	CMS	"Pharmacy, NonRx"	SJ054	"test strip, glucose-protein (Chemstrip GP, Uristix)"	item	0.31		13	MMM
59400	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03		650	MMM
59400	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19		13	MMM
59410	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	MMM
59410	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		1	MMM
59425	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5	0	MMM
59425	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38	1	0	MMM
59425	CMS	"Pharmacy, NonRx"	SJ054	"test strip, glucose-protein (Chemstrip GP, Uristix)"	item	0.31	5	0	MMM
59425	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	250	0	MMM
59425	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	5	0	MMM
59426	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	10	0	MMM
59426	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38	1	0	MMM
59426	CMS	"Pharmacy, NonRx"	SJ054	"test strip, glucose-protein (Chemstrip GP, Uristix)"	item	0.31	10	0	MMM
59426	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	500	0	MMM
59426	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	10	0	MMM
59430	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	0	MMM
59430	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38	2	0	MMM
59430	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	4	0	MMM
59430	CMS	"Accessory, Procedure"	SD118	"specula, vaginal"	item	1.36	2	0	MMM
59430	CMS	"Pharmacy, NonRx"	SJ054	"test strip, glucose-protein (Chemstrip GP, Uristix)"	item	0.31	2	0	MMM
59430	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	100	0	MMM
59430	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	2	0	MMM
59510	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		15	MMM
59510	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		3	MMM
59510	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	MMM
59510	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	MMM
59510	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	MMM
59510	CMS	"Pharmacy, NonRx"	SJ054	"test strip, glucose-protein (Chemstrip GP, Uristix)"	item	0.31		13	MMM
59510	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03		650	MMM
59510	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19		13	MMM
59515	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	MMM
59515	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		1	MMM
59515	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	MMM
59610	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		14	MMM
59610	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		3	MMM
59610	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	MMM
59610	CMS	"Pharmacy, NonRx"	SJ054	"test strip, glucose-protein (Chemstrip GP, Uristix)"	item	0.31		13	MMM
59610	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03		650	MMM
59610	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19		13	MMM
59618	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		15	MMM
59618	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		3	MMM
59618	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	MMM
59618	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	MMM
59618	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54		4	MMM
59618	CMS	"Pharmacy, NonRx"	SJ054	"test strip, glucose-protein (Chemstrip GP, Uristix)"	item	0.31		12	MMM
59618	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03		600	MMM
59618	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19		12	MMM
59622	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	MMM
59622	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	MMM
59622	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	MMM
59812	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	090
59812	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38	2	1	090
59812	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5	1	1	090
59812	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	1	090
59812	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	090
59812	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
59812	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
59812	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
59812	CMS	"Accessory, Procedure"	SD127	"tube, suction NG (Salem sump)"	item	3.13	1	0	090
59812	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	090
59812	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	50	0	090
59812	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	090
59820	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3	2	090
59820	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38	3	2	090
59820	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	3	2	090
59820	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	090
59820	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
59820	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
59820	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
59820	CMS	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32	1	0	090
59820	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	090
59820	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	090
59820	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	090
59820	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	50	0	090
59820	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	090
59821	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2.5	1.5	090
59821	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38	2.5	1.5	090
59821	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	2.5	1.5	090
59821	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	090
59821	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
59821	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	090
59821	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
59821	CMS	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32	1	0	090
59821	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	090
59821	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	090
59821	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	090
59821	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	50	0	090
59821	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	090
59830	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
59830	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
59830	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
59830	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
59840	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
59840	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38	2	1	010
59840	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5	1	1	010
59841	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
59841	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38	2	1	010
59841	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	1	010
59841	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
59841	CMS	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.18	1	0	010
59841	CMS	"Hypodermic, IV"	SC063	syringe-needle 10ml 26g	item	0.34	1	0	010
59841	CMS	"Accessory, Procedure"	SD039	"curette, suction, endometrial (Pipelle)"	item	5.75	1	0	010
59841	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	010
59841	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	1	0	010
59841	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	50	0	010
59841	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	010
59850	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
59850	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		1	090
59850	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
59850	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		4	090
59851	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
59851	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		2	090
59851	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		2	090
59851	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		4	090
59852	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
59852	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		3	090
59852	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
59852	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
59852	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
59855	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
59855	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		1	090
59855	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
59855	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
59855	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
59856	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
59856	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		1	090
59856	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
59856	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		4	090
59857	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
59857	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		1	090
59857	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
59857	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		4	090
59870	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
59870	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38		4	090
59870	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
59870	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		4	090
59870	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		4	090
60000	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	2	1	010
60000	CMS	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1	1	010
60000	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	2	0	010
60000	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	2	010
60000	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	3	1	010
60000	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	1	010
60000	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1	1	010
60000	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
60000	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	010
60000	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
60000	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.76	1	0	010
60000	CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035	2	2	010
60000	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	4	4	010
60000	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	1	0	010
60000	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	2	2	010
60000	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	3	010
60000	CMS	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	1	1	0	010
60000	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	1	010
60000	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	3	0	010
60000	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	3	0	010
60000	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	1	010
60000	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	60	60	010
60000	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	20	0	010
60000	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4	2	010
60000	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33	1	1	010
60000	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	1	1	010
60100	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
60100	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
60100	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
60100	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	000
60100	CMS	"Hypodermic, IV"	SC025	"needle, 14-20g, biopsy"	item	11.13	1	0	000
60100	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	1	0	000
60100	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	000
60100	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
60200	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
60200	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
60200	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
60200	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
60200	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
60200	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		20	090
60200	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		180	090
60200	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
60210	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
60210	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
60210	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
60210	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
60210	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
60210	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		20	090
60210	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		180	090
60210	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
60212	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
60212	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
60212	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
60212	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
60212	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
60212	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		20	090
60212	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		180	090
60212	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
60220	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
60220	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
60220	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
60220	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
60220	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
60220	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		20	090
60220	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		180	090
60220	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
60225	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
60225	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
60225	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
60225	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
60225	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
60225	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		20	090
60225	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		180	090
60225	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
60240	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
60240	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
60240	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
60240	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
60240	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
60240	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		20	090
60240	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		180	090
60240	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
60252	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
60252	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
60252	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
60252	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
60252	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
60252	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		20	090
60252	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		180	090
60252	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
60254	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
60254	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
60254	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
60254	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
60254	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
60254	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		20	090
60254	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		180	090
60254	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
60260	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
60260	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
60260	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
60260	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
60260	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
60260	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		20	090
60260	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		180	090
60260	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
60270	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
60270	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
60270	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
60270	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
60270	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
60270	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		20	090
60270	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		180	090
60270	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
60271	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
60271	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
60271	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
60271	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
60271	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
60271	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		20	090
60271	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		180	090
60271	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
60280	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
60280	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
60280	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
60280	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
60280	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
60280	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		20	090
60280	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		180	090
60280	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
60281	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
60281	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
60281	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
60281	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
60281	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
60281	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		20	090
60281	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		180	090
60281	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
60300	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
60300	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
60300	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	000
60300	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
60300	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	4	0	000
60300	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
60300	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	000
60300	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
60300	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	000
60300	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	000
60300	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	4	0	000
60300	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
60300	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
60300	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	000
60300	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2	0	000
60500	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
60500	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
60500	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
60500	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
60500	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
60500	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		20	090
60500	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		180	090
60500	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
60502	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
60502	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
60502	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
60502	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
60502	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
60502	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		20	090
60502	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		180	090
60505	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
60505	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
60505	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
60505	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
60505	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
60505	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		20	090
60505	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		180	090
60505	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
60520	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
60520	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
60520	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
60520	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
60520	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
60520	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		20	090
60520	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		180	090
60520	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
60521	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
60521	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
60521	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
60521	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
60521	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
60521	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		20	090
60521	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		180	090
60521	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
60522	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
60522	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
60522	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
60522	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
60522	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
60522	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		20	090
60522	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		180	090
60522	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
60540	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
60540	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
60540	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
60540	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
60540	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
60540	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		20	090
60540	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		180	090
60540	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
60545	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
60545	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
60545	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
60545	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
60545	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
60545	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		20	090
60545	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		180	090
60545	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
60600	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
60600	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
60600	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		1	090
60600	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
60600	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		1	090
60600	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		20	090
60600	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		180	090
60600	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		1	090
60605	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
60605	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
60605	CMS	"Accessory, Procedure"	SD070	endosheath	item	15.28		4	090
60605	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		32	090
60605	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02		8	090
60605	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		16	090
60605	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		3	090
60605	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4	090
60605	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		240	090
60605	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		8	090
60605	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		3	090
60605	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03		4	090
60650	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
60650	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
60660	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
60660	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	4	0	000
60660	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
60660	RUC	"Gown, Drape"	SB017	"drape-sleeve, sterile (4in x 8ft)"	item	0.2	1	0	000
60660	RUC	"Gown, Drape"	SB018	"drape-sleeve, sterile, for handpiece"	item	0.14	1	0	000
60660	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	000
60660	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
60660	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
60660	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	4	0	000
60660	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	4	0	000
60660	RUC	"Gown, Drape"	SB048	"sheath-cover, sterile, 96in x 6in (transducer)"	item	9.583	1	0	000
60660	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	000
60660	RUC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	2	0	000
60660	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
60660	RUC	"Accessory, Procedure"	SD368	RF Electrodes 18 Gauge 70 mm Length	item	1995	1	0	000
60660	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
60660	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	000
60660	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	000
60660	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	12	0	000
60660	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	000
60660	RUC	"Pharmacy, Rx"	SH075	"water, sterile inj"	ml	0.05	30	0	000
60660	RUC	"Pharmacy, Rx"	SH090	sodium bicarbonate 8.4% inj w-needle (1ml uou)	item	2.2	2	0	000
60660	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	000
60660	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
60660	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	100	0	000
60660	RUC	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	1	0	000
60660	RUC	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.02	100	0	000
60660	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60	0	000
60660	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
60660	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	10	0	000
60660	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1	0	000
60661	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	ZZZ
60661	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	ZZZ
60661	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	12	0	ZZZ
60661	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	ZZZ
60661	RUC	"Pharmacy, Rx"	SH075	"water, sterile inj"	ml	0.05	30	0	ZZZ
60661	RUC	"Pharmacy, Rx"	SH090	sodium bicarbonate 8.4% inj w-needle (1ml uou)	item	2.2	2	0	ZZZ
60661	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60	0	ZZZ
60661	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1	0	ZZZ
61105	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
61105	CMS	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	9.48		1	090
61108	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
61108	CMS	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	9.48		1	090
61120	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
61120	CMS	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	9.48		1	090
61140	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
61140	CMS	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	9.48		1	090
61150	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
61150	CMS	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	9.48		1	090
61151	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
61151	CMS	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	9.48		1	090
61154	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
61154	CMS	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	9.48		1	090
61156	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
61156	CMS	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	9.48		1	090
61215	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
61215	CMS	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	9.48		1	090
61250	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
61250	CMS	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	9.48		1	090
61253	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
61253	CMS	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	9.48		1	090
61304	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
61304	CMS	"Kit, Pack, Tray"	SA055	"pack, post-op incision care, craniotomy"	pack	10.93		1	090
61305	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
61305	CMS	"Kit, Pack, Tray"	SA055	"pack, post-op incision care, craniotomy"	pack	10.93		1	090
61312	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
61312	CMS	"Kit, Pack, Tray"	SA055	"pack, post-op incision care, craniotomy"	pack	10.93		1	090
61313	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
61313	CMS	"Kit, Pack, Tray"	SA055	"pack, post-op incision care, craniotomy"	pack	10.93		1	090
61314	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
61314	CMS	"Kit, Pack, Tray"	SA055	"pack, post-op incision care, craniotomy"	pack	10.93		1	090
61315	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
61315	CMS	"Kit, Pack, Tray"	SA055	"pack, post-op incision care, craniotomy"	pack	10.93		1	090
61320	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
61320	CMS	"Kit, Pack, Tray"	SA055	"pack, post-op incision care, craniotomy"	pack	10.93		1	090
61321	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
61321	CMS	"Kit, Pack, Tray"	SA055	"pack, post-op incision care, craniotomy"	pack	10.93		1	090
61322	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
61323	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
61330	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
61330	CMS	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	9.48		1	090
61333	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
61333	CMS	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	9.48		1	090
61340	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
61340	CMS	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	9.48		1	090
61343	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
61343	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
61343	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61345	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
61345	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
61345	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61450	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
61450	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
61450	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61458	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
61458	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
61458	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61460	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
61460	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
61460	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61500	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
61500	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
61500	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61501	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
61501	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
61501	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61510	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
61510	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
61510	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61512	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
61512	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
61512	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61514	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
61514	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
61514	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61516	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
61516	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
61516	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61518	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
61518	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
61518	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61519	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
61519	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
61519	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61520	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
61520	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
61520	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61521	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
61521	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
61521	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61522	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
61522	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
61522	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61524	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
61524	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
61524	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61526	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
61526	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
61526	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61530	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
61530	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
61530	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61531	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
61531	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
61531	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61533	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
61533	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
61533	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61534	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
61534	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
61534	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61535	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
61535	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
61535	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61536	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
61536	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
61536	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61537	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
61537	CMS	"Kit, Pack, Tray"	SA055	"pack, post-op incision care, craniotomy"	pack	10.93		1	090
61538	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
61538	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
61538	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61539	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
61539	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
61539	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61540	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
61540	CMS	"Kit, Pack, Tray"	SA055	"pack, post-op incision care, craniotomy"	pack	10.93		1	090
61541	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
61541	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
61541	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61543	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
61543	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
61543	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61544	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
61544	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
61544	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61545	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
61545	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
61545	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61546	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
61546	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
61546	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61548	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
61548	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
61548	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61550	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
61550	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
61550	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61552	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
61552	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
61552	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61556	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
61556	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
61556	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61557	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
61557	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
61557	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61558	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
61558	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
61558	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61559	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
61559	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
61559	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61563	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
61563	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
61563	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61564	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
61564	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
61564	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61566	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
61566	CMS	"Kit, Pack, Tray"	SA055	"pack, post-op incision care, craniotomy"	pack	10.93		1	090
61567	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
61567	CMS	"Kit, Pack, Tray"	SA055	"pack, post-op incision care, craniotomy"	pack	10.93		1	090
61570	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
61570	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
61570	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61571	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
61571	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
61571	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61575	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
61575	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
61575	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61576	CMS	"Kit, Pack, Tray"	SA035	"kit, tracheostomy care"	kit	2.085		2	090
61576	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		4	090
61576	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
61576	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
61576	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
61576	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
61576	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
61576	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		2	090
61576	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
61576	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		8	090
61576	CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		2	090
61576	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		16	090
61576	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		8	090
61576	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		12	090
61576	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		8	090
61576	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		8	090
61576	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		10	090
61576	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		2	090
61576	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		20	090
61576	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		4	090
61576	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
61580	CMS	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1	090
61580	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	090
61580	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
61580	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
61580	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5	090
61580	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43		5	090
61580	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		5	090
61580	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		5	090
61580	CMS	"Accessory, Procedure"	SD010	"canister, vacuum"	item	9.1		5	090
61580	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		5	090
61580	CMS	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.4		1	090
61580	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		20	090
61580	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
61580	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		1	090
61580	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02		20	090
61580	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
61580	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		5	090
61580	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
61580	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		2	090
61580	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		60	090
61580	CMS	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		5	090
61580	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06		5	090
61580	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		2.5	090
61580	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		25	090
61580	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		5	090
61580	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		50	090
61580	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		5	090
61580	CMS	"Pharmacy, NonRx"	SJ040	phenylephrine 1% nasal spray (NeoSynephrine)	ml	0.333		5	090
61580	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		20	090
61580	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		25	090
61580	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		2	090
61580	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		2	090
61580	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		10	090
61580	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76		5	090
61580	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44		10	090
61581	CMS	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1	090
61581	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	090
61581	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		6	090
61581	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
61581	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
61581	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43		6	090
61581	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		6	090
61581	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		6	090
61581	CMS	"Accessory, Procedure"	SD010	"canister, vacuum"	item	9.1		6	090
61581	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		6	090
61581	CMS	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.4		1	090
61581	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		24	090
61581	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
61581	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		1	090
61581	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02		24	090
61581	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
61581	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		6	090
61581	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
61581	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		2	090
61581	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		60	090
61581	CMS	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		6	090
61581	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06		6	090
61581	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		3	090
61581	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		30	090
61581	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		6	090
61581	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		60	090
61581	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		6	090
61581	CMS	"Pharmacy, NonRx"	SJ040	phenylephrine 1% nasal spray (NeoSynephrine)	ml	0.333		6	090
61581	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		20	090
61581	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		30	090
61581	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		2	090
61581	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		2	090
61581	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		12	090
61581	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76		6	090
61581	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44		12	090
61582	CMS	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1	090
61582	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	090
61582	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
61582	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
61582	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5	090
61582	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43		5	090
61582	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		5	090
61582	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		5	090
61582	CMS	"Accessory, Procedure"	SD010	"canister, vacuum"	item	9.1		5	090
61582	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		5	090
61582	CMS	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.4		1	090
61582	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		20	090
61582	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
61582	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		1	090
61582	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02		20	090
61582	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
61582	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		5	090
61582	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
61582	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		2	090
61582	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		60	090
61582	CMS	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		5	090
61582	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06		5	090
61582	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		2.5	090
61582	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		25	090
61582	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		5	090
61582	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		50	090
61582	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		5	090
61582	CMS	"Pharmacy, NonRx"	SJ040	phenylephrine 1% nasal spray (NeoSynephrine)	ml	0.333		5	090
61582	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		20	090
61582	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		25	090
61582	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		2	090
61582	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		2	090
61582	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		10	090
61582	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76		5	090
61582	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44		10	090
61583	CMS	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1	090
61583	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	090
61583	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
61583	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
61583	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090
61583	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43		3	090
61583	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		3	090
61583	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
61583	CMS	"Accessory, Procedure"	SD010	"canister, vacuum"	item	9.1		3	090
61583	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		3	090
61583	CMS	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.4		1	090
61583	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		12	090
61583	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
61583	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		1	090
61583	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02		12	090
61583	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
61583	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		3	090
61583	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
61583	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		2	090
61583	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		60	090
61583	CMS	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3	090
61583	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06		3	090
61583	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		1.5	090
61583	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		15	090
61583	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3	090
61583	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		30	090
61583	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		3	090
61583	CMS	"Pharmacy, NonRx"	SJ040	phenylephrine 1% nasal spray (NeoSynephrine)	ml	0.333		3	090
61583	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		20	090
61583	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		15	090
61583	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		2	090
61583	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		2	090
61583	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		6	090
61583	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76		3	090
61583	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44		6	090
61584	CMS	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1	090
61584	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	090
61584	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
61584	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
61584	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090
61584	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43		3	090
61584	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		3	090
61584	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
61584	CMS	"Accessory, Procedure"	SD010	"canister, vacuum"	item	9.1		3	090
61584	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		3	090
61584	CMS	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.4		1	090
61584	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		12	090
61584	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
61584	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		1	090
61584	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02		12	090
61584	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
61584	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		3	090
61584	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
61584	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		2	090
61584	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		60	090
61584	CMS	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3	090
61584	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06		3	090
61584	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		1.5	090
61584	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		15	090
61584	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3	090
61584	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		30	090
61584	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		3	090
61584	CMS	"Pharmacy, NonRx"	SJ040	phenylephrine 1% nasal spray (NeoSynephrine)	ml	0.333		3	090
61584	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		20	090
61584	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		15	090
61584	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		2	090
61584	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		2	090
61584	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		6	090
61584	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76		3	090
61584	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44		6	090
61585	CMS	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1	090
61585	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	090
61585	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
61585	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
61585	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090
61585	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43		3	090
61585	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		3	090
61585	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
61585	CMS	"Accessory, Procedure"	SD010	"canister, vacuum"	item	9.1		3	090
61585	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		3	090
61585	CMS	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.4		1	090
61585	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		12	090
61585	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
61585	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		1	090
61585	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02		12	090
61585	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
61585	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		3	090
61585	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
61585	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		2	090
61585	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		60	090
61585	CMS	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3	090
61585	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06		3	090
61585	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		1.5	090
61585	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		15	090
61585	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3	090
61585	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		30	090
61585	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		3	090
61585	CMS	"Pharmacy, NonRx"	SJ040	phenylephrine 1% nasal spray (NeoSynephrine)	ml	0.333		3	090
61585	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		20	090
61585	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		15	090
61585	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		2	090
61585	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		2	090
61585	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		6	090
61585	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76		3	090
61585	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44		6	090
61586	CMS	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1	090
61586	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	090
61586	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
61586	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
61586	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
61586	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43		4	090
61586	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		4	090
61586	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
61586	CMS	"Accessory, Procedure"	SD010	"canister, vacuum"	item	9.1		4	090
61586	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		4	090
61586	CMS	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.4		1	090
61586	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		16	090
61586	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
61586	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		1	090
61586	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02		16	090
61586	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
61586	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		4	090
61586	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
61586	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		2	090
61586	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		60	090
61586	CMS	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4	090
61586	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06		4	090
61586	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18		2	090
61586	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		20	090
61586	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4	090
61586	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		40	090
61586	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66		4	090
61586	CMS	"Pharmacy, NonRx"	SJ040	phenylephrine 1% nasal spray (NeoSynephrine)	ml	0.333		4	090
61586	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		20	090
61586	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		20	090
61586	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		2	090
61586	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		2	090
61586	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		8	090
61586	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76		4	090
61586	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44		8	090
61590	CMS	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1	090
61590	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	090
61590	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
61590	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
61590	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5	090
61590	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43		5	090
61590	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		5	090
61590	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		5	090
61590	CMS	"Accessory, Procedure"	SD010	"canister, vacuum"	item	9.1		5	090
61590	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		5	090
61590	CMS	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.4		1	090
61590	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		20	090
61590	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
61590	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		1	090
61590	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02		20	090
61590	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
61590	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		5	090
61590	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
61590	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		2	090
61590	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		60	090
61590	CMS	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		5	090
61590	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		25	090
61590	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		5	090
61590	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		50	090
61590	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		20	090
61590	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		25	090
61590	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		2	090
61590	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		2	090
61591	CMS	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1	090
61591	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	090
61591	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
61591	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
61591	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5	090
61591	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43		5	090
61591	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		5	090
61591	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		5	090
61591	CMS	"Accessory, Procedure"	SD010	"canister, vacuum"	item	9.1		5	090
61591	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		5	090
61591	CMS	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.4		1	090
61591	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		20	090
61591	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
61591	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		1	090
61591	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02		20	090
61591	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
61591	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		5	090
61591	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
61591	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		2	090
61591	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		60	090
61591	CMS	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		5	090
61591	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		25	090
61591	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		5	090
61591	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		50	090
61591	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		20	090
61591	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		25	090
61591	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		2	090
61591	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		2	090
61592	CMS	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1	090
61592	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	090
61592	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
61592	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
61592	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
61592	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43		4	090
61592	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		4	090
61592	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
61592	CMS	"Accessory, Procedure"	SD010	"canister, vacuum"	item	9.1		4	090
61592	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		4	090
61592	CMS	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.4		1	090
61592	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		16	090
61592	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
61592	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		1	090
61592	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02		16	090
61592	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
61592	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		4	090
61592	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
61592	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		2	090
61592	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		60	090
61592	CMS	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4	090
61592	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		20	090
61592	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4	090
61592	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		40	090
61592	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		20	090
61592	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		20	090
61592	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		2	090
61592	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		2	090
61595	CMS	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1	090
61595	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	090
61595	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
61595	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
61595	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5	090
61595	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43		5	090
61595	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		5	090
61595	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		5	090
61595	CMS	"Accessory, Procedure"	SD010	"canister, vacuum"	item	9.1		5	090
61595	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		5	090
61595	CMS	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.4		1	090
61595	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		20	090
61595	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
61595	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		1	090
61595	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02		20	090
61595	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
61595	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		5	090
61595	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
61595	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		2	090
61595	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		60	090
61595	CMS	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		5	090
61595	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		25	090
61595	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		5	090
61595	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		50	090
61595	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		20	090
61595	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		25	090
61595	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		2	090
61595	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		2	090
61596	CMS	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1	090
61596	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	090
61596	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
61596	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
61596	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
61596	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43		4	090
61596	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		4	090
61596	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
61596	CMS	"Accessory, Procedure"	SD010	"canister, vacuum"	item	9.1		4	090
61596	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		4	090
61596	CMS	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.4		1	090
61596	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		16	090
61596	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
61596	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		1	090
61596	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02		16	090
61596	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
61596	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		4	090
61596	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
61596	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		2	090
61596	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		60	090
61596	CMS	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4	090
61596	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		20	090
61596	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4	090
61596	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		40	090
61596	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		20	090
61596	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		20	090
61596	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		2	090
61596	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		2	090
61597	CMS	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1	090
61597	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	090
61597	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
61597	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
61597	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090
61597	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43		3	090
61597	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		3	090
61597	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
61597	CMS	"Accessory, Procedure"	SD010	"canister, vacuum"	item	9.1		3	090
61597	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		3	090
61597	CMS	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.4		1	090
61597	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		12	090
61597	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
61597	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		1	090
61597	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02		12	090
61597	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
61597	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		3	090
61597	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
61597	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		2	090
61597	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		60	090
61597	CMS	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3	090
61597	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		15	090
61597	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3	090
61597	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		30	090
61597	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		20	090
61597	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		15	090
61597	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		2	090
61597	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		2	090
61598	CMS	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1	090
61598	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	090
61598	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
61598	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
61598	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
61598	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43		4	090
61598	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		4	090
61598	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
61598	CMS	"Accessory, Procedure"	SD010	"canister, vacuum"	item	9.1		4	090
61598	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		4	090
61598	CMS	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.4		1	090
61598	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		16	090
61598	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
61598	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		1	090
61598	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02		16	090
61598	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
61598	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		4	090
61598	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
61598	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		2	090
61598	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		60	090
61598	CMS	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4	090
61598	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		20	090
61598	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4	090
61598	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		40	090
61598	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		20	090
61598	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		20	090
61598	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		2	090
61598	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		2	090
61600	CMS	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1	090
61600	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	090
61600	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
61600	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
61600	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5	090
61600	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43		5	090
61600	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		5	090
61600	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		5	090
61600	CMS	"Accessory, Procedure"	SD010	"canister, vacuum"	item	9.1		5	090
61600	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		5	090
61600	CMS	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.4		1	090
61600	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		20	090
61600	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
61600	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		1	090
61600	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02		20	090
61600	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
61600	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		5	090
61600	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
61600	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		2	090
61600	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		60	090
61600	CMS	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		5	090
61600	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		25	090
61600	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		5	090
61600	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		50	090
61600	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		20	090
61600	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		25	090
61600	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		2	090
61600	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		2	090
61601	CMS	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1	090
61601	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	090
61601	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
61601	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
61601	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
61601	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43		4	090
61601	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		4	090
61601	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
61601	CMS	"Accessory, Procedure"	SD010	"canister, vacuum"	item	9.1		4	090
61601	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		4	090
61601	CMS	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.4		1	090
61601	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		16	090
61601	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
61601	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		1	090
61601	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02		16	090
61601	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
61601	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		4	090
61601	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
61601	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		2	090
61601	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		60	090
61601	CMS	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4	090
61601	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		20	090
61601	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4	090
61601	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		40	090
61601	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		20	090
61601	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		20	090
61601	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		2	090
61601	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		2	090
61605	CMS	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1	090
61605	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	090
61605	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		5	090
61605	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
61605	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5	090
61605	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43		5	090
61605	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		5	090
61605	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		5	090
61605	CMS	"Accessory, Procedure"	SD010	"canister, vacuum"	item	9.1		5	090
61605	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		5	090
61605	CMS	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.4		1	090
61605	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		20	090
61605	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
61605	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		1	090
61605	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02		20	090
61605	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
61605	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		5	090
61605	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
61605	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		2	090
61605	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		60	090
61605	CMS	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		5	090
61605	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		25	090
61605	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		5	090
61605	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		50	090
61605	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		20	090
61605	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		25	090
61605	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		2	090
61605	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		2	090
61606	CMS	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1	090
61606	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	090
61606	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
61606	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
61606	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090
61606	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43		3	090
61606	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		3	090
61606	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
61606	CMS	"Accessory, Procedure"	SD010	"canister, vacuum"	item	9.1		3	090
61606	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		3	090
61606	CMS	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.4		1	090
61606	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		12	090
61606	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
61606	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		1	090
61606	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02		12	090
61606	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
61606	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		3	090
61606	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
61606	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		2	090
61606	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		60	090
61606	CMS	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3	090
61606	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		15	090
61606	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3	090
61606	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		30	090
61606	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		20	090
61606	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		15	090
61606	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		2	090
61606	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		2	090
61607	CMS	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1	090
61607	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	090
61607	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
61607	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
61607	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090
61607	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43		3	090
61607	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		3	090
61607	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
61607	CMS	"Accessory, Procedure"	SD010	"canister, vacuum"	item	9.1		3	090
61607	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		3	090
61607	CMS	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.4		1	090
61607	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		12	090
61607	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
61607	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		1	090
61607	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02		12	090
61607	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
61607	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		3	090
61607	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
61607	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		2	090
61607	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		60	090
61607	CMS	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3	090
61607	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		15	090
61607	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3	090
61607	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		30	090
61607	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		20	090
61607	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		15	090
61607	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		2	090
61607	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		2	090
61608	CMS	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1	090
61608	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	090
61608	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
61608	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
61608	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090
61608	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43		3	090
61608	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		3	090
61608	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
61608	CMS	"Accessory, Procedure"	SD010	"canister, vacuum"	item	9.1		3	090
61608	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		3	090
61608	CMS	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.4		1	090
61608	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		12	090
61608	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
61608	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		1	090
61608	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02		12	090
61608	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
61608	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		3	090
61608	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
61608	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		2	090
61608	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		60	090
61608	CMS	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3	090
61608	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		15	090
61608	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3	090
61608	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		30	090
61608	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		20	090
61608	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		15	090
61608	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		2	090
61608	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		2	090
61613	CMS	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1	090
61613	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	090
61613	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
61613	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
61613	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3	090
61613	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43		3	090
61613	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		3	090
61613	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
61613	CMS	"Accessory, Procedure"	SD010	"canister, vacuum"	item	9.1		3	090
61613	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		3	090
61613	CMS	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.4		1	090
61613	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		12	090
61613	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
61613	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		1	090
61613	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02		12	090
61613	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
61613	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		3	090
61613	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
61613	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		2	090
61613	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		60	090
61613	CMS	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3	090
61613	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		15	090
61613	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3	090
61613	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		30	090
61613	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		20	090
61613	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		15	090
61613	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		2	090
61613	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		2	090
61615	CMS	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1	090
61615	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	090
61615	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
61615	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
61615	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
61615	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43		4	090
61615	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		4	090
61615	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
61615	CMS	"Accessory, Procedure"	SD010	"canister, vacuum"	item	9.1		4	090
61615	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		4	090
61615	CMS	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.4		1	090
61615	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		16	090
61615	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
61615	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		1	090
61615	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02		16	090
61615	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
61615	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		4	090
61615	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
61615	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		2	090
61615	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		60	090
61615	CMS	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4	090
61615	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		20	090
61615	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4	090
61615	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		40	090
61615	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		20	090
61615	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		20	090
61615	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		2	090
61615	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		2	090
61616	CMS	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1	090
61616	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	090
61616	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
61616	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
61616	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
61616	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43		4	090
61616	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		4	090
61616	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
61616	CMS	"Accessory, Procedure"	SD010	"canister, vacuum"	item	9.1		4	090
61616	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67		4	090
61616	CMS	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.4		1	090
61616	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07		16	090
61616	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
61616	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		1	090
61616	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02		16	090
61616	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
61616	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		4	090
61616	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
61616	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		2	090
61616	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		60	090
61616	CMS	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4	090
61616	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		20	090
61616	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4	090
61616	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		40	090
61616	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		20	090
61616	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		20	090
61616	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		2	090
61616	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		2	090
61618	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
61618	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
61618	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61619	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
61619	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
61619	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61626	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1	0	000
61626	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
61626	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
61626	RUC	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	000
61626	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	000
61626	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	000
61626	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	000
61626	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
61626	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
61626	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
61626	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
61626	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
61626	RUC	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	000
61626	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
61626	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	4	0	000
61626	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	4	0	000
61626	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	3	0	000
61626	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
61626	RUC	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	11.51	1	0	000
61626	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	2	0	000
61626	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	000
61626	RUC	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	50.65	1	0	000
61626	RUC	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	13.22	1	0	000
61626	RUC	"Accessory, Procedure"	SD154	"catheter, microcatheter (selective 3rd order)"	item	332.11	1	0	000
61626	RUC	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	1	0	000
61626	RUC	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	231.59	1	0	000
61626	RUC	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	189	1	0	000
61626	RUC	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.26	1	0	000
61626	RUC	"Accessory, Procedure"	SD251	Sheath Shuttle (Cook)	item	109.69	1	0	000
61626	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	000
61626	RUC	"Cutters, Closures, Cautery"	SF058	LC Beads (2mL vial)	item	2341.93	2	0	000
61626	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
61626	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	000
61626	RUC	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	1	0	000
61626	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	000
61626	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	000
61626	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	000
61626	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
61626	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
61626	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
61626	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
61630	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	XXX
61635	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	XXX
61680	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
61680	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
61680	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61682	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
61682	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
61682	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61684	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
61684	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
61684	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61686	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
61686	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
61686	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61690	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
61690	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
61690	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61692	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
61692	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
61692	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61697	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
61697	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
61697	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61698	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
61698	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
61698	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61700	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
61700	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
61700	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61702	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
61702	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
61702	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61703	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
61703	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
61703	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61705	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
61705	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
61705	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61708	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
61708	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
61708	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61710	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
61710	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
61710	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61711	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
61711	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
61711	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61720	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
61720	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
61720	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61735	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
61735	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
61735	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61750	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
61750	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
61750	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61751	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
61751	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
61751	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61760	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
61760	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
61760	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61770	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
61770	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
61770	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61790	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
61790	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
61790	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61791	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
61791	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
61791	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61796	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
61798	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
61800	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	ZZZ
61850	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
61850	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
61850	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61860	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
61860	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
61860	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61863	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
61863	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
61867	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
61867	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
61880	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
61880	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
61880	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61885	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
61885	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
61885	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61886	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
61886	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
61886	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
61888	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	010
61888	CMS	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	9.48		1	010
61889	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
61889	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
61891	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
61891	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
61892	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
61892	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
62000	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
62000	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
62000	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
62005	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
62005	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
62005	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
62010	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
62010	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
62010	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
62100	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
62100	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
62100	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
62115	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
62115	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
62115	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
62117	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
62117	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
62117	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
62120	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09		1	090
62120	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
62120	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		4	090
62120	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		4	090
62120	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59		4	090
62120	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
62120	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		2	090
62120	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		4	090
62120	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
62120	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		8	090
62120	CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
62120	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
62120	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
62120	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		16	090
62120	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
62120	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		14	090
62120	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
62120	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16	090
62120	CMS	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4	090
62120	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		20	090
62120	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4	090
62120	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		40	090
62120	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		20	090
62120	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
62120	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		4	090
62121	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09		1	090
62121	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
62121	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		2	090
62121	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
62121	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59		2	090
62121	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
62121	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		2	090
62121	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		2	090
62121	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		2	090
62121	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
62121	CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
62121	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
62121	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
62121	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		8	090
62121	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
62121	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		6	090
62121	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
62121	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		8	090
62121	CMS	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		2	090
62121	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		10	090
62121	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		2	090
62121	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		20	090
62121	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		10	090
62121	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
62121	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		2	090
62140	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
62140	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
62140	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
62141	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
62141	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
62141	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
62142	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
62142	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
62142	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
62143	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
62143	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
62143	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
62145	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
62145	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
62145	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
62146	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
62146	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
62146	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
62147	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
62147	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
62147	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
62161	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
62161	CMS	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	9.48		1	090
62162	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
62162	CMS	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	9.48		1	090
62164	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
62164	CMS	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	9.48		1	090
62165	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
62165	CMS	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	9.48		1	090
62180	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
62180	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
62180	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
62190	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
62190	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
62190	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
62192	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
62192	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
62192	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
62194	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	010
62194	CMS	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	9.48		1	010
62200	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
62200	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
62200	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
62201	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
62201	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
62201	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
62220	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
62220	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
62220	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
62223	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
62223	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
62223	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
62225	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
62225	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
62225	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
62230	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
62230	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
62230	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
62256	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
62256	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
62256	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
62258	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
62258	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
62258	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
62263	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	010
62263	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	010
62263	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	010
62263	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1	0	010
62263	CMS	"Hypodermic, IV"	SC027	"needle, 18-19g, filter"	item	0.21	3	0	010
62263	CMS	"Hypodermic, IV"	SC038	"needle, epidural (RK)"	item	11.3	1	0	010
62263	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	6	0	010
62263	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	3	0	010
62263	CMS	"Accessory, Procedure"	SD028	"catheter, Racz (Tun-L-Kath)"	item	66.87	1	0	010
62263	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	010
62264	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	010
62264	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	010
62264	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	010
62264	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1	0	010
62264	CMS	"Hypodermic, IV"	SC027	"needle, 18-19g, filter"	item	0.21	1	0	010
62264	CMS	"Hypodermic, IV"	SC038	"needle, epidural (RK)"	item	11.3	1	0	010
62264	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	010
62264	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	010
62264	CMS	"Accessory, Procedure"	SD028	"catheter, Racz (Tun-L-Kath)"	item	66.87	1	0	010
62264	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	010
62267	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	000
62267	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
62267	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	000
62267	CMS	"Hypodermic, IV"	SC035	"needle, Chiba"	item	10.1	1	0	000
62267	CMS	Lab	SL033	culture swab system (Culturette)	item	0.96	1	0	000
62267	CMS	Lab	SL262	Anerobic culture tube	item		1	0	000
62270	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
62270	CMS	"Kit, Pack, Tray"	SA065	"tray, lumbar puncture"	tray	15.24	1	0	000
62270	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
62270	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
62270	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
62270	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
62270	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
62270	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
62270	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
62270	CMS	"Hypodermic, IV"	SC048	spinal manometer	item	4.29	1	0	000
62272	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
62272	CMS	"Kit, Pack, Tray"	SA065	"tray, lumbar puncture"	tray	15.24	1	0	000
62272	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
62272	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
62272	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
62272	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
62272	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
62272	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
62272	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
62272	CMS	"Hypodermic, IV"	SC048	spinal manometer	item	4.29	1	0	000
62273	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
62273	CMS	"Kit, Pack, Tray"	SA065	"tray, lumbar puncture"	tray	15.24	1	0	000
62273	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	000
62273	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
62273	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
62273	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
62273	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
62273	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
62273	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
62273	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
62273	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	5	0	000
62273	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1	0	000
62273	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	000
62273	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	000
62273	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
62280	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	010
62280	CMS	"Kit, Pack, Tray"	SA068	"tray, spinal anesthesia"	tray	23.16	1	0	010
62280	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	010
62280	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	010
62280	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
62280	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	010
62280	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	010
62280	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	010
62280	CMS	"Pharmacy, Rx"	SH055	phenol 1000ppm	ml	0.16	10	0	010
62281	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	010
62281	CMS	"Kit, Pack, Tray"	SA064	"tray, epidural"	tray	18.62	1	0	010
62281	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	010
62281	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	010
62281	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
62281	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	010
62281	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	010
62281	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	010
62281	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
62281	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	010
62281	CMS	"Pharmacy, Rx"	SH055	phenol 1000ppm	ml	0.16	10	0	010
62282	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	010
62282	CMS	"Kit, Pack, Tray"	SA064	"tray, epidural"	tray	18.62	1	0	010
62282	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	010
62282	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	010
62282	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
62282	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	010
62282	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	010
62282	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	010
62282	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
62282	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	010
62282	CMS	"Pharmacy, Rx"	SH055	phenol 1000ppm	ml	0.16	10	0	010
62284	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
62284	CMS	"Kit, Pack, Tray"	SA066	"tray, myelogram"	tray	20.63	1	0	000
62284	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
62284	CMS	"Hypodermic, IV"	SC042	"needle, spine, Sprotte"	item	9.88	1	0	000
62287	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
62287	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
62287	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
62290	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	000
62290	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
62290	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	000
62290	CMS	"Hypodermic, IV"	SC035	"needle, Chiba"	item	10.1	1	0	000
62290	CMS	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	11.51	1	0	000
62291	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	000
62291	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
62291	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	000
62291	CMS	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	11.51	1	0	000
62292	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
62294	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
62302	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
62302	CMS	"Kit, Pack, Tray"	SA066	"tray, myelogram"	tray	20.63	1	0	000
62302	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
62302	CMS	"Hypodermic, IV"	SC042	"needle, spine, Sprotte"	item	9.88	1	0	000
62303	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
62303	CMS	"Kit, Pack, Tray"	SA066	"tray, myelogram"	tray	20.63	1	0	000
62303	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
62303	CMS	"Hypodermic, IV"	SC042	"needle, spine, Sprotte"	item	9.88	1	0	000
62304	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
62304	CMS	"Kit, Pack, Tray"	SA066	"tray, myelogram"	tray	20.63	1	0	000
62304	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
62304	CMS	"Hypodermic, IV"	SC042	"needle, spine, Sprotte"	item	9.88	1	0	000
62305	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
62305	CMS	"Kit, Pack, Tray"	SA066	"tray, myelogram"	tray	20.63	1	0	000
62305	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
62305	CMS	"Hypodermic, IV"	SC042	"needle, spine, Sprotte"	item	9.88	1	0	000
62320	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
62320	CMS	"Kit, Pack, Tray"	SA064	"tray, epidural"	tray	18.62	1	0	000
62320	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	000
62320	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
62320	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
62320	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
62320	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
62320	CMS	"Hypodermic, IV"	SC038	"needle, epidural (RK)"	item	11.3	1	0	000
62320	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
62321	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
62321	CMS	"Kit, Pack, Tray"	SA064	"tray, epidural"	tray	18.62	1	0	000
62321	CMS	"Kit, Pack, Tray"	SA114	"Kit, Contrast Imaging"	kit	7.59	1	0	000
62321	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	000
62321	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	000
62321	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
62321	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
62321	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
62321	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
62321	CMS	"Hypodermic, IV"	SC038	"needle, epidural (RK)"	item	11.3	1	0	000
62321	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
62321	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
62322	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
62322	CMS	"Kit, Pack, Tray"	SA064	"tray, epidural"	tray	18.62	1	0	000
62322	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	000
62322	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	000
62322	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
62322	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
62322	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
62322	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
62322	CMS	"Hypodermic, IV"	SC038	"needle, epidural (RK)"	item	11.3	1	0	000
62322	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
62323	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
62323	CMS	"Kit, Pack, Tray"	SA064	"tray, epidural"	tray	18.62	1	0	000
62323	CMS	"Kit, Pack, Tray"	SA114	"Kit, Contrast Imaging"	kit	7.59	1	0	000
62323	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	000
62323	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	000
62323	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	000
62323	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
62323	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
62323	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
62323	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
62323	CMS	"Hypodermic, IV"	SC038	"needle, epidural (RK)"	item	11.3	1	0	000
62323	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
62323	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
62324	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
62324	CMS	"Kit, Pack, Tray"	SA064	"tray, epidural"	tray	18.62	1	0	000
62324	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	000
62324	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
62324	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
62324	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
62324	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
62324	CMS	"Hypodermic, IV"	SC038	"needle, epidural (RK)"	item	11.3	1	0	000
62324	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
62325	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
62325	CMS	"Kit, Pack, Tray"	SA064	"tray, epidural"	tray	18.62	1	0	000
62325	CMS	"Kit, Pack, Tray"	SA114	"Kit, Contrast Imaging"	kit	7.59	1	0	000
62325	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	000
62325	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	000
62325	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
62325	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
62325	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
62325	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
62325	CMS	"Hypodermic, IV"	SC038	"needle, epidural (RK)"	item	11.3	1	0	000
62325	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
62325	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
62326	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
62326	CMS	"Kit, Pack, Tray"	SA064	"tray, epidural"	tray	18.62	1	0	000
62326	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	000
62326	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	000
62326	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
62326	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
62326	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
62326	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
62326	CMS	"Hypodermic, IV"	SC038	"needle, epidural (RK)"	item	11.3	1	0	000
62326	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
62327	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
62327	CMS	"Kit, Pack, Tray"	SA064	"tray, epidural"	tray	18.62	1	0	000
62327	CMS	"Kit, Pack, Tray"	SA114	"Kit, Contrast Imaging"	kit	7.59	1	0	000
62327	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	000
62327	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	000
62327	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	000
62327	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
62327	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
62327	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
62327	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
62327	CMS	"Hypodermic, IV"	SC038	"needle, epidural (RK)"	item	11.3	1	0	000
62327	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
62327	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
62328	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
62328	CMS	"Kit, Pack, Tray"	SA065	"tray, lumbar puncture"	tray	15.24	1	0	000
62328	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
62328	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	000
62328	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
62328	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
62328	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
62328	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
62328	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
62328	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
62328	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
62328	CMS	"Hypodermic, IV"	SC048	spinal manometer	item	4.29	1	0	000
62328	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
62329	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
62329	CMS	"Kit, Pack, Tray"	SA065	"tray, lumbar puncture"	tray	15.24	1	0	000
62329	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
62329	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	000
62329	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
62329	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
62329	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
62329	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
62329	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
62329	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
62329	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
62329	CMS	"Hypodermic, IV"	SC048	spinal manometer	item	4.29	1	0	000
62329	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
62330	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
62330	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
62350	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	010
62350	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	010
62350	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	010
62351	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
62351	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
62351	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
62355	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	010
62355	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	010
62355	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	010
62360	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	010
62360	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	010
62360	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	010
62361	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	010
62361	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	010
62361	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	010
62362	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	010
62362	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	010
62362	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	010
62365	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	010
62365	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	010
62369	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	XXX
62369	CMS	"Kit, Pack, Tray"	SA076	"kit, refill for implantable medication pump"	item	24.84	1	0	XXX
62369	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	XXX
62369	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	XXX
62369	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	XXX
62369	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	1	0	XXX
62369	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	XXX
62369	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	XXX
62369	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	2	0	XXX
62369	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2	0	XXX
62370	CMS	"Kit, Pack, Tray"	SA076	"kit, refill for implantable medication pump"	item	24.84	1	0	XXX
62370	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	XXX
62370	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	XXX
62370	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	XXX
62370	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	1	0	XXX
62370	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	XXX
62370	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	XXX
62370	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	2	0	XXX
62370	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2	0	XXX
63001	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
63001	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
63003	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
63003	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
63005	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
63005	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
63011	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
63011	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
63012	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
63012	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
63015	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
63015	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
63016	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
63016	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
63017	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
63017	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
63020	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
63020	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
63030	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
63030	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
63040	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
63040	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
63042	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
63042	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
63045	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
63045	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
63046	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
63046	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
63047	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
63047	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
63050	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
63050	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
63051	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
63051	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
63055	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
63055	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
63056	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
63056	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
63064	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
63064	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
63075	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
63075	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
63077	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
63077	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
63081	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
63081	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
63085	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
63085	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
63087	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
63087	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
63090	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
63090	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
63101	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
63101	CMS	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	9.48		1	090
63102	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
63102	CMS	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	9.48		1	090
63170	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
63170	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
63172	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
63172	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
63173	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
63173	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
63185	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
63185	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
63190	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
63190	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
63191	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
63191	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
63197	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
63197	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
63200	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
63200	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
63200	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
63250	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
63250	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
63250	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
63251	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
63251	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
63251	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
63252	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
63252	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
63252	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
63265	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
63265	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
63265	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
63266	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
63266	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
63266	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
63267	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
63267	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
63267	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
63268	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
63268	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
63268	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
63270	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
63270	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
63270	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
63271	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
63271	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
63271	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
63272	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
63272	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
63272	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
63273	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
63273	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
63273	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
63275	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
63275	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
63275	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
63276	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
63276	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
63276	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
63277	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
63277	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
63277	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
63278	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
63278	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
63278	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
63280	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
63280	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
63280	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
63281	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
63281	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
63281	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
63282	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
63282	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
63282	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
63283	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
63283	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
63283	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
63285	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
63285	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
63285	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
63286	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
63286	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
63286	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
63287	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
63287	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
63287	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
63290	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
63290	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
63290	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
63300	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
63300	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
63300	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
63301	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
63301	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
63301	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
63302	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
63302	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
63302	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
63303	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
63303	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
63303	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
63304	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
63304	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
63304	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
63305	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
63305	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
63305	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
63306	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
63306	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
63306	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
63307	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
63307	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
63307	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
63600	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
63620	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
63650	CMS	"Kit, Pack, Tray"	SA027	"kit, scissors and clamp"	kit	0.82	1	0	010
63650	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	010
63650	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
63650	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	010
63650	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	010
63650	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
63650	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
63650	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	3	0	010
63650	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	010
63650	CMS	"Accessory, Procedure"	SD280	Trial lead kit	item	958.94	1	0	010
63650	CMS	"Accessory, Procedure"	SD281	Trial lead array	item	640.87	1	0	010
63650	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.76	1	0	010
63650	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	2	2	010
63650	CMS	"Pharmacy, Rx"	SH098	chlorhexidine 4.0% (Hibiclens)	oz		1	0	010
63655	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
63655	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
63661	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	010
63661	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
63661	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
63661	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	010
63661	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	010
63661	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	010
63661	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	1	0	010
63661	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
63661	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	010
63661	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
63661	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
63661	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
63661	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
63661	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
63661	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1	0	010
63662	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
63662	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
63663	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	010
63663	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
63663	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
63663	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	010
63663	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	010
63663	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	010
63663	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	1	0	010
63663	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
63663	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	010
63663	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
63663	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
63663	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
63663	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
63663	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
63663	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1	0	010
63664	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
63664	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
63685	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	010
63685	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	010
63688	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	010
63688	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	010
63700	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
63700	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
63700	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		4	090
63702	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
63702	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
63702	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		4	090
63704	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
63704	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
63704	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		4	090
63706	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
63706	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
63706	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		4	090
63707	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
63707	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
63707	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
63709	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
63709	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
63709	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
63710	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
63710	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
63710	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
63740	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
63740	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
63740	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
63741	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
63741	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
63741	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
63744	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
63744	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
63744	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
63746	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
63746	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
63746	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64400	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	000
64400	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
64400	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	000
64400	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	000
64400	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
64400	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	5	0	000
64400	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	1	0	000
64400	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
64405	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
64405	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
64405	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
64405	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	1	0	000
64405	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	1	0	000
64405	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	5	0	000
64405	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
64408	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
64408	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	000
64408	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	000
64408	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	000
64408	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	000
64408	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
64408	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	5	0	000
64408	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
64415	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	000
64415	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
64415	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	000
64415	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	000
64415	CMS	"Hypodermic, IV"	SC038	"needle, epidural (RK)"	item	11.3	1	0	000
64415	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	2	0	000
64415	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
64415	CMS	"Pharmacy, Rx"	SH022	bupivacaine 0.5% inj (Marcaine)	ml	0.14	30	0	000
64415	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	1	0	000
64415	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	000
64415	CMS	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.57	4	0	000
64415	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
64415	CMS	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	10	0	000
64415	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2	0	000
64417	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	000
64417	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
64417	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	000
64417	CMS	"Hypodermic, IV"	SC038	"needle, epidural (RK)"	item	11.3	1	0	000
64417	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	2	0	000
64417	CMS	"Accessory, Procedure"	SD050	"electrode needle, injectable (Myoject)"	item	25.09	1	0	000
64417	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
64417	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	20	0	000
64417	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	1	0	000
64417	CMS	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.57	4	0	000
64417	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
64417	CMS	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	10	0	000
64417	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2	0	000
64418	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	000
64418	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
64418	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
64418	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
64418	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
64418	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	000
64418	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
64418	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	2	0	000
64418	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	000
64418	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	1	0	000
64418	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	5	0	000
64418	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	000
64418	CMS	"Pharmacy, NonRx"	SJ081	"swab, patient prep, 1.5 ml  (chloraprep)"	item	1.09	1	0	000
64420	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	000
64420	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
64420	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1	0	000
64420	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
64420	CMS	"Pharmacy, Rx"	SH022	bupivacaine 0.5% inj (Marcaine)	ml	0.14	5	0	000
64420	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	000
64420	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
64420	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
64421	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	ZZZ
64421	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	ZZZ
64421	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	ZZZ
64421	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	ZZZ
64421	CMS	"Pharmacy, Rx"	SH022	bupivacaine 0.5% inj (Marcaine)	ml	0.14	2	0	ZZZ
64421	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	2	0	ZZZ
64425	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	000
64425	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
64425	CMS	"Hypodermic, IV"	SC038	"needle, epidural (RK)"	item	11.3	1	0	000
64425	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
64425	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	000
64425	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
64425	CMS	"Pharmacy, Rx"	SH022	bupivacaine 0.5% inj (Marcaine)	ml	0.14	10	0	000
64425	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	1	0	000
64425	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
64425	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
64430	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
64430	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38	1	0	000
64430	CMS	"Kit, Pack, Tray"	SA129	"pudendal block tray, sterile"	item	5.24	1	0	000
64430	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
64430	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	10	0	000
64430	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	000
64430	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	2	0	000
64435	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
64435	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38	1	0	000
64435	CMS	"Kit, Pack, Tray"	SA129	"pudendal block tray, sterile"	item	5.24	1	0	000
64435	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
64435	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	10	0	000
64435	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	000
64435	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.27	2	0	000
64445	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	000
64445	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
64445	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	000
64445	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	2	0	000
64445	CMS	"Accessory, Procedure"	SD050	"electrode needle, injectable (Myoject)"	item	25.09	1	0	000
64445	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
64445	CMS	"Pharmacy, Rx"	SH022	bupivacaine 0.5% inj (Marcaine)	ml	0.14	15	0	000
64445	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	1	0	000
64445	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	15	0	000
64445	CMS	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.57	4	0	000
64445	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
64445	CMS	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	10	0	000
64445	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2	0	000
64447	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	000
64447	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
64447	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	000
64447	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
64447	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	2	0	000
64447	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
64447	CMS	"Pharmacy, Rx"	SH022	bupivacaine 0.5% inj (Marcaine)	ml	0.14	30	0	000
64447	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	1	0	000
64447	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	000
64447	CMS	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.57	4	0	000
64447	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
64447	CMS	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	10	0	000
64447	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2	0	000
64450	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	000
64450	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
64450	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
64450	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	000
64450	CMS	"Pharmacy, Rx"	SH022	bupivacaine 0.5% inj (Marcaine)	ml	0.14	5	0	000
64450	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.7	1	0	000
64450	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	000
64450	CMS	"Pharmacy, NonRx"	SJ001	alcohol isopropyl 70%	ml	0.03	5	0	000
64450	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
64451	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	000
64451	CMS	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1	0	000
64451	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	000
64451	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
64451	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	000
64451	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
64451	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
64451	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
64451	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
64451	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	1	0	000
64451	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	3	0	000
64451	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	000
64451	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	2	0	000
64451	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
64451	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	4	0	000
64451	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
64451	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
64451	CMS	"Accessory, Procedure"	SD087	"guide, needle, for localization"	item	21.29	1	0	000
64451	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	3	0	000
64451	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
64451	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	5	0	000
64451	CMS	"Pharmacy, Rx"	SH022	bupivacaine 0.5% inj (Marcaine)	ml	0.14	5	0	000
64451	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
64451	CMS	"Pharmacy, NonRx"	SJ001	alcohol isopropyl 70%	ml	0.03	5	0	000
64451	CMS	"Pharmacy, NonRx"	SJ081	"swab, patient prep, 1.5 ml  (chloraprep)"	item	1.09	2	0	000
64451	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
64451	CMS	Lab	SL259	Bleach cleaning wipe	item	0.39	2	0	000
64454	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	000
64454	CMS	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1	0	000
64454	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	000
64454	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
64454	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	000
64454	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
64454	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
64454	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
64454	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
64454	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	1	0	000
64454	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	3	0	000
64454	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	000
64454	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	2	0	000
64454	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
64454	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	3	0	000
64454	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
64454	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
64454	CMS	"Accessory, Procedure"	SD087	"guide, needle, for localization"	item	21.29	1	0	000
64454	CMS	"Accessory, Procedure"	SD269	Grounding pad	item	2.09	1	0	000
64454	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	3	0	000
64454	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
64454	CMS	"Pharmacy, Rx"	SH022	bupivacaine 0.5% inj (Marcaine)	ml	0.14	5	0	000
64454	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
64454	CMS	"Pharmacy, NonRx"	SJ001	alcohol isopropyl 70%	ml	0.03	5	0	000
64454	CMS	"Pharmacy, NonRx"	SJ081	"swab, patient prep, 1.5 ml  (chloraprep)"	item	1.09	2	0	000
64454	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
64454	CMS	Lab	SL259	Bleach cleaning wipe	item	0.39	2	0	000
64455	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
64455	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
64455	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
64455	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
64455	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	000
64455	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
64455	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	2	0	000
64455	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
64455	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
64461	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	000
64461	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
64461	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	000
64461	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	000
64461	CMS	"Hypodermic, IV"	SC101	ultrasound needle	item	13.54	1	0	000
64461	CMS	"Pharmacy, Rx"	SH022	bupivacaine 0.5% inj (Marcaine)	ml	0.14	20	0	000
64461	CMS	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.57	2	0	000
64462	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	ZZZ
64462	CMS	"Hypodermic, IV"	SC101	ultrasound needle	item	13.54	1	0	ZZZ
64462	CMS	"Pharmacy, Rx"	SH022	bupivacaine 0.5% inj (Marcaine)	ml	0.14	20	0	ZZZ
64462	CMS	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.57	2	0	ZZZ
64463	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	000
64463	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
64463	CMS	"Kit, Pack, Tray"	SA116	continuous peripheral nerve block tray	tray	123.12	1	0	000
64463	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	000
64463	CMS	"Accessory, Procedure"	SD316	Catheter securement device	Item	0	1	0	000
64463	CMS	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	3	0	000
64463	CMS	"Pharmacy, Rx"	SH022	bupivacaine 0.5% inj (Marcaine)	ml	0.14	20	0	000
64463	CMS	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.57	2	0	000
64466	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	000
64466	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
64466	RUC	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	000
64466	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	000
64466	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	000
64466	RUC	"Hypodermic, IV"	SC101	ultrasound needle	item	13.54	1	0	000
64466	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	20	0	000
64466	RUC	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.57	2	0	000
64467	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	000
64467	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
64467	RUC	"Kit, Pack, Tray"	SA116	continuous peripheral nerve block tray	tray	123.12	1	0	000
64467	RUC	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	000
64467	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	000
64467	RUC	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	1	0	000
64467	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	20	0	000
64467	RUC	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.57	2	0	000
64468	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	000
64468	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
64468	RUC	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	000
64468	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	000
64468	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	2	0	000
64468	RUC	"Hypodermic, IV"	SC101	ultrasound needle	item	13.54	1	0	000
64468	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	40	0	000
64468	RUC	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.57	4	0	000
64469	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	000
64469	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
64469	RUC	"Kit, Pack, Tray"	SA116	continuous peripheral nerve block tray	tray	123.12	2	0	000
64469	RUC	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	000
64469	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	000
64469	RUC	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	2	0	000
64469	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	40	0	000
64469	RUC	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.57	4	0	000
64473	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	000
64473	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
64473	RUC	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	000
64473	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	000
64473	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	000
64473	RUC	"Hypodermic, IV"	SC101	ultrasound needle	item	13.54	1	0	000
64473	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	20	0	000
64473	RUC	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.57	2	0	000
64474	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	000
64474	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
64474	RUC	"Kit, Pack, Tray"	SA116	continuous peripheral nerve block tray	tray	123.12	1	0	000
64474	RUC	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	000
64474	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	000
64474	RUC	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	1	0	000
64474	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	20	0	000
64474	RUC	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.57	2	0	000
64479	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	000
64479	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
64479	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	000
64479	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	000
64479	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
64479	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1	0	000
64480	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	ZZZ
64483	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	000
64483	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
64483	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	000
64483	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	000
64483	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
64483	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1	0	000
64484	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	ZZZ
64486	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	000
64486	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
64486	RUC	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	000
64486	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	000
64486	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	000
64486	RUC	"Hypodermic, IV"	SC101	ultrasound needle	item	13.54	1	0	000
64486	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	20	0	000
64486	RUC	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.57	2	0	000
64487	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	000
64487	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
64487	RUC	"Kit, Pack, Tray"	SA116	continuous peripheral nerve block tray	tray	123.12	1	0	000
64487	RUC	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	000
64487	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	000
64487	RUC	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	1	0	000
64487	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	20	0	000
64487	RUC	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.57	2	0	000
64488	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	000
64488	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
64488	RUC	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	000
64488	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	000
64488	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	2	0	000
64488	RUC	"Hypodermic, IV"	SC101	ultrasound needle	item	13.54	1	0	000
64488	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	40	0	000
64488	RUC	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.57	4	0	000
64489	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	000
64489	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
64489	RUC	"Kit, Pack, Tray"	SA116	continuous peripheral nerve block tray	tray	123.12	2	0	000
64489	RUC	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	000
64489	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	000
64489	RUC	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	2	0	000
64489	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	40	0	000
64489	RUC	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.57	4	0	000
64490	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	000
64490	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
64490	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	000
64490	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	000
64490	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
64490	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	3	0	000
64491	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	ZZZ
64491	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	3	0	ZZZ
64492	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	ZZZ
64492	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	ZZZ
64492	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	3	0	ZZZ
64493	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	000
64493	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
64493	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	000
64493	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	000
64493	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
64493	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	5	0	000
64494	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	ZZZ
64494	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	5	0	ZZZ
64495	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	ZZZ
64495	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	ZZZ
64495	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	5	0	ZZZ
64505	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	000
64505	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	000
64505	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	2	0	000
64505	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	5	0	000
64510	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	000
64510	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	000
64510	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	000
64510	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	2	0	000
64510	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	10	0	000
64517	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	000
64517	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
64517	CMS	"Hypodermic, IV"	SC035	"needle, Chiba"	item	10.1	1	0	000
64517	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
64517	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	2	0	000
64517	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	20	0	000
64517	CMS	"Pharmacy, Rx"	SH060	renographin-60	ml	0.78	1	0	000
64520	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	000
64520	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	000
64520	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	000
64520	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	2	0	000
64520	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	10	0	000
64530	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	000
64530	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	000
64530	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	000
64530	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	2	0	000
64530	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	10	0	000
64553	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	010
64553	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
64553	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	010
64553	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	010
64553	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	3	0	010
64553	CMS	"Accessory, Procedure"	SD280	Trial lead kit	item	958.94	1	0	010
64553	CMS	"Accessory, Procedure"	SD281	Trial lead array	item	640.87	1	0	010
64553	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.76	1	0	010
64553	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
64555	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	010
64555	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
64555	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	010
64555	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	010
64555	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	010
64555	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	3	0	010
64555	CMS	"Accessory, Procedure"	SD280	Trial lead kit	item	958.94	1	0	010
64555	CMS	"Accessory, Procedure"	SD281	Trial lead array	item	640.87	1	0	010
64555	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.76	1	0	010
64555	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
64555	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	1	0	010
64561	CMS	"Kit, Pack, Tray"	SA022	"kit, percutaneous neuro test stimulation"	kit	413.24	1	0	010
64561	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
64561	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	010
64561	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	40	0	010
64566	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
64566	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
64566	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
64566	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
64566	CMS	"Accessory, Procedure"	SD246	urgent PC lead	item	65	1	0	000
64566	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	000
64566	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	10	0	000
64566	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
64567	RUC	"Kit, Pack, Tray"	SA139	IB-Stim device kit	item	1195	1	0	XXX
64567	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	XXX
64567	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	XXX
64567	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	3	0	XXX
64567	RUC	"Office Supply, Grocery"	SK135	Adhesive dot 10mm	item	0.185	4	0	XXX
64568	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
64568	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
64569	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
64569	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
64570	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
64570	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
64575	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
64575	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
64575	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64580	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
64580	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
64580	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64581	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
64581	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
64582	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
64582	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3		4	090
64583	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
64583	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3		4	090
64584	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
64584	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3		4	090
64585	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
64585	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5	1	1	010
64585	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
64585	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	010
64585	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
64585	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
64585	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	010
64585	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	010
64585	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
64585	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
64585	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
64585	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
64585	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	010
64585	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	010
64585	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
64585	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
64585	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
64585	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
64585	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
64585	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	5	0	010
64585	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	010
64585	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	010
64585	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20	0	010
64585	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	010
64585	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	010
64585	CMS	"Pharmacy, NonRx"	SJ017	DuraPrep surgical soln (26ml uou)	item	7.96	1	0	010
64585	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	010
64590	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
64590	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
64590	RUC	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	010
64590	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	010
64590	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
64590	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	3	0	010
64590	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	010
64590	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
64590	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
64590	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
64590	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
64590	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	010
64590	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
64590	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
64590	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
64590	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
64590	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
64590	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	0.5	0	010
64590	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
64590	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	010
64590	RUC	"Pharmacy, Rx"	SH076	"adhesive, cyanoacrylate (2ml uou).doc"	item	31.35	1	0	010
64590	RUC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	010
64590	RUC	"Pharmacy, NonRx"	SJ017	DuraPrep surgical soln (26ml uou)	item	7.96	1	0	010
64590	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	010
64595	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
64595	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
64595	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	010
64595	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
64595	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	3	0	010
64595	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	010
64595	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
64595	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
64595	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
64595	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
64595	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	010
64595	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
64595	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
64595	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
64595	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
64595	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	0.5	0	010
64595	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
64595	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	010
64595	RUC	"Pharmacy, Rx"	SH076	"adhesive, cyanoacrylate (2ml uou).doc"	item	31.35	1	0	010
64595	RUC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.84	1	0	010
64595	RUC	"Pharmacy, NonRx"	SJ017	DuraPrep surgical soln (26ml uou)	item	7.96	1	0	010
64600	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	010
64600	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
64600	CMS	"Accessory, Procedure"	SD011	cannula (radiofrequency denervation) (SMK-C10)	item	24.23	1	0	010
64600	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
64605	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	010
64605	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
64605	CMS	"Accessory, Procedure"	SD011	cannula (radiofrequency denervation) (SMK-C10)	item	24.23	1	0	010
64605	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
64610	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	010
64610	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
64610	CMS	"Accessory, Procedure"	SD011	cannula (radiofrequency denervation) (SMK-C10)	item	24.23	1	0	010
64610	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
64611	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	1	010
64611	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	010
64611	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
64611	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	4	0	010
64611	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	010
64611	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	4	0	010
64611	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	4	0	010
64611	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	5	0	010
64611	CMS	Lab	SL107	phosphate buffered saline solution	ml	0.01	2	0	010
64612	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	2	1	010
64612	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
64612	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	2	1	010
64612	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1	0	010
64612	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	010
64612	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	3	0	010
64612	CMS	Lab	SL107	phosphate buffered saline solution	ml	0.01	3	0	010
64615	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	010
64615	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
64615	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	6	0	010
64615	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	6	0	010
64615	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	2	0	010
64615	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	010
64615	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	010
64615	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	3	0	010
64615	CMS	Lab	SL107	phosphate buffered saline solution	ml	0.01	3	0	010
64616	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	010
64616	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	010
64616	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	9	0	010
64616	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1	0	010
64616	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	3	0	010
64616	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	4	0	010
64616	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	4	0	010
64616	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	12	0	010
64616	CMS	Lab	SL107	phosphate buffered saline solution	ml	0.01	3	0	010
64617	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	010
64617	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	010
64617	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	4	0	010
64617	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	2	0	010
64617	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	010
64617	CMS	"Accessory, Procedure"	SD050	"electrode needle, injectable (Myoject)"	item	25.09	1	0	010
64617	CMS	"Accessory, Procedure"	SD059	"electrode, ground"	item	1.28	1	0	010
64617	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	010
64617	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	2	0	010
64617	CMS	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	6	0	010
64617	CMS	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.05	1	0	010
64617	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	6	0	010
64617	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	5	0	010
64617	CMS	Lab	SL107	phosphate buffered saline solution	ml	0.01	1	0	010
64620	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	010
64620	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
64620	CMS	"Accessory, Procedure"	SD083	"gas, nitrous oxide"	liter	0.04	1	0	010
64624	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	010
64624	CMS	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1	0	010
64624	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	010
64624	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
64624	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	010
64624	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	010
64624	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
64624	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	010
64624	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	010
64624	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	1	0	010
64624	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	3	0	010
64624	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	010
64624	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	2	0	010
64624	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	010
64624	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
64624	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	010
64624	CMS	"Accessory, Procedure"	SD011	cannula (radiofrequency denervation) (SMK-C10)	item	24.23	3	0	010
64624	CMS	"Accessory, Procedure"	SD050	"electrode needle, injectable (Myoject)"	item	25.09	1	0	010
64624	CMS	"Accessory, Procedure"	SD087	"guide, needle, for localization"	item	21.29	1	0	010
64624	CMS	"Accessory, Procedure"	SD269	Grounding pad	item	2.09	1	0	010
64624	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	3	0	010
64624	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
64624	CMS	"Pharmacy, Rx"	SH022	bupivacaine 0.5% inj (Marcaine)	ml	0.14	5	0	010
64624	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	010
64624	CMS	"Pharmacy, NonRx"	SJ001	alcohol isopropyl 70%	ml	0.03	5	0	010
64624	CMS	"Pharmacy, NonRx"	SJ081	"swab, patient prep, 1.5 ml  (chloraprep)"	item	1.09	2	0	010
64624	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	010
64624	CMS	Lab	SL259	Bleach cleaning wipe	item	0.39	2	0	010
64625	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	010
64625	CMS	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1	0	010
64625	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	010
64625	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
64625	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	010
64625	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	010
64625	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
64625	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	010
64625	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	010
64625	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	1	0	010
64625	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	3	0	010
64625	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	010
64625	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	2	0	010
64625	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	010
64625	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
64625	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	010
64625	CMS	"Accessory, Procedure"	SD011	cannula (radiofrequency denervation) (SMK-C10)	item	24.23	4	0	010
64625	CMS	"Accessory, Procedure"	SD050	"electrode needle, injectable (Myoject)"	item	25.09	1	0	010
64625	CMS	"Accessory, Procedure"	SD087	"guide, needle, for localization"	item	21.29	1	0	010
64625	CMS	"Accessory, Procedure"	SD269	Grounding pad	item	2.09	1	0	010
64625	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	3	0	010
64625	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
64625	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	5	0	010
64625	CMS	"Pharmacy, Rx"	SH022	bupivacaine 0.5% inj (Marcaine)	ml	0.14	5	0	010
64625	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	010
64625	CMS	"Pharmacy, NonRx"	SJ001	alcohol isopropyl 70%	ml	0.03	5	0	010
64625	CMS	"Pharmacy, NonRx"	SJ081	"swab, patient prep, 1.5 ml  (chloraprep)"	item	1.09	2	0	010
64625	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	010
64625	CMS	Lab	SL259	Bleach cleaning wipe	item	0.39	2	0	010
64628	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	010
64630	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	010
64630	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
64630	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38	1	0	010
64630	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	010
64630	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
64630	CMS	"Pharmacy, Rx"	SH055	phenol 1000ppm	ml	0.16	10	0	010
64632	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	010
64632	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	010
64632	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
64632	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
64632	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
64632	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	010
64632	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
64632	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	2	0	010
64632	CMS	"Pharmacy, Rx"	SH062	sclerosing solution inj	ml	2.98	1	0	010
64632	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	010
64632	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
64633	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	010
64633	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	010
64633	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	010
64633	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	1	0	010
64633	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	1	0	010
64633	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
64633	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
64633	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	010
64633	CMS	"Accessory, Procedure"	SD011	cannula (radiofrequency denervation) (SMK-C10)	item	24.23	2	0	010
64633	CMS	"Accessory, Procedure"	SD050	"electrode needle, injectable (Myoject)"	item	25.09	2	0	010
64633	CMS	"Accessory, Procedure"	SD087	"guide, needle, for localization"	item	21.29	2	0	010
64633	CMS	"Accessory, Procedure"	SD269	Grounding pad	item	2.09	1	0	010
64633	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	010
64633	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
64633	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	1	0	010
64633	CMS	"Pharmacy, NonRx"	SJ001	alcohol isopropyl 70%	ml	0.03	1	0	010
64633	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	010
64633	CMS	Lab	SL259	Bleach cleaning wipe	item	0.39	1	0	010
64634	CMS	"Accessory, Procedure"	SD011	cannula (radiofrequency denervation) (SMK-C10)	item	24.23	2	0	ZZZ
64634	CMS	"Accessory, Procedure"	SD050	"electrode needle, injectable (Myoject)"	item	25.09	2	0	ZZZ
64634	CMS	"Accessory, Procedure"	SD087	"guide, needle, for localization"	item	21.29	2	0	ZZZ
64634	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	2	0	ZZZ
64635	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	010
64635	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	010
64635	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	010
64635	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	1	0	010
64635	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	1	0	010
64635	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
64635	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
64635	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	010
64635	CMS	"Accessory, Procedure"	SD011	cannula (radiofrequency denervation) (SMK-C10)	item	24.23	2	0	010
64635	CMS	"Accessory, Procedure"	SD050	"electrode needle, injectable (Myoject)"	item	25.09	2	0	010
64635	CMS	"Accessory, Procedure"	SD087	"guide, needle, for localization"	item	21.29	2	0	010
64635	CMS	"Accessory, Procedure"	SD269	Grounding pad	item	2.09	1	0	010
64635	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	010
64635	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
64635	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.5	1	0	010
64635	CMS	"Pharmacy, NonRx"	SJ001	alcohol isopropyl 70%	ml	0.03	1	0	010
64635	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	010
64635	CMS	Lab	SL259	Bleach cleaning wipe	item	0.39	1	0	010
64636	CMS	"Accessory, Procedure"	SD011	cannula (radiofrequency denervation) (SMK-C10)	item	24.23	2	0	ZZZ
64636	CMS	"Accessory, Procedure"	SD050	"electrode needle, injectable (Myoject)"	item	25.09	2	0	ZZZ
64636	CMS	"Accessory, Procedure"	SD087	"guide, needle, for localization"	item	21.29	2	0	ZZZ
64636	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	2	0	ZZZ
64640	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3	0	010
64640	CMS	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1	0	010
64640	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	010
64640	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
64640	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	010
64640	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
64640	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	010
64640	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	010
64640	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	1	0	010
64640	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	010
64640	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	010
64640	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1	0	010
64640	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	010
64640	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	010
64640	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	2	0	010
64640	CMS	"Accessory, Procedure"	SD011	cannula (radiofrequency denervation) (SMK-C10)	item	24.23	1	0	010
64640	CMS	"Accessory, Procedure"	SD050	"electrode needle, injectable (Myoject)"	item	25.09	1	0	010
64640	CMS	"Accessory, Procedure"	SD087	"guide, needle, for localization"	item	21.29	1	0	010
64640	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	010
64640	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	3	0	010
64640	CMS	"Pharmacy, Rx"	SH022	bupivacaine 0.5% inj (Marcaine)	ml	0.14	3	0	010
64640	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	8	0	010
64640	CMS	"Pharmacy, NonRx"	SJ001	alcohol isopropyl 70%	ml	0.03	5	0	010
64640	CMS	"Pharmacy, NonRx"	SJ081	"swab, patient prep, 1.5 ml  (chloraprep)"	item	1.09	1	0	010
64640	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	010
64642	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
64642	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
64642	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	2	0	000
64642	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	2	0	000
64642	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	4	0	000
64642	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	8	0	000
64642	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	8	0	000
64642	CMS	Lab	SL107	phosphate buffered saline solution	ml	0.01	2	0	000
64643	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	ZZZ
64643	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	2	0	ZZZ
64643	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	2	0	ZZZ
64643	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	4	0	ZZZ
64643	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	8	0	ZZZ
64643	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	8	0	ZZZ
64643	CMS	Lab	SL107	phosphate buffered saline solution	ml	0.01	2	0	ZZZ
64644	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
64644	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	6	0	000
64644	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	6	0	000
64644	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	6	0	000
64644	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	12	0	000
64644	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	24	0	000
64644	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	24	0	000
64644	CMS	Lab	SL107	phosphate buffered saline solution	ml	0.01	6	0	000
64645	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	6	0	ZZZ
64645	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	6	0	ZZZ
64645	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	6	0	ZZZ
64645	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	12	0	ZZZ
64645	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	24	0	ZZZ
64645	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	24	0	ZZZ
64645	CMS	Lab	SL107	phosphate buffered saline solution	ml	0.01	6	0	ZZZ
64646	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
64646	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
64646	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	4	0	000
64646	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	6	0	000
64646	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	5	0	000
64646	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	10	0	000
64646	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	10	0	000
64646	CMS	Lab	SL107	phosphate buffered saline solution	ml	0.01	2	0	000
64647	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
64647	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	4	0	000
64647	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	6	0	000
64647	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	6	0	000
64647	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	6	0	000
64647	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	12	0	000
64647	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	12	0	000
64647	CMS	Lab	SL107	phosphate buffered saline solution	ml	0.01	2	0	000
64650	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
64650	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	000
64650	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
64650	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
64650	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
64650	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	000
64650	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	4	0	000
64650	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	4	0	000
64650	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	000
64650	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1	0	000
64650	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	5	0	000
64650	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	10	0	000
64650	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
64653	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
64653	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	000
64653	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
64653	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
64653	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
64653	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	000
64653	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	4	0	000
64653	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	4	0	000
64653	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	000
64653	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1	0	000
64653	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	5	0	000
64653	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	10	0	000
64653	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
64654	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
64654	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
64655	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
64655	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
64656	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
64656	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
64657	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
64657	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
64658	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
64658	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
64659	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	090
64659	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
64680	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	010
64680	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
64680	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	010
64680	CMS	"Pharmacy, Rx"	SH055	phenol 1000ppm	ml	0.16	10	0	010
64681	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	010
64681	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3	2	010
64681	CMS	"Hypodermic, IV"	SC035	"needle, Chiba"	item	10.1	1	0	010
64681	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	010
64681	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	2	0	010
64681	CMS	"Pharmacy, Rx"	SH055	phenol 1000ppm	ml	0.16	1	0	010
64681	CMS	"Pharmacy, Rx"	SH060	renographin-60	ml	0.78	1	0	010
64702	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
64702	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
64702	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64704	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
64704	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
64704	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64708	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
64708	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
64708	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64712	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
64712	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
64712	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64713	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
64713	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
64713	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64714	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
64714	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
64714	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64716	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
64716	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		3	090
64716	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
64716	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59		3	090
64716	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
64716	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		2	090
64716	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		3	090
64716	CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
64716	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
64716	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		15	090
64716	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3	090
64716	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		30	090
64716	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
64718	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
64718	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
64718	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64719	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
64719	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
64719	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64721	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
64721	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
64721	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2	0	090
64721	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	4	4	090
64722	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
64722	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
64722	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64726	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
64726	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
64726	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64728	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
64728	RUC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1	0	000
64728	RUC	"Kit, Pack, Tray"	SA140	"Kit, UltraguideCTR"	kit	1099	1	0	000
64728	RUC	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1	0	000
64728	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
64728	RUC	"Gown, Drape"	SB017	"drape-sleeve, sterile (4in x 8ft)"	item	0.2	1	0	000
64728	RUC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	3	0	000
64728	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
64728	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
64728	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
64728	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
64728	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
64728	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	000
64728	RUC	"Wound Care, Dressings"	SG014	"bandage, elastic, self-adherent wrap 1in (Coban)"	item	1.59	1	0	000
64728	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	000
64728	RUC	"Wound Care, Dressings"	SG034	"dressing, 3in x 3in (Adaptic)"	item	0.48	1	0	000
64728	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
64728	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	000
64728	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
64728	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	000
64728	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
64728	RUC	"Pharmacy, NonRx"	SJ089	"ultrasound transmission gel, sterile (single use)"	item	2.28	1	0	000
64728	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
64728	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	10	0	000
64732	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
64732	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
64732	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64734	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
64734	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
64734	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64736	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
64736	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
64736	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64738	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
64738	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
64738	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64740	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
64740	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		2	090
64740	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
64740	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59		2	090
64740	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
64740	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		2	090
64740	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		2	090
64740	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		1	090
64740	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
64740	CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
64740	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		2	090
64742	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
64742	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
64742	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64744	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
64744	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
64744	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64746	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
64746	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
64746	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64755	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
64755	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
64755	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64760	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
64760	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
64760	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64763	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
64763	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
64763	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64766	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
64766	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
64766	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64771	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
64771	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
64771	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64772	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
64772	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
64772	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64774	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
64774	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
64774	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64776	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
64776	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
64776	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64782	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
64782	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
64782	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64784	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
64784	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
64784	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64786	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
64786	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
64786	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64788	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
64788	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
64788	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64790	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
64790	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
64790	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64792	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
64792	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
64792	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64802	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
64802	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
64802	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64804	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
64804	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
64804	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64809	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
64809	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
64809	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64818	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
64818	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
64818	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64820	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
64820	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
64820	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64821	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
64821	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
64822	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
64822	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
64823	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
64823	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
64831	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
64831	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
64831	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64834	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
64834	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
64834	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64835	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
64835	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
64835	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64836	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
64836	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
64836	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64840	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
64840	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
64840	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64856	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
64856	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
64856	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64857	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
64857	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
64857	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64858	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
64858	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
64858	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64861	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
64861	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
64861	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64862	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
64862	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
64862	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64864	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
64864	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		2	090
64864	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
64864	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59		2	090
64864	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
64864	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		2	090
64864	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		2	090
64864	CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
64864	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		2	090
64865	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09		1	090
64865	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
64865	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		2.5	090
64865	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2.5	090
64865	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59		2.5	090
64865	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
64865	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		2	090
64865	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		2.5	090
64865	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		2.5	090
64865	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		5	090
64865	CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
64865	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
64865	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
64865	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		10	090
64865	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
64865	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		8	090
64865	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
64865	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		10	090
64865	CMS	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		2.5	090
64865	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		12.5	090
64865	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		2.5	090
64865	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		25	090
64865	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		12.5	090
64865	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
64865	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		2.5	090
64866	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09		1	090
64866	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
64866	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		2.5	090
64866	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2.5	090
64866	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59		2.5	090
64866	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
64866	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		2	090
64866	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		2.5	090
64866	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		2.5	090
64866	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		5	090
64866	CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
64866	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
64866	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
64866	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		10	090
64866	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
64866	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		8	090
64866	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
64866	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		10	090
64866	CMS	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		2.5	090
64866	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		12.5	090
64866	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		2.5	090
64866	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		25	090
64866	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		12.5	090
64866	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
64866	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		2.5	090
64868	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09		1	090
64868	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
64868	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		2	090
64868	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		2	090
64868	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59		2	090
64868	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
64868	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		2	090
64868	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		2	090
64868	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		2	090
64868	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
64868	CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
64868	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
64868	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
64868	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		8	090
64868	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
64868	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		6	090
64868	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
64868	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		8	090
64868	CMS	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		2	090
64868	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		10	090
64868	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		2	090
64868	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		20	090
64868	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		10	090
64868	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
64868	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		2	090
64885	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
64885	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		3	090
64885	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
64885	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59		3	090
64885	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
64885	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		2	090
64885	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		3	090
64885	CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
64885	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3	090
64886	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
64886	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		3	090
64886	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		3	090
64886	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59		3	090
64886	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2	090
64886	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		2	090
64886	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		3	090
64886	CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
64886	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3	090
64890	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
64890	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
64890	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64891	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
64891	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
64891	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64892	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
64892	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
64892	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64893	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
64893	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
64893	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64895	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
64895	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
64895	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64896	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
64896	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
64896	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64897	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
64897	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
64897	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64898	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
64898	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
64898	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64905	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
64905	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
64905	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64907	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
64907	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
64907	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64910	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
64910	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
64910	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
64910	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		2	090
64910	CMS	"Wound Care, Dressings"	SG012	"bandage, elastic wrap 4in (Ace)"	item	0.52		1	090
64910	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
64910	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64910	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		2	090
64910	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		1	090
64910	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7		1	090
64910	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
64910	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		36	090
64910	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48		1	090
64910	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		6	090
64911	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
64911	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
64911	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
64911	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		2	090
64911	CMS	"Wound Care, Dressings"	SG012	"bandage, elastic wrap 4in (Ace)"	item	0.52		1	090
64911	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
64911	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64911	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		2	090
64911	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		1	090
64911	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7		1	090
64911	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
64911	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		36	090
64911	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48		1	090
64911	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		6	090
64912	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
64912	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
64912	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
64912	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		2	090
64912	CMS	"Wound Care, Dressings"	SG012	"bandage, elastic wrap 4in (Ace)"	item	0.52		1	090
64912	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
64912	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65		2	090
64912	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.7		2	090
64912	CMS	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		1	090
64912	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7		1	090
64912	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		4	090
64912	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		36	090
64912	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48		1	090
64912	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04		6	090
65091	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26		4	090
65091	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37		12	090
65091	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		6	090
65091	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		6	090
65091	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		72	090
65091	CMS	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07		6	090
65091	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		120	090
65091	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
65091	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		180	090
65091	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		200	090
65093	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26		3.5	090
65093	CMS	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38		1	090
65093	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37		12	090
65093	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		6	090
65093	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		6	090
65093	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		72	090
65093	CMS	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07		6	090
65093	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		120	090
65093	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
65093	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		180	090
65093	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		200	090
65101	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26		4	090
65101	CMS	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38		1	090
65101	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37		12	090
65101	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		6	090
65101	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		6	090
65101	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		72	090
65101	CMS	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07		6	090
65101	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		120	090
65101	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
65101	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		180	090
65101	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		200	090
65101	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44		1	090
65103	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26		4	090
65103	CMS	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38		1	090
65103	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37		12	090
65103	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		6	090
65103	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		6	090
65103	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		72	090
65103	CMS	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07		6	090
65103	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		120	090
65103	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
65103	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		180	090
65103	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		200	090
65105	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26		4.5	090
65105	CMS	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38		1	090
65105	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37		12	090
65105	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		6	090
65105	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		6	090
65105	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		72	090
65105	CMS	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07		6	090
65105	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		120	090
65105	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
65105	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		180	090
65105	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		200	090
65110	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26		5.5	090
65110	CMS	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38		1	090
65110	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37		12	090
65110	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		6	090
65110	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		6	090
65110	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		72	090
65110	CMS	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07		6	090
65110	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		120	090
65110	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
65110	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		180	090
65110	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		200	090
65112	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26		6.5	090
65112	CMS	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38		1	090
65112	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37		12	090
65112	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		6	090
65112	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		6	090
65112	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		72	090
65112	CMS	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07		6	090
65112	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		120	090
65112	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
65112	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		180	090
65112	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		200	090
65114	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26		6.5	090
65114	CMS	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38		1	090
65114	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37		12	090
65114	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		6	090
65114	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		6	090
65114	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		72	090
65114	CMS	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07		6	090
65114	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		120	090
65114	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
65114	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		180	090
65114	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		200	090
65125	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
65125	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	4	3	090
65125	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
65125	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
65125	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	090
65125	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	090
65125	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
65125	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
65125	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
65125	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
65125	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	4	0	090
65125	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	090
65125	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	090
65125	CMS	"Accessory, Procedure"	SD107	"peg, for prosthetic ocular implant"	item	58.333	1	0	090
65125	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37	2	0	090
65125	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
65125	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
65125	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	20	0	090
65125	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.94	1	0	090
65125	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	1	0	090
65125	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	090
65125	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	5	0	090
65125	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	090
65125	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
65130	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26		4	090
65130	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37		14	090
65130	CMS	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07		6	090
65130	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		120	090
65130	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
65130	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		200	090
65130	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		226	090
65135	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26		4	090
65135	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37		14	090
65135	CMS	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07		6	090
65135	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		120	090
65135	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
65135	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		200	090
65135	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		226	090
65140	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26		4.5	090
65140	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37		14	090
65140	CMS	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07		6	090
65140	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		120	090
65140	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
65140	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		200	090
65140	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		226	090
65150	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26		3.5	090
65150	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37		14	090
65150	CMS	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07		6	090
65150	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		120	090
65150	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
65150	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		200	090
65150	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		226	090
65155	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26		4.5	090
65155	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37		14	090
65155	CMS	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07		6	090
65155	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		120	090
65155	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
65155	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		200	090
65155	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		226	090
65175	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26		3.5	090
65175	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37		14	090
65175	CMS	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07		6	090
65175	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		120	090
65175	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
65175	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		200	090
65175	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		226	090
65210	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
65210	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1	0	000
65220	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	1	0	000
65222	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	1	0	000
65235	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
65235	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		4.5	090
65235	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37		1	090
65235	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		1	090
65235	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		60	090
65235	CMS	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.37		0.6	090
65235	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
65235	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		30	090
65235	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		45	090
65260	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		5	090
65260	CMS	"Wound Care, Dressings"	SG043	"dressing, eye pad (Opticlude)"	item	0.34		1	090
65260	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37		2	090
65260	CMS	"Wound Care, Dressings"	SG047	eye shield (fox) and garter	item	1.88		1	090
65260	CMS	"Wound Care, Dressings"	SG048	"eye shield, fox"	item	1.31		1	090
65260	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		1	090
65260	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		1	090
65260	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		420	090
65260	CMS	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.37		0.6	090
65260	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		20	090
65260	CMS	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.82		1	090
65260	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
65260	CMS	"Pharmacy, NonRx"	SJ015	contact lens soln (12oz uou)	item	4.19		1	090
65260	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		30	090
65260	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		45	090
65260	CMS	Lab	SL020	bleach	ml	0.01		10	090
65265	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		5.5	090
65265	CMS	"Wound Care, Dressings"	SG043	"dressing, eye pad (Opticlude)"	item	0.34		1	090
65265	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37		2	090
65265	CMS	"Wound Care, Dressings"	SG047	eye shield (fox) and garter	item	1.88		1	090
65265	CMS	"Wound Care, Dressings"	SG048	"eye shield, fox"	item	1.31		1	090
65265	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		1	090
65265	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		1	090
65265	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		432	090
65265	CMS	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.37		0.7	090
65265	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		20	090
65265	CMS	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.82		1	090
65265	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
65265	CMS	"Pharmacy, NonRx"	SJ015	contact lens soln (12oz uou)	item	4.19		1	090
65265	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		30	090
65265	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		50	090
65265	CMS	Lab	SL020	bleach	ml	0.01		10	090
65270	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
65270	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12	2	1	010
65270	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	010
65270	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	010
65270	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	010
65270	CMS	"Cutters, Closures, Cautery"	SF049	"suture, nylon, 8-0 to 9-0"	item	17.3	1	0	010
65270	CMS	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	4.36	1	0	010
65270	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	010
65272	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
65272	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	2.5	1.5	090
65272	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12	3.5	2.5	090
65272	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
65272	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	090
65272	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
65272	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
65272	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
65272	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
65272	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	090
65272	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	090
65272	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	090
65272	CMS	"Cutters, Closures, Cautery"	SF049	"suture, nylon, 8-0 to 9-0"	item	17.3	1	0	090
65272	CMS	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	4.36	1	0	090
65272	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	0.5	0	090
65272	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	090
65273	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		2.5	090
65275	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
65275	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12	4	3	090
65275	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
65275	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	090
65275	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
65275	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
65275	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
65275	CMS	"Cutters, Closures, Cautery"	SF049	"suture, nylon, 8-0 to 9-0"	item	17.3	1	0	090
65275	CMS	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	4.36	1	0	090
65275	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	090
65280	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		4.5	090
65285	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		7	090
65286	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12	4.5	3.5	090
65286	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
65286	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	090
65286	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
65286	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
65286	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
65286	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	090
65286	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1	0	090
65286	CMS	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	4.36	1	0	090
65286	CMS	"Pharmacy, Rx"	SH076	"adhesive, cyanoacrylate (2ml uou).doc"	item	31.35	1	0	090
65286	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	090
65286	CMS	"Pharmacy, Rx"	SH082	"hyaluronic acid viscoelastic inj (Amvisc, 0.5ml uou)"	item	68.15	1	0	090
65290	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		3.5	090
65400	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
65400	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	5.5	4.5	090
65400	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
65400	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	090
65400	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
65400	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
65400	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
65400	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
65400	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	090
65400	CMS	"Cutters, Closures, Cautery"	SF008	"blade, surgical 64,65,67 (Beaver)"	item	2.98	1	0	090
65400	CMS	"Cutters, Closures, Cautery"	SF044	"blade, surgical, super-sharp"	item	4.59	1	0	090
65400	CMS	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	4.36	1	0	090
65400	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	4	0	090
65400	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	090
65410	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	1	0	000
65410	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	000
65410	CMS	"Cutters, Closures, Cautery"	SF044	"blade, surgical, super-sharp"	item	4.59	1	0	000
65410	CMS	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	4.36	1	0	000
65410	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	000
65420	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
65420	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	5	4	090
65420	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
65420	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	090
65420	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
65420	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
65420	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
65420	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
65420	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	090
65420	CMS	"Cutters, Closures, Cautery"	SF008	"blade, surgical 64,65,67 (Beaver)"	item	2.98	1	0	090
65420	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	090
65420	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	090
65420	CMS	"Cutters, Closures, Cautery"	SF044	"blade, surgical, super-sharp"	item	4.59	1	0	090
65420	CMS	"Cutters, Closures, Cautery"	SF049	"suture, nylon, 8-0 to 9-0"	item	17.3	1	0	090
65420	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	20	0	090
65420	CMS	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	4.36	1	0	090
65420	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	4	0	090
65420	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	090
65426	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
65426	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	5	4	090
65426	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
65426	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	090
65426	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
65426	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
65426	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
65426	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
65426	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	090
65426	CMS	"Cutters, Closures, Cautery"	SF008	"blade, surgical 64,65,67 (Beaver)"	item	2.98	1	0	090
65426	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	090
65426	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	090
65426	CMS	"Cutters, Closures, Cautery"	SF044	"blade, surgical, super-sharp"	item	4.59	1	0	090
65426	CMS	"Cutters, Closures, Cautery"	SF049	"suture, nylon, 8-0 to 9-0"	item	17.3	2	0	090
65426	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	20	0	090
65426	CMS	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	4.36	1	0	090
65426	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	4.5	0	090
65426	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	090
65430	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	1	0	000
65430	CMS	"Cutters, Closures, Cautery"	SF008	"blade, surgical 64,65,67 (Beaver)"	item	2.98	1	0	000
65435	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	1	0	000
65435	CMS	"Cutters, Closures, Cautery"	SF008	"blade, surgical 64,65,67 (Beaver)"	item	2.98	1	0	000
65436	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	3	2	090
65436	CMS	"Cutters, Closures, Cautery"	SF008	"blade, surgical 64,65,67 (Beaver)"	item	2.98	1	0	090
65450	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	3.5	2.5	090
65450	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
65600	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	2.5	0	090
65600	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37	4	0	090
65600	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66	2	0	090
65600	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	090
65600	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	090
65600	CMS	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.37	0.4	0	090
65600	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	40	0	090
65600	CMS	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.82	2	0	090
65600	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	090
65600	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	60	0	090
65600	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	70	0	090
65710	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26		6	090
65710	CMS	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.37		0.2	090
65710	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		27	090
65730	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		6	090
65730	CMS	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.37		0.2	090
65730	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		5	090
65750	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		6	090
65750	CMS	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.37		0.2	090
65750	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		27	090
65755	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		6	090
65755	CMS	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.37		0.2	090
65755	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		27	090
65756	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26		3	090
65756	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		3	090
65770	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26		6.5	090
65770	CMS	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38		1	090
65770	CMS	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.37		0.2	090
65770	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		20	090
65770	CMS	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.82		1	090
65770	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		35	090
65772	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	3.5	2.5	090
65772	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
65772	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	090
65772	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
65772	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
65772	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
65772	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
65772	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	090
65772	CMS	"Cutters, Closures, Cautery"	SF044	"blade, surgical, super-sharp"	item	4.59	1	0	090
65772	CMS	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	4.36	1	0	090
65772	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	4	0	090
65772	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	090
65775	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26		3.5	090
65775	CMS	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.37		0.2	090
65775	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		21	090
65778	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	1	0	000
65778	CMS	"Accessory, Procedure"	SD248	human amniotic membrane allograft mounted on a non-absorbable self-retaining ring	item	1149	1	0	000
65778	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	000
65779	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	000
65779	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	000
65779	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
65779	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
65779	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	000
65779	CMS	"Hypodermic, IV"	SC104	"suture, nylon, 10-0"	item	10.85	1	0	000
65779	CMS	"Accessory, Procedure"	SD247	human amniotic membrane allograft	item	835	1	0	000
65779	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37	1	0	000
65779	CMS	"Wound Care, Dressings"	SG078	"tape, surgical occlusive 1in (Blenderm)"	inch	0.007	9	0	000
65779	CMS	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	4.36	1	0	000
65779	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.94	0.4	0	000
65779	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	000
65779	CMS	"Pharmacy, Rx"	SH058	"proparacaine 0.5% ophth (Ophthaine, Alcaine)"	ml	2.3533	0.1	0	000
65779	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	000
65780	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26		5	090
65780	CMS	"Cutters, Closures, Cautery"	SF005	"blade, single edge"	item	0.63		4	090
65780	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		8	090
65780	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.94		0.4	090
65780	CMS	"Pharmacy, Rx"	SH058	"proparacaine 0.5% ophth (Ophthaine, Alcaine)"	ml	2.3533		0.4	090
65781	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26		10	090
65781	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
65782	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26		9	090
65782	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
65785	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
65785	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	4	4	090
65785	CMS	"Kit, Pack, Tray"	SA120	intrastromal corneal ring	pair	1145	1	0	090
65785	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
65785	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	090
65785	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
65785	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	090
65785	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
65785	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
65785	CMS	"Hypodermic, IV"	SC104	"suture, nylon, 10-0"	item	10.85	1	0	090
65785	CMS	"Accessory, Procedure"	SD307	"patient/laser interface (single-use, disposable)"	item	172.5	1	0	090
65785	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37	2	0	090
65785	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
65785	CMS	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	4.36	1	0	090
65785	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	3	0	090
65785	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	5	0	090
65785	CMS	Lab	SL187	"balance salt solution (BSS), sterile, 15cc"	ml		1	0	090
65800	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	1	0	000
65800	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
65800	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	000
65800	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1	0	000
65800	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	000
65800	CMS	Lab	SL032	culture media	ml	0.02	4	0	000
65800	CMS	Lab	SL238	"slide, glass, (plain blank slide)"	item	0.4	2	0	000
65810	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		3	090
65815	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
65815	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12	4	3	090
65815	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
65815	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	090
65815	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
65815	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
65815	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
65815	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
65815	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	2	0	090
65815	CMS	"Accessory, Procedure"	SD145	"cannula, anterior chamber, 18-27g"	item	3.21	1	0	090
65815	CMS	"Cutters, Closures, Cautery"	SF044	"blade, surgical, super-sharp"	item	4.59	1	0	090
65815	CMS	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	4.36	1	0	090
65815	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	4	0	090
65815	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	090
65815	CMS	"Pharmacy, Rx"	SH082	"hyaluronic acid viscoelastic inj (Amvisc, 0.5ml uou)"	item	68.15	1	0	090
65820	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26		5	090
65820	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37		8	090
65820	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		4	090
65820	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		4	090
65820	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
65820	CMS	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.37		0.8	090
65820	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		80	090
65820	CMS	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.82		4	090
65820	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
65820	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		120	090
65820	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		130	090
65850	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		4.5	090
65850	CMS	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38		1	090
65850	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		20	090
65850	CMS	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.82		1	090
65850	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		24	090
65855	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	2	1	010
65855	CMS	"Pharmacy, Rx"	SH037	Goniosol 2.5% ophth	ml	0.64	1	0	010
65855	CMS	"Pharmacy, Rx"	SH044	Iopidine 1% ophth soln (0.1ml uou)	item	14.61	1	0	010
65860	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	1	0	090
65860	CMS	"Pharmacy, Rx"	SH037	Goniosol 2.5% ophth	ml	0.64	1	0	090
65860	CMS	"Pharmacy, Rx"	SH044	Iopidine 1% ophth soln (0.1ml uou)	item	14.61	1	0	090
65865	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		3.5	090
65865	CMS	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38		1	090
65865	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		20	090
65865	CMS	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.82		1	090
65865	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		15	090
65870	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		3.5	090
65870	CMS	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38		1	090
65870	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		20	090
65870	CMS	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.82		1	090
65870	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		15	090
65875	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		4	090
65875	CMS	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38		1	090
65875	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		20	090
65875	CMS	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.82		1	090
65875	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		15	090
65880	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		4	090
65880	CMS	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38		1	090
65880	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		20	090
65880	CMS	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.82		1	090
65880	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		15	090
65900	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		5	090
65900	CMS	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38		1	090
65900	CMS	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.37		0.2	090
65900	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		40	090
65900	CMS	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.82		2	090
65900	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		27	090
65920	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		5	090
65920	CMS	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38		1	090
65920	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		20	090
65920	CMS	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.82		1	090
65920	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		15	090
65930	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		3	090
65930	CMS	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38		1	090
65930	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		20	090
65930	CMS	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.82		1	090
65930	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		24	090
66020	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
66020	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	2	1	010
66020	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
66020	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	010
66020	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
66020	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	010
66020	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1	0	010
66020	CMS	"Accessory, Procedure"	SD145	"cannula, anterior chamber, 18-27g"	item	3.21	1	0	010
66020	CMS	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38	1	0	010
66030	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
66030	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	2	1	010
66030	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
66030	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	010
66030	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
66030	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	010
66030	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1	0	010
66030	CMS	"Accessory, Procedure"	SD145	"cannula, anterior chamber, 18-27g"	item	3.21	1	0	010
66030	CMS	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38	1	0	010
66130	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12	4	3	090
66130	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
66130	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	090
66130	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
66130	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
66130	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
66130	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
66130	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	090
66130	CMS	"Cutters, Closures, Cautery"	SF008	"blade, surgical 64,65,67 (Beaver)"	item	2.98	1	0	090
66130	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	090
66130	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	090
66130	CMS	"Cutters, Closures, Cautery"	SF044	"blade, surgical, super-sharp"	item	4.59	1	0	090
66130	CMS	"Cutters, Closures, Cautery"	SF049	"suture, nylon, 8-0 to 9-0"	item	17.3	1	0	090
66130	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	20	0	090
66130	CMS	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	4.36	1	0	090
66130	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	2	0	090
66130	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	090
66150	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		7	090
66150	CMS	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38		1	090
66150	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		20	090
66150	CMS	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.82		1	090
66155	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		7	090
66155	CMS	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38		1	090
66155	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		20	090
66155	CMS	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.82		1	090
66160	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		7	090
66160	CMS	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38		1	090
66160	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		20	090
66160	CMS	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.82		1	090
66170	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26		4	090
66170	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		5	090
66170	CMS	"Pharmacy, Rx"	SH037	Goniosol 2.5% ophth	ml	0.64		1	090
66172	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26		6	090
66172	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		5	090
66172	CMS	"Pharmacy, Rx"	SH037	Goniosol 2.5% ophth	ml	0.64		2	090
66174	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26		1	090
66174	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		4	090
66175	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26		1	090
66175	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		4	090
66179	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26		3	090
66179	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		5	090
66179	CMS	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38		1	090
66179	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		10	090
66180	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26		3	090
66180	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		5	090
66180	CMS	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38		1	090
66180	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		10	090
66183	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		8	090
66184	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26		3	090
66184	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		4	090
66184	CMS	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38		1	090
66184	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		10	090
66185	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26		3	090
66185	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		4	090
66185	CMS	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38		1	090
66185	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		10	090
66225	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		5	090
66225	CMS	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.37		0.2	090
66225	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		24	090
66250	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
66250	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12	4.5	3.5	090
66250	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
66250	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	090
66250	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
66250	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
66250	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
66250	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	2	0	090
66250	CMS	"Accessory, Procedure"	SD145	"cannula, anterior chamber, 18-27g"	item	3.21	1	0	090
66250	CMS	"Cutters, Closures, Cautery"	SF008	"blade, surgical 64,65,67 (Beaver)"	item	2.98	1	0	090
66250	CMS	"Cutters, Closures, Cautery"	SF044	"blade, surgical, super-sharp"	item	4.59	1	0	090
66250	CMS	"Cutters, Closures, Cautery"	SF049	"suture, nylon, 8-0 to 9-0"	item	17.3	1	0	090
66250	CMS	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	4.36	1	0	090
66250	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	4	0	090
66250	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	090
66250	CMS	"Pharmacy, Rx"	SH082	"hyaluronic acid viscoelastic inj (Amvisc, 0.5ml uou)"	item	68.15	1	0	090
66500	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		2.5	090
66500	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37		4	090
66500	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		2	090
66500	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		2	090
66500	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		24	090
66500	CMS	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.37		0.4	090
66500	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		40	090
66500	CMS	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.82		2	090
66500	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
66500	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		60	090
66500	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		70	090
66505	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		3	090
66505	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37		4	090
66505	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		2	090
66505	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		2	090
66505	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		24	090
66505	CMS	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.37		0.4	090
66505	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		40	090
66505	CMS	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.82		2	090
66505	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
66505	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		60	090
66505	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		70	090
66600	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		4.5	090
66600	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37		8	090
66600	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		4	090
66600	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		4	090
66600	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
66600	CMS	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.37		0.8	090
66600	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		80	090
66600	CMS	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.82		4	090
66600	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
66600	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		120	090
66600	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		130	090
66605	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		4.5	090
66605	CMS	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38		1	090
66605	CMS	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.37		0.2	090
66605	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		40	090
66605	CMS	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.82		2	090
66605	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		27	090
66625	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		3.5	090
66630	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		3.5	090
66635	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		3.5	090
66680	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		3	090
66682	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26		1	090
66682	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		3	090
66683	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26		4	090
66700	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12	3	2	090
66700	CMS	"Pharmacy, Rx"	SH044	Iopidine 1% ophth soln (0.1ml uou)	item	14.61	1	0	090
66700	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	090
66700	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	3	3	090
66710	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12	3	2	090
66710	CMS	"Pharmacy, Rx"	SH044	Iopidine 1% ophth soln (0.1ml uou)	item	14.61	1	0	090
66710	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	090
66710	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	3	3	090
66711	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26		1	090
66711	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		4	090
66720	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12	3	2	090
66720	CMS	"Pharmacy, Rx"	SH044	Iopidine 1% ophth soln (0.1ml uou)	item	14.61	1	0	090
66720	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	090
66720	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	3	3	090
66740	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12	3	2	090
66740	CMS	"Pharmacy, Rx"	SH044	Iopidine 1% ophth soln (0.1ml uou)	item	14.61	1	0	090
66740	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	090
66740	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	3	3	090
66761	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12	3	2	010
66761	CMS	"Pharmacy, Rx"	SH037	Goniosol 2.5% ophth	ml	0.64	1	0	010
66761	CMS	"Pharmacy, Rx"	SH044	Iopidine 1% ophth soln (0.1ml uou)	item	14.61	1	0	010
66761	CMS	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.82	1	0	010
66761	CMS	"Pharmacy, Rx"	SH097	Pilocarpine 2%	ml	3.8	1	0	010
66762	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12	3	2	090
66762	CMS	"Pharmacy, Rx"	SH044	Iopidine 1% ophth soln (0.1ml uou)	item	14.61	1	0	090
66762	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	3	3	090
66770	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12	3	2	090
66770	CMS	"Pharmacy, Rx"	SH044	Iopidine 1% ophth soln (0.1ml uou)	item	14.61	1	0	090
66770	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	090
66770	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	3	3	090
66820	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		2.5	090
66820	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37		8	090
66820	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		4	090
66820	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		4	090
66820	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
66820	CMS	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.37		0.8	090
66820	CMS	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07		4	090
66820	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		80	090
66820	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
66820	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		120	090
66820	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		130	090
66821	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12	3	2	090
66821	CMS	"Pharmacy, Rx"	SH044	Iopidine 1% ophth soln (0.1ml uou)	item	14.61	1	1	090
66821	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	3	0	090
66825	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		5	090
66825	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37		8	090
66825	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		4	090
66825	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		4	090
66825	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
66825	CMS	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.37		0.8	090
66825	CMS	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07		4	090
66825	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		80	090
66825	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
66825	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		120	090
66825	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		130	090
66830	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		4	090
66840	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		4	090
66850	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		4.5	090
66852	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		4.5	090
66920	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		4	090
66930	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		4.5	090
66930	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		15	090
66940	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		4.5	090
66940	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		15	090
66982	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26		1	090
66982	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		3	090
66984	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26		1	090
66984	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		2	090
66985	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		5	090
66986	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		5	090
66989	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26		1	090
66989	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		3	090
66991	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26		1	090
66991	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		3	090
67005	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		4	090
67010	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		4	090
67015	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		4.5	090
67015	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37		2	090
67015	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		1	090
67015	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		1	090
67015	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		60	090
67015	CMS	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.37		0.6	090
67015	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		20	090
67015	CMS	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.82		1	090
67015	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
67015	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		30	090
67015	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		45	090
67025	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12	5	4	090
67025	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
67025	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
67025	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
67025	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
67025	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
67025	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
67025	CMS	"Gown, Drape"	SB045	"drape, sterile, incise, ophthalmic"	item	6.89	1	0	090
67025	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
67025	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	2	0	090
67025	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	2	0	090
67025	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	090
67025	CMS	"Accessory, Procedure"	SD080	"gas, intraocular C3F8 (ISPAN) (per dose)"	item	5.42	10	0	090
67025	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	1	0	090
67025	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	1	0	090
67025	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	090
67027	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		5	090
67028	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
67028	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
67028	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
67028	CMS	"Hypodermic, IV"	SC109	"needle, 32g"	item	0.59	1	0	000
67028	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	4	0	000
67028	CMS	"Pharmacy, Rx"	SH056	phenylephrine 2.5% ophth (Mydfrin)	ml	5.46	0.05	0	000
67028	CMS	"Pharmacy, Rx"	SH058	"proparacaine 0.5% ophth (Ophthaine, Alcaine)"	ml	2.3533	1	0	000
67028	CMS	"Pharmacy, Rx"	SH073	tropicamide 1% ophth (Mydriacyl)	ml	0.83	0.05	0	000
67028	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	000
67028	CMS	"Pharmacy, NonRx"	SJ094	"povidone soln (Betadine), single-use dropper"	item	2.31	1	0	000
67030	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		4	090
67030	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37		2	090
67030	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		1	090
67030	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		1	090
67030	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
67030	CMS	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.37		0.5	090
67030	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		20	090
67030	CMS	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.82		1	090
67030	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
67030	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		30	090
67030	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		45	090
67031	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12	3.5	2.5	090
67031	CMS	"Pharmacy, Rx"	SH037	Goniosol 2.5% ophth	ml	0.64	1	0	090
67031	CMS	"Pharmacy, Rx"	SH044	Iopidine 1% ophth soln (0.1ml uou)	item	14.61	1	0	090
67036	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		5	090
67039	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		5	090
67040	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		5	090
67041	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		5	090
67042	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		5	090
67043	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		5	090
67101	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
67101	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12	2	2	010
67101	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
67101	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
67101	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
67101	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
67101	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	010
67101	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	010
67101	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	010
67101	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	010
67105	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12	2	2	010
67105	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	010
67105	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	010
67105	CMS	"Pharmacy, Rx"	SH037	Goniosol 2.5% ophth	ml	0.64	0.1	0	010
67105	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	010
67107	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		5	090
67108	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		5	090
67110	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
67110	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12	6	6	090
67110	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
67110	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
67110	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
67110	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
67110	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
67110	CMS	"Gown, Drape"	SB045	"drape, sterile, incise, ophthalmic"	item	6.89	1	0	090
67110	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
67110	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	3	0	090
67110	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	3	0	090
67110	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	090
67110	CMS	"Accessory, Procedure"	SD080	"gas, intraocular C3F8 (ISPAN) (per dose)"	item	5.42	5	0	090
67110	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	090
67110	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	1	0	090
67110	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	090
67113	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		6	090
67115	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		3.5	090
67120	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
67120	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12	4.5	3.5	090
67120	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
67120	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
67120	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1	0	090
67120	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
67120	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
67120	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
67120	CMS	"Gown, Drape"	SB045	"drape, sterile, incise, ophthalmic"	item	6.89	1	0	090
67120	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
67120	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	090
67120	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1	0	090
67120	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	090
67120	CMS	"Hypodermic, IV"	SC081	"needle, retrobulbar (Atkinson)"	item	1.15	1	0	090
67120	CMS	"Cutters, Closures, Cautery"	SF052	"suture, vicryl, 7-0"	item	35.96	1	0	090
67120	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	090
67120	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	1	0	090
67120	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	090
67121	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		5	090
67141	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
67141	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12	2	2	010
67141	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
67141	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
67141	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
67141	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
67141	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
67141	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	010
67141	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1	0	010
67141	CMS	"Wound Care, Dressings"	SG043	"dressing, eye pad (Opticlude)"	item	0.34	1	0	010
67141	CMS	"Wound Care, Dressings"	SG078	"tape, surgical occlusive 1in (Blenderm)"	inch	0.007	9	0	010
67141	CMS	"Pharmacy, Rx"	SH037	Goniosol 2.5% ophth	ml	0.64	1	0	010
67141	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	1	0	010
67141	CMS	"Pharmacy, Rx"	SH058	"proparacaine 0.5% ophth (Ophthaine, Alcaine)"	ml	2.3533	1	0	010
67141	CMS	"Pharmacy, Rx"	SH075	"water, sterile inj"	ml	0.05	10	0	010
67141	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	010
67141	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	1	0	010
67145	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12	2	2	010
67145	CMS	"Pharmacy, Rx"	SH037	Goniosol 2.5% ophth	ml	0.64	1	0	010
67145	CMS	"Pharmacy, Rx"	SH058	"proparacaine 0.5% ophth (Ophthaine, Alcaine)"	ml	2.3533	1	0	010
67145	CMS	"Pharmacy, Rx"	SH075	"water, sterile inj"	ml	0.05	10	0	010
67208	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12	4	3	090
67208	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	090
67208	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37	2	1	090
67208	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66	1	0	090
67208	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
67208	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	36	24	090
67208	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	090
67210	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12	4	3	090
67210	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	5	0	090
67218	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		4	090
67218	CMS	"Wound Care, Dressings"	SG043	"dressing, eye pad (Opticlude)"	item	0.34		1	090
67218	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37		2	090
67218	CMS	"Wound Care, Dressings"	SG047	eye shield (fox) and garter	item	1.88		1	090
67218	CMS	"Wound Care, Dressings"	SG048	"eye shield, fox"	item	1.31		1	090
67218	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		1	090
67218	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		1	090
67218	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		420	090
67218	CMS	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.37		0.6	090
67218	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		20	090
67218	CMS	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.82		1	090
67218	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
67218	CMS	"Pharmacy, NonRx"	SJ015	contact lens soln (12oz uou)	item	4.19		1	090
67218	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		30	090
67218	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		45	090
67218	CMS	Lab	SL020	bleach	ml	0.01		10	090
67220	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12	4	3	090
67220	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	5	0	090
67221	CMS	"Kit, Pack, Tray"	SA049	"pack, ocular photodynamic therapy"	pack	26.35	1	0	000
67221	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12	1	0	000
67221	CMS	"Pharmacy, Rx"	SH037	Goniosol 2.5% ophth	ml	0.64	1	0	000
67227	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12	2	1	010
67227	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	010
67227	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1	0	010
67227	CMS	"Hypodermic, IV"	SC081	"needle, retrobulbar (Atkinson)"	item	1.15	1	0	010
67227	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37	2	0	010
67227	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66	1	0	010
67227	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
67227	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	36	0	010
67227	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	010
67228	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12	2	1	010
67228	CMS	"Pharmacy, Rx"	SH037	Goniosol 2.5% ophth	ml	0.64	1	0	010
67229	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		6	090
67250	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		3	090
67250	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37		14	090
67250	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		120	090
67250	CMS	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.82		6	090
67250	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
67250	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		200	090
67250	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		226	090
67255	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26		3	090
67255	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		3	090
67255	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68		1	090
67255	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		10	090
67311	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26		2	090
67311	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		1	090
67312	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26		2	090
67312	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		1	090
67314	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26		2	090
67314	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		1	090
67316	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26		2	090
67316	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		1	090
67318	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26		1	090
67318	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		2	090
67343	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26		3.5	090
67343	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37		1	090
67343	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		1	090
67343	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		36	090
67343	CMS	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.37		0.4	090
67343	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
67343	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		40	090
67345	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	2	1	010
67345	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
67345	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1	0	010
67345	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1	0	010
67345	CMS	"Accessory, Procedure"	SD051	"electrode needle, monopolar EMG w-lead"	item	2.95	1	0	010
67345	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	010
67400	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		4.5	090
67400	CMS	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38		1	090
67400	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37		12	090
67400	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		6	090
67400	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		6	090
67400	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		72	090
67400	CMS	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07		6	090
67400	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		120	090
67400	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
67400	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		180	090
67400	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		200	090
67405	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		4	090
67405	CMS	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38		1	090
67405	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37		12	090
67405	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		6	090
67405	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		6	090
67405	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		72	090
67405	CMS	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07		6	090
67405	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		120	090
67405	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
67405	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		180	090
67405	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		200	090
67412	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		2.5	090
67412	CMS	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38		1	090
67412	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37		16	090
67412	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		8	090
67412	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		8	090
67412	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		96	090
67412	CMS	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07		8	090
67412	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		160	090
67412	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
67412	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		240	090
67412	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		260	090
67413	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		5	090
67413	CMS	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38		1	090
67413	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37		12	090
67413	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		6	090
67413	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		6	090
67413	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		72	090
67413	CMS	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07		6	090
67413	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		120	090
67413	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
67413	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		180	090
67413	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		200	090
67414	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		3	090
67414	CMS	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38		1	090
67414	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37		16	090
67414	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		8	090
67414	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		8	090
67414	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		96	090
67414	CMS	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07		8	090
67414	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		160	090
67414	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
67414	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		240	090
67414	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		260	090
67420	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		5	090
67420	CMS	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38		1	090
67420	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37		16	090
67420	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		8	090
67420	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		8	090
67420	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		96	090
67420	CMS	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07		8	090
67420	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		160	090
67420	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
67420	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		240	090
67420	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		260	090
67430	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		6	090
67430	CMS	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38		1	090
67430	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37		16	090
67430	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		8	090
67430	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		8	090
67430	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		96	090
67430	CMS	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07		8	090
67430	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		160	090
67430	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
67430	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		240	090
67430	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		260	090
67440	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		5.5	090
67440	CMS	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38		1	090
67440	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37		16	090
67440	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		8	090
67440	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		8	090
67440	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		96	090
67440	CMS	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07		8	090
67440	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		160	090
67440	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
67440	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		240	090
67440	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		260	090
67445	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		4	090
67445	CMS	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38		1	090
67445	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37		16	090
67445	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		8	090
67445	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		8	090
67445	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		96	090
67445	CMS	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07		8	090
67445	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		160	090
67445	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
67445	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		240	090
67445	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		260	090
67450	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		6	090
67450	CMS	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38		1	090
67450	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37		16	090
67450	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		8	090
67450	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		8	090
67450	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		96	090
67450	CMS	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07		8	090
67450	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		160	090
67450	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
67450	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		240	090
67450	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		260	090
67500	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12	1	0	000
67500	CMS	"Hypodermic, IV"	SC027	"needle, 18-19g, filter"	item	0.21	1	0	000
67500	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
67500	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	2	0	000
67500	CMS	"Hypodermic, IV"	SC081	"needle, retrobulbar (Atkinson)"	item	1.15	1	0	000
67500	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	4	0	000
67500	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	3	0	000
67505	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12	1	0	000
67505	CMS	"Hypodermic, IV"	SC027	"needle, 18-19g, filter"	item	0.21	2	0	000
67505	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
67505	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	2	0	000
67505	CMS	"Hypodermic, IV"	SC081	"needle, retrobulbar (Atkinson)"	item	1.15	1	0	000
67505	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	4	0	000
67505	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	3	0	000
67505	CMS	Lab	SL189	"ethanol, 100%"	ml	0.0033	1	0	000
67515	CMS	"Hypodermic, IV"	SC027	"needle, 18-19g, filter"	item	0.21	1	0	000
67515	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	000
67515	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	2	0	000
67515	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	4	0	000
67515	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	3	0	000
67516	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
67516	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
67516	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	3	0	000
67516	CMS	"Hypodermic, IV"	SC027	"needle, 18-19g, filter"	item	0.21	1	0	000
67516	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	000
67516	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1	0	000
67516	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	2	0	000
67516	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	2	0	000
67516	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	0.5	0	000
67516	CMS	"Pharmacy, Rx"	SH056	phenylephrine 2.5% ophth (Mydfrin)	ml	5.46	0.05	0	000
67516	CMS	"Pharmacy, Rx"	SH058	"proparacaine 0.5% ophth (Ophthaine, Alcaine)"	ml	2.3533	0.15	0	000
67516	CMS	"Pharmacy, Rx"	SH073	tropicamide 1% ophth (Mydriacyl)	ml	0.83	0.05	0	000
67516	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	000
67516	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	000
67516	CMS	"Pharmacy, NonRx"	SJ094	"povidone soln (Betadine), single-use dropper"	item	2.31	1	0	000
67550	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		5	090
67550	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37		14	090
67550	CMS	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07		6	090
67550	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		120	090
67550	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
67550	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		200	090
67550	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		226	090
67560	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		5	090
67560	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37		14	090
67560	CMS	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07		6	090
67560	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		120	090
67560	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
67560	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		200	090
67560	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		226	090
67570	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		4	090
67570	CMS	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38		1	090
67570	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37		16	090
67570	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66		8	090
67570	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		8	090
67570	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		96	090
67570	CMS	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07		8	090
67570	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		160	090
67570	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
67570	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		240	090
67570	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		260	090
67700	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
67700	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	2	1	010
67700	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
67700	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
67700	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	010
67700	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	1	0	010
67700	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
67700	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	010
67700	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
67700	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
67700	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
67700	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	010
67700	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	010
67700	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	010
67700	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	010
67700	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
67700	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	010
67700	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
67700	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37	2	0	010
67700	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
67700	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
67700	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	10	0	010
67700	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.94	1	0	010
67700	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	1	0	010
67700	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	010
67700	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	1	0	010
67700	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	010
67700	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	010
67710	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
67710	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	2	1	010
67710	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
67710	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
67710	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	010
67710	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	1	0	010
67710	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
67710	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	010
67710	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
67710	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
67710	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
67710	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	010
67710	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	010
67710	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	010
67710	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	010
67710	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
67710	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37	2	0	010
67710	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
67710	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
67710	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	10	0	010
67710	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.94	1	0	010
67710	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	1	0	010
67710	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	010
67710	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	1	0	010
67710	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	010
67710	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	010
67715	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
67715	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	2	1	010
67715	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
67715	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
67715	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	010
67715	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	1	0	010
67715	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
67715	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	010
67715	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
67715	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
67715	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
67715	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	010
67715	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	010
67715	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	010
67715	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	010
67715	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
67715	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37	2	0	010
67715	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
67715	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
67715	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	10	0	010
67715	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.94	1	0	010
67715	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	1	0	010
67715	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	010
67715	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	1	0	010
67715	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	010
67715	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	010
67800	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	1.5	0.5	010
67800	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
67800	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	010
67800	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	010
67800	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
67800	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	3	0	010
67800	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	3	0	010
67800	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	3	0	010
67801	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	1.5	0.5	010
67801	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
67801	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	010
67801	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	010
67801	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
67801	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	5	0	010
67801	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	5	0	010
67801	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5	0	010
67805	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	2	1	010
67805	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
67805	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	010
67805	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	010
67805	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
67805	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	5	0	010
67805	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	5	0	010
67805	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	7	0	010
67808	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26		2.5	090
67810	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
67810	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	1	0	000
67810	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
67810	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
67810	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
67810	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	000
67810	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	000
67810	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	000
67810	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
67810	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	000
67810	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	20	0	000
67810	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.04	1	0	000
67810	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
67810	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37	2	0	000
67810	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
67810	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	000
67810	CMS	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07	1	0	000
67810	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	5	0	000
67810	CMS	"Pharmacy, Rx"	SH058	"proparacaine 0.5% ophth (Ophthaine, Alcaine)"	ml	2.3533	1	0	000
67810	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	000
67810	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	000
67810	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	1	0	000
67810	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
67810	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
67825	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	2	1	010
67825	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
67825	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
67825	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	010
67825	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	010
67825	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37	2	0	010
67825	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
67825	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
67825	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	4	0	010
67825	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.94	1	0	010
67825	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	1	0	010
67825	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	010
67825	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	010
67830	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
67830	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	2	1	010
67830	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
67830	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
67830	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	010
67830	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	1	0	010
67830	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
67830	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	010
67830	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
67830	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
67830	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	010
67830	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	010
67830	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	010
67830	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
67830	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	010
67830	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	2	0	010
67830	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37	2	0	010
67830	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
67830	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
67830	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	10	0	010
67830	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.94	1	0	010
67830	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	1	0	010
67830	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	010
67830	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	1	0	010
67830	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	010
67830	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	010
67835	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26		3	090
67835	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		12	090
67840	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
67840	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	2	1	010
67840	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
67840	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
67840	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	010
67840	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	1	0	010
67840	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
67840	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	010
67840	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
67840	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
67840	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	010
67840	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	010
67840	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	010
67840	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
67840	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	010
67840	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
67840	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37	2	0	010
67840	CMS	"Wound Care, Dressings"	SG048	"eye shield, fox"	item	1.31	1	0	010
67840	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
67840	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
67840	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	10	0	010
67840	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.94	1	0	010
67840	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	1	0	010
67840	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	010
67840	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	1	0	010
67840	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	010
67840	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	010
67850	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
67850	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	2	1	010
67850	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
67850	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
67850	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	010
67850	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	1	0	010
67850	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
67850	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	010
67850	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
67850	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
67850	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	010
67850	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	010
67850	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37	2	0	010
67850	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
67850	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
67850	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	10	0	010
67850	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.94	1	0	010
67850	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	1	0	010
67850	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	1	0	010
67850	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	010
67850	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	010
67875	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	000
67875	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	1	0	000
67875	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
67875	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
67875	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	000
67875	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	000
67875	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
67875	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
67875	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
67875	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
67875	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
67875	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	000
67875	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	000
67875	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.76	1	0	000
67875	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37	2	0	000
67875	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
67875	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
67875	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	10	0	000
67875	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.94	1	0	000
67875	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	1	0	000
67875	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	000
67875	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	5	0	000
67875	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	000
67875	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
67880	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
67880	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	3.5	2.5	090
67880	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
67880	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
67880	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	090
67880	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	090
67880	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
67880	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
67880	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
67880	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
67880	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
67880	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	090
67880	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	090
67880	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
67880	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
67880	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
67880	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37	2	0	090
67880	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
67880	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
67880	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	20	0	090
67880	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.94	1	0	090
67880	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	1	0	090
67880	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	090
67880	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	5	0	090
67880	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	090
67880	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
67882	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
67882	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	4	3	090
67882	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
67882	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
67882	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	090
67882	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	090
67882	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
67882	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
67882	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
67882	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
67882	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
67882	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	090
67882	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	090
67882	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
67882	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
67882	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
67882	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37	2	0	090
67882	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
67882	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
67882	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	20	0	090
67882	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.94	1	0	090
67882	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	1	0	090
67882	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	090
67882	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	5	0	090
67882	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	090
67882	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
67900	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
67900	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	4	3	090
67900	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
67900	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
67900	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	090
67900	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	090
67900	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
67900	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
67900	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
67900	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
67900	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
67900	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	090
67900	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	090
67900	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
67900	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
67900	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
67900	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37	4	0	090
67900	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
67900	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
67900	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	20	0	090
67900	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.94	1	0	090
67900	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	1	0	090
67900	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	090
67900	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	5	0	090
67900	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	090
67900	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
67901	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
67901	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	5	4	090
67901	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	4	3	090
67901	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
67901	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
67901	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	090
67901	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	090
67901	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
67901	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	090
67901	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
67901	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
67901	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
67901	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	090
67901	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	090
67901	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
67901	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
67901	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
67901	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
67901	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.76	2	0	090
67901	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
67901	CMS	"Cutters, Closures, Cautery"	SF052	"suture, vicryl, 7-0"	item	35.96	1	0	090
67901	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	20	0	090
67901	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37	2	0	090
67901	CMS	"Wound Care, Dressings"	SG048	"eye shield, fox"	item	1.31	1	0	090
67901	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
67901	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	36	0	090
67901	CMS	"Pharmacy, Rx"	SH022	bupivacaine 0.5% inj (Marcaine)	ml	0.14	5	0	090
67901	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.94	1	0	090
67901	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	5	0	090
67901	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	090
67901	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	090
67901	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	30	0	090
67901	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	1	0	090
67901	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	090
67901	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
67902	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
67902	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26		3	090
67902	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
67903	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
67903	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	4	3	090
67903	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
67903	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
67903	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	090
67903	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	090
67903	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
67903	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
67903	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
67903	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
67903	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
67903	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	090
67903	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	090
67903	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
67903	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
67903	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.76	1	0	090
67903	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
67903	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37	4	0	090
67903	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
67903	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
67903	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	20	0	090
67903	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.94	1	0	090
67903	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	1	0	090
67903	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	090
67903	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	5	0	090
67903	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	090
67903	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
67904	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
67904	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	5	4	090
67904	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
67904	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
67904	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	090
67904	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	090
67904	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
67904	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
67904	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
67904	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
67904	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
67904	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	090
67904	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	090
67904	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
67904	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
67904	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.76	1	0	090
67904	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	3	0	090
67904	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37	4	0	090
67904	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
67904	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
67904	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	20	0	090
67904	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.94	1	0	090
67904	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	1	0	090
67904	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	090
67904	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	5	0	090
67904	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	090
67904	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
67906	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26		3	090
67908	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	4.5	3.5	090
67908	CMS	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38	1	1	090
67908	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	22	0	090
67908	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	3	0	090
67908	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	090
67908	CMS	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07	3	0	090
67908	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	60	0	090
67908	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	2	0	090
67908	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	90	60	090
67908	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	100	10	090
67909	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
67909	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	4.5	3.5	090
67909	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
67909	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
67909	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	090
67909	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	090
67909	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
67909	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
67909	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
67909	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
67909	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
67909	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	090
67909	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	090
67909	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
67909	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
67909	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.76	1	0	090
67909	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
67909	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37	4	0	090
67909	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
67909	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
67909	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	20	0	090
67909	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.94	1	0	090
67909	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	1	0	090
67909	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	090
67909	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	5	0	090
67909	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	090
67909	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
67911	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26		3.5	090
67912	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
67912	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	4	3	090
67912	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
67912	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
67912	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	090
67912	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
67912	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
67912	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	090
67912	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
67912	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	090
67912	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	090
67912	CMS	"Accessory, Procedure"	SD072	"eyelid weight implant, gold"	item	277.43	1	0	090
67912	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	090
67912	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
67912	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
67912	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
67912	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
67912	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	10	0	090
67912	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
67912	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	5	0	090
67914	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
67914	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	4	3	090
67914	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
67914	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
67914	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	090
67914	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
67914	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
67914	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
67914	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
67914	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	090
67914	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	090
67914	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	090
67914	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.76	1	0	090
67914	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	3	0	090
67914	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37	2	0	090
67914	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
67914	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
67914	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	10	0	090
67914	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.94	1	0	090
67914	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	090
67914	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	090
67914	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	5	0	090
67914	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	1	0	090
67914	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
67915	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
67915	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	3	2	090
67915	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
67915	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
67915	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	090
67915	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
67915	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
67915	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
67915	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
67915	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	090
67915	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	090
67915	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	090
67915	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.76	1	0	090
67915	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37	2	0	090
67915	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
67915	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
67915	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	10	0	090
67915	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.94	1	0	090
67915	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	090
67915	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	090
67915	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	5	0	090
67915	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	1	0	090
67915	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
67916	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
67916	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	4	3	090
67916	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
67916	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
67916	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	090
67916	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
67916	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
67916	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
67916	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
67916	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	090
67916	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	090
67916	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	090
67916	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	090
67916	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.76	1	0	090
67916	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	3	0	090
67916	CMS	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	4.97	1	0	090
67916	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37	2	0	090
67916	CMS	"Wound Care, Dressings"	SG047	eye shield (fox) and garter	item	1.88	1	0	090
67916	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
67916	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
67916	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	20	0	090
67916	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.94	1	0	090
67916	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	090
67916	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	090
67916	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	5	0	090
67916	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	1	0	090
67916	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
67917	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
67917	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	4	3	090
67917	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
67917	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
67917	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	090
67917	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
67917	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
67917	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
67917	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
67917	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	090
67917	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	090
67917	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	090
67917	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	090
67917	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.76	1	0	090
67917	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
67917	CMS	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	4.97	1	0	090
67917	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37	2	0	090
67917	CMS	"Wound Care, Dressings"	SG047	eye shield (fox) and garter	item	1.88	1	0	090
67917	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
67917	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
67917	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	20	0	090
67917	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.94	1	0	090
67917	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	20	0	090
67917	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	090
67917	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	5	0	090
67917	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	1	0	090
67917	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
67921	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
67921	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	4	3	090
67921	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
67921	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
67921	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	090
67921	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
67921	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
67921	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
67921	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
67921	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	090
67921	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	090
67921	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	090
67921	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.76	1	0	090
67921	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	4	0	090
67921	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37	2	0	090
67921	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
67921	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
67921	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	10	0	090
67921	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.94	1	0	090
67921	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	090
67921	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	090
67921	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	5	0	090
67921	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	1	0	090
67921	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
67922	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	3	2	090
67922	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
67922	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
67922	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	090
67922	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
67922	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
67922	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
67922	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
67922	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	090
67922	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	090
67922	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	090
67922	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.76	1	0	090
67922	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37	2	0	090
67922	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
67922	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
67922	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	10	0	090
67922	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.94	1	0	090
67922	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	090
67922	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	090
67922	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	5	0	090
67922	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	1	0	090
67922	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
67923	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
67923	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	4	3	090
67923	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
67923	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
67923	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	090
67923	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
67923	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
67923	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
67923	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
67923	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	090
67923	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	090
67923	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	090
67923	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	090
67923	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.76	1	0	090
67923	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	3	0	090
67923	CMS	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	4.97	1	0	090
67923	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37	2	0	090
67923	CMS	"Wound Care, Dressings"	SG047	eye shield (fox) and garter	item	1.88	1	0	090
67923	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
67923	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
67923	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	20	0	090
67923	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.94	1	0	090
67923	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	090
67923	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	090
67923	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	5	0	090
67923	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	1	0	090
67923	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
67924	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
67924	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	4	3	090
67924	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
67924	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
67924	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	090
67924	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
67924	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
67924	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
67924	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
67924	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	090
67924	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	090
67924	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	090
67924	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	090
67924	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.76	1	0	090
67924	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	3	0	090
67924	CMS	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	4.97	1	0	090
67924	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37	2	0	090
67924	CMS	"Wound Care, Dressings"	SG047	eye shield (fox) and garter	item	1.88	1	0	090
67924	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
67924	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
67924	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	20	0	090
67924	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.94	1	0	090
67924	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	20	0	090
67924	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	090
67924	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	5	0	090
67924	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	1	0	090
67924	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
67930	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
67930	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	2	1	010
67930	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
67930	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
67930	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	010
67930	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	010
67930	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
67930	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
67930	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
67930	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
67930	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
67930	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	010
67930	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	010
67930	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
67930	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
67930	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.76	1	0	010
67930	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
67930	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37	2	0	010
67930	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66	1	0	010
67930	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
67930	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
67930	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	20	0	010
67930	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.94	1	0	010
67930	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	1	0	010
67930	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	010
67930	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	5	0	010
67930	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	010
67930	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	010
67935	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
67935	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	4	3	090
67935	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
67935	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
67935	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	090
67935	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	090
67935	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
67935	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
67935	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
67935	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
67935	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
67935	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	090
67935	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	090
67935	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
67935	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
67935	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.76	1	0	090
67935	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
67935	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37	2	0	090
67935	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66	1	0	090
67935	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
67935	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
67935	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	20	0	090
67935	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.94	1	0	090
67935	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	1	0	090
67935	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	090
67935	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	5	0	090
67935	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	090
67935	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
67938	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
67938	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	2	1	010
67938	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
67938	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
67938	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	010
67938	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	010
67938	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
67938	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
67938	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
67938	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
67938	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
67938	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	010
67938	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	010
67938	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	010
67938	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	010
67938	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
67938	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
67938	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.76	1	0	010
67938	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
67938	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37	4	0	010
67938	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
67938	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
67938	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	10	0	010
67938	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.94	1	0	010
67938	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	1	0	010
67938	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	010
67938	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	5	0	010
67938	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	010
67938	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	010
67950	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
67950	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	4.5	3.5	090
67950	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
67950	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
67950	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	090
67950	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	090
67950	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
67950	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
67950	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
67950	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
67950	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
67950	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	090
67950	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	090
67950	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
67950	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
67950	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.76	1	0	090
67950	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
67950	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37	4	0	090
67950	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66	1	0	090
67950	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
67950	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
67950	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	20	0	090
67950	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.94	1	0	090
67950	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	1	0	090
67950	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	090
67950	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	5	0	090
67950	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	090
67950	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
67961	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
67961	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	4.5	3.5	090
67961	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
67961	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
67961	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	090
67961	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	090
67961	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
67961	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
67961	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
67961	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
67961	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
67961	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	090
67961	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	090
67961	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
67961	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
67961	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.76	1	0	090
67961	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
67961	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37	4	0	090
67961	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66	1	0	090
67961	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
67961	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
67961	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	20	0	090
67961	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.94	1	0	090
67961	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	1	0	090
67961	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	090
67961	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	5	0	090
67961	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	090
67961	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
67966	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
67966	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	5	4	090
67966	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
67966	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
67966	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	090
67966	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	090
67966	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
67966	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
67966	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
67966	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	090
67966	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
67966	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	090
67966	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	090
67966	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
67966	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
67966	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.76	1	0	090
67966	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
67966	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37	4	0	090
67966	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66	1	0	090
67966	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
67966	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	090
67966	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	20	0	090
67966	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.94	1	0	090
67966	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	1	0	090
67966	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	090
67966	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	5	0	090
67966	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	090
67966	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	090
67971	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26		4.5	090
67973	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26		5.5	090
67974	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26		5.5	090
67975	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26		4.5	090
68020	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	2	1	010
68020	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
68040	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	1	0	000
68100	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	1	0	000
68100	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	000
68100	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
68100	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	000
68100	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	000
68100	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	000
68100	CMS	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	4.36	1	0	000
68100	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	1	0	000
68100	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	000
68110	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	2	1	010
68110	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	010
68110	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
68110	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	010
68110	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	010
68110	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	010
68110	CMS	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	4.36	1	0	010
68110	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	1	0	010
68110	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	010
68115	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
68115	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	2	1	010
68115	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
68115	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	010
68115	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
68115	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	010
68115	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
68115	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
68115	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	010
68115	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	010
68115	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	010
68115	CMS	"Cutters, Closures, Cautery"	SF049	"suture, nylon, 8-0 to 9-0"	item	17.3	1	0	010
68115	CMS	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	4.36	1	0	010
68115	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	1	0	010
68115	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	010
68130	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	4.5	3.5	090
68130	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
68130	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	090
68130	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
68130	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
68130	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
68130	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
68130	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	090
68130	CMS	"Cutters, Closures, Cautery"	SF008	"blade, surgical 64,65,67 (Beaver)"	item	2.98	1	0	090
68130	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	090
68130	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	090
68130	CMS	"Cutters, Closures, Cautery"	SF044	"blade, surgical, super-sharp"	item	4.59	1	0	090
68130	CMS	"Cutters, Closures, Cautery"	SF049	"suture, nylon, 8-0 to 9-0"	item	17.3	1	0	090
68130	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	20	0	090
68130	CMS	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	4.36	1	0	090
68130	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	2	0	090
68130	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	090
68135	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	2	1	010
68200	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	1	0	000
68200	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	4	0	000
68200	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	2	0	000
68200	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	3	0	000
68320	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
68320	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	5	4	090
68320	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
68320	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	090
68320	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
68320	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
68320	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
68320	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
68320	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	090
68320	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	090
68320	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	090
68320	CMS	"Cutters, Closures, Cautery"	SF044	"blade, surgical, super-sharp"	item	4.59	1	0	090
68320	CMS	"Cutters, Closures, Cautery"	SF049	"suture, nylon, 8-0 to 9-0"	item	17.3	2	0	090
68320	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	20	0	090
68320	CMS	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	4.36	2	0	090
68320	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	2	0	090
68320	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	090
68325	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26		4	090
68326	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26		4	090
68328	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26		4	090
68330	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
68330	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	4	3	090
68330	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
68330	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	090
68330	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
68330	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
68330	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
68330	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
68330	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	090
68330	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	090
68330	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	090
68330	CMS	"Cutters, Closures, Cautery"	SF044	"blade, surgical, super-sharp"	item	4.59	1	0	090
68330	CMS	"Cutters, Closures, Cautery"	SF049	"suture, nylon, 8-0 to 9-0"	item	17.3	1	0	090
68330	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	20	0	090
68330	CMS	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	4.36	2	0	090
68330	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	2	0	090
68330	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	090
68335	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26		4	090
68340	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	3.5	2.5	090
68340	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
68340	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	090
68340	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
68340	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
68340	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
68340	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
68340	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	090
68340	CMS	"Accessory, Procedure"	SD158	"conformer, sterile, acrylic"	item	63	1	0	090
68340	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	090
68340	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	090
68340	CMS	"Cutters, Closures, Cautery"	SF044	"blade, surgical, super-sharp"	item	4.59	1	0	090
68340	CMS	"Cutters, Closures, Cautery"	SF049	"suture, nylon, 8-0 to 9-0"	item	17.3	1	0	090
68340	CMS	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	4.36	1	0	090
68340	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	2	0	090
68340	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	090
68360	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	3.5	2.5	090
68360	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	090
68360	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	4.02	1	0	090
68360	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	090
68360	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
68360	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
68360	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	090
68360	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	090
68360	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	090
68360	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	090
68360	CMS	"Cutters, Closures, Cautery"	SF044	"blade, surgical, super-sharp"	item	4.59	1	0	090
68360	CMS	"Cutters, Closures, Cautery"	SF049	"suture, nylon, 8-0 to 9-0"	item	17.3	1	0	090
68360	CMS	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	4.36	1	0	090
68360	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	2	0	090
68360	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	090
68362	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26		4	090
68371	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26		4	010
68371	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	010
68400	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	010
68400	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	2	1	010
68400	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
68400	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
68400	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	010
68400	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	010
68400	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
68400	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	010
68400	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
68400	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
68400	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
68400	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	010
68400	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	010
68400	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	010
68400	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	010
68400	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
68400	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	010
68400	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	5	0	010
68400	CMS	"Wound Care, Dressings"	SG043	"dressing, eye pad (Opticlude)"	item	0.34	1	0	010
68400	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37	2	0	010
68400	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
68400	CMS	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	1	1	0	010
68400	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
68400	CMS	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07	1	0	010
68400	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.94	1	0	010
68400	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
68400	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	010
68400	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	30	0	010
68400	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	010
68420	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	010
68420	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	2	1	010
68420	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
68420	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
68420	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	010
68420	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	010
68420	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
68420	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	010
68420	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
68420	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
68420	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
68420	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	010
68420	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	010
68420	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	010
68420	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	010
68420	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
68420	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	010
68420	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	5	0	010
68420	CMS	"Wound Care, Dressings"	SG043	"dressing, eye pad (Opticlude)"	item	0.34	1	0	010
68420	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37	2	0	010
68420	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
68420	CMS	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	1	1	0	010
68420	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
68420	CMS	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07	1	0	010
68420	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.94	1	0	010
68420	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
68420	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	010
68420	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	30	0	010
68420	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	010
68440	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	2	1	010
68500	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26		5.5	090
68500	CMS	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38		1	090
68500	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		6	090
68500	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		72	090
68500	CMS	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07		1	090
68500	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		20	090
68500	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
68500	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		180	090
68500	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		200	090
68505	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26		5.5	090
68505	CMS	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38		1	090
68505	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		6	090
68505	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		72	090
68505	CMS	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07		1	090
68505	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		20	090
68505	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
68505	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		180	090
68505	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		200	090
68510	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
68510	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	1	0	000
68510	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
68510	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
68510	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	000
68510	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	000
68510	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
68510	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
68510	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
68510	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
68510	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
68510	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	000
68510	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	000
68510	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	000
68510	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	000
68510	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
68510	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	000
68510	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	5	0	000
68510	CMS	"Wound Care, Dressings"	SG043	"dressing, eye pad (Opticlude)"	item	0.34	1	0	000
68510	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37	2	0	000
68510	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
68510	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	000
68510	CMS	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07	1	0	000
68510	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.94	1	0	000
68510	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	000
68510	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	000
68510	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	30	0	000
68510	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
68520	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26		1	090
68520	CMS	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38		1	090
68520	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		4	090
68520	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
68520	CMS	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07		1	090
68520	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		20	090
68520	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
68520	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		120	090
68520	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		130	090
68530	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	010
68530	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	2	1	010
68530	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	010
68530	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
68530	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	010
68530	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1	0	010
68530	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	010
68530	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	010
68530	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	010
68530	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	010
68530	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
68530	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	010
68530	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	010
68530	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	010
68530	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	010
68530	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
68530	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	7.72	1	0	010
68530	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	010
68530	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	5	0	010
68530	CMS	"Wound Care, Dressings"	SG043	"dressing, eye pad (Opticlude)"	item	0.34	1	0	010
68530	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37	2	0	010
68530	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
68530	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
68530	CMS	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07	1	0	010
68530	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.94	1	0	010
68530	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	010
68530	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	010
68530	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	30	0	010
68530	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	010
68540	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		5	090
68540	CMS	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38		1	090
68540	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		4	090
68540	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
68540	CMS	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07		1	090
68540	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		20	090
68540	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
68540	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		120	090
68540	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		130	090
68550	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12		6	090
68550	CMS	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38		1	090
68550	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		6	090
68550	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		72	090
68550	CMS	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07		1	090
68550	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		20	090
68550	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
68550	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		180	090
68550	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		200	090
68700	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26		4	090
68705	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
68705	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	2	1	010
68705	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
68705	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
68705	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	010
68705	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	010
68705	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	010
68705	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	010
68705	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37	2	0	010
68705	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
68705	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
68705	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	6	0	010
68705	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.94	1	0	010
68705	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	1	0	010
68705	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	010
68705	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	5	0	010
68705	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	010
68720	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26		4	090
68720	CMS	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38		1	090
68720	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		4	090
68720	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
68720	CMS	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07		1	090
68720	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		20	090
68720	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
68720	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		120	090
68720	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		130	090
68745	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26		4	090
68745	CMS	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38		1	090
68745	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		4	090
68745	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
68745	CMS	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07		1	090
68745	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		20	090
68745	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
68745	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		120	090
68745	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		130	090
68750	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26		4.5	090
68750	CMS	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	3.38		1	090
68750	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		5	090
68750	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		60	090
68750	CMS	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.07		1	090
68750	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14		20	090
68750	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		1	090
68750	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		150	090
68750	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38		165	090
68760	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	2	1	010
68760	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
68760	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
68760	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	010
68760	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	010
68760	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.86	1	0	010
68760	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	41.4	1	0	010
68760	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37	2	0	010
68760	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
68760	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
68760	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	4	0	010
68760	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.94	1	0	010
68760	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	1	0	010
68760	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	010
68760	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	5	0	010
68760	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	010
68761	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	2	1	010
68761	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
68761	CMS	"Wound Care, Dressings"	SG070	punctum plug	pair	46.65	0.5	0	010
68761	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	2	0	010
68761	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	010
68770	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26		4	090
68801	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
68801	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	1	1	010
68801	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	6	0	010
68810	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
68810	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	1	1	010
68810	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
68810	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
68810	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	010
68810	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	010
68810	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8	3	0	010
68810	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
68810	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	6	0	010
68810	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.94	1	0	010
68810	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	5	0	010
68810	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	010
68810	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	1	0	010
68810	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	010
68811	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26		1	010
68815	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
68815	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	3	2	010
68815	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	010
68815	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	010
68815	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	6.39	1	0	010
68815	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
68815	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	010
68815	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	010
68815	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	1	0	010
68815	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
68815	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	010
68815	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	010
68815	CMS	"Accessory, Procedure"	SD179	lacrimal duct stent-tube set	item	68.31	1	0	010
68815	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8	3	0	010
68815	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37	2	0	010
68815	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
68815	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	010
68815	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	10	0	010
68815	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.94	1	0	010
68815	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	5	0	010
68815	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	010
68815	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	1	0	010
68815	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	010
68816	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	010
68816	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	2	1	010
68816	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	010
68816	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
68816	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	010
68816	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	1	0	010
68816	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	010
68816	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	1	0	010
68816	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	010
68816	CMS	"Accessory, Procedure"	SD220	"catheter, balloon, lacrimal"	item	542.39	1	0	010
68816	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	010
68816	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	10	0	010
68816	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.94	1	0	010
68816	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	5	0	010
68816	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	010
68816	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	1	0	010
68816	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	010
68840	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	2	1	010
68840	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	010
68840	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	010
68840	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	6	0	010
68840	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.94	1	0	010
68840	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	1	0	010
68840	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	010
68840	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	5	0	010
68840	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	010
68841	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
68841	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	2	0	000
68841	CMS	"Pharmacy, Rx"	SH058	"proparacaine 0.5% ophth (Ophthaine, Alcaine)"	ml	2.3533	0.2	0	000
68841	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	000
68850	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	1	0	000
68850	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
68850	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	000
68850	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	4	0	000
68850	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	1	0	000
68850	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	2.03	1	0	000
68850	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	000
69000	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	010
69000	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	010
69000	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	1	010
69000	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	010
69000	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	2	010
69000	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
69000	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	010
69000	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
69000	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
69000	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
69000	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
69000	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
69000	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	010
69000	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	1	0	010
69000	CMS	"Wound Care, Dressings"	SG032	dental rolls	item	0.025	2	0	010
69000	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
69000	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	2	1	010
69000	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
69000	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	10	10	010
69000	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	2	010
69000	CMS	Lab	SL033	culture swab system (Culturette)	item	0.96	2	0	010
69005	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	1	010
69005	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	010
69005	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2	1	010
69005	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	2	010
69005	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	010
69005	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	010
69005	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	010
69005	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	010
69005	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	010
69005	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	010
69005	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	010
69005	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	1	0	010
69005	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	1	0	010
69005	CMS	"Wound Care, Dressings"	SG032	dental rolls	item	0.025	4	0	010
69005	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
69005	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	2	1	010
69005	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
69005	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	10	10	010
69005	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	2	010
69005	CMS	Lab	SL033	culture swab system (Culturette)	item	0.96	2	0	010
69020	CMS	"Kit, Pack, Tray"	SA023	"kit, phenol applicator"	kit	19.99	1	0	010
69020	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	010
69020	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	2	010
69020	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	2	1	010
69020	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	4	2	010
69020	CMS	"Cutters, Closures, Cautery"	SF009	"blade, surgical chisel 81-86 (Beaver)"	item	3.6	1	0	010
69020	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	2	1	010
69020	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48	1	0	010
69020	CMS	"Wound Care, Dressings"	SG059	oto-wick	item	3.38	2	1	010
69020	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
69020	CMS	"Pharmacy, Rx"	SH053	neomycin-polymyxin-hc otic soln (Cortisporin)	ml	2.2	4	2	010
69020	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	010
69020	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
69020	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	10	10	010
69020	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	4	2	010
69020	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	2	010
69020	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	4	2	010
69020	CMS	Lab	SL033	culture swab system (Culturette)	item	0.96	2	0	010
69100	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64	1	0	000
69100	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.91	1	0	000
69100	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
69100	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
69100	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
69100	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1	0	000
69100	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	000
69100	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
69100	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	000
69100	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	000
69100	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
69100	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
69100	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
69100	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	5	0	000
69100	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	000
69100	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	20	0	000
69100	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
69100	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
69105	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	000
69105	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
69105	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	000
69105	CMS	"Cutters, Closures, Cautery"	SF009	"blade, surgical chisel 81-86 (Beaver)"	item	3.6	1	0	000
69105	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	000
69105	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	000
69105	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	000
69105	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8	4	0	000
69105	CMS	"Wound Care, Dressings"	SG059	oto-wick	item	3.38	2	0	000
69105	CMS	"Pharmacy, Rx"	SH053	neomycin-polymyxin-hc otic soln (Cortisporin)	ml	2.2	4	0	000
69105	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
69105	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
69105	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	2	0	000
69105	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
69110	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
69110	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3	2	090
69110	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
69110	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	090
69110	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
69110	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	3	1	090
69110	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
69110	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
69110	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
69110	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1	0	090
69110	CMS	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.78	1	0	090
69110	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	090
69110	CMS	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.41	1	0	090
69110	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	090
69110	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
69110	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
69110	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
69110	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
69110	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	2	0	090
69110	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	090
69110	CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035	2	2	090
69110	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	3	2	090
69110	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	3	2	090
69110	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48	3	2	090
69110	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	0	4	090
69110	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
69110	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	90	60	090
69110	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	0	6	090
69110	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03	4	0	090
69110	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	090
69110	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	10	5	090
69110	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	3	2	090
69110	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	0	10	090
69110	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	50	30	090
69110	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
69110	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	090
69120	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
69120	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		2	090
69120	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69120	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59		2	090
69120	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4	090
69120	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		4	090
69120	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		2	090
69120	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		2	090
69120	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		4	090
69120	CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69120	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69120	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69120	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		2	090
69120	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69120	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		6	090
69120	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69120	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		8	090
69120	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		2	090
69120	CMS	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		2	090
69120	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		10	090
69120	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		2	090
69120	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		20	090
69120	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		10	090
69120	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69120	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		2	090
69140	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		3.5	090
69140	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09		3.5	090
69140	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
69140	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		3.5	090
69140	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69140	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59		3.5	090
69140	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		7	090
69140	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		7	090
69140	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		3.5	090
69140	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3.5	090
69140	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		7	090
69140	CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69140	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69140	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69140	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		3.5	090
69140	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69140	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		12	090
69140	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69140	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		14	090
69140	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		3.5	090
69140	CMS	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3.5	090
69140	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		17.5	090
69140	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3.5	090
69140	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		35	090
69140	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		17.5	090
69140	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69140	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		3.5	090
69145	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	090
69145	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1.5	1.5	090
69145	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
69145	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	090
69145	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
69145	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	3	1	090
69145	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	090
69145	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	090
69145	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	4.52	1	0	090
69145	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1	0	090
69145	CMS	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.78	1	0	090
69145	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	2	1	090
69145	CMS	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.41	2	1	090
69145	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	4	2	090
69145	CMS	"Cutters, Closures, Cautery"	SF008	"blade, surgical 64,65,67 (Beaver)"	item	2.98	1	0	090
69145	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
69145	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
69145	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
69145	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
69145	CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035	1	1	090
69145	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	2	1	090
69145	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31	2	1	090
69145	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48	2	1	090
69145	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	0	4	090
69145	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
69145	CMS	"Wound Care, Dressings"	SG059	oto-wick	item	3.38	1	0	090
69145	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	60	30	090
69145	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	0	6	090
69145	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03	8	4	090
69145	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	090
69145	CMS	"Pharmacy, Rx"	SH081	Floxin 0.3% otic soln	ml	2.62	10	0	090
69145	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	10	5	090
69145	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	2.5	1.5	090
69145	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	0	10	090
69145	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	50	30	090
69145	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
69145	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	090
69150	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
69150	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		4	090
69150	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69150	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59		4	090
69150	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090
69150	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		8	090
69150	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		4	090
69150	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
69150	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		8	090
69150	CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69150	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69150	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69150	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		4	090
69150	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69150	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		14	090
69150	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69150	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16	090
69150	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		4	090
69150	CMS	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4	090
69150	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		20	090
69150	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4	090
69150	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		40	090
69150	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		20	090
69150	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69150	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		4	090
69155	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
69155	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		5	090
69155	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69155	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59		5	090
69155	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090
69155	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		10	090
69155	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		5	090
69155	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		5	090
69155	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		10	090
69155	CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69155	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69155	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69155	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		5	090
69155	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69155	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		18	090
69155	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69155	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		20	090
69155	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		5	090
69155	CMS	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		5	090
69155	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		25	090
69155	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		5	090
69155	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		50	090
69155	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		25	090
69155	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69155	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		5	090
69200	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	000
69200	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
69200	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	000
69200	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	1	0	000
69200	CMS	"Wound Care, Dressings"	SG059	oto-wick	item	3.38	1	0	000
69200	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	3	0	000
69200	CMS	"Pharmacy, Rx"	SH053	neomycin-polymyxin-hc otic soln (Cortisporin)	ml	2.2	2	0	000
69200	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
69200	CMS	Lab	SL180	phosphate buffered saline (PBS)	ml	0.01	50	0	000
69205	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		1	010
69205	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		2	010
69205	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8		2	010
69205	CMS	Infection Control	SM025	"specula tips, otoscope"	item	0.45		1	010
69209	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2		000
69209	CMS	"Accessory, Procedure"	SD308	earwash bottle disposable tips	item	1.72	1		000
69209	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2		000
69209	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1		000
69209	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	15		000
69209	CMS	Infection Control	SM025	"specula tips, otoscope"	item	0.45	1		000
69210	CMS	"Cutters, Closures, Cautery"	SF023	curette for ear cerumen	item	0.76	2	0	000
69210	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2	0	000
69210	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
69210	CMS	Infection Control	SM025	"specula tips, otoscope"	item	0.45	1	0	000
69220	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
69220	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	000
69220	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	1	0	000
69220	CMS	"Pharmacy, Rx"	SH053	neomycin-polymyxin-hc otic soln (Cortisporin)	ml	2.2	2	0	000
69220	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
69220	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	2	0	000
69222	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	010
69222	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	2	010
69222	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	2	1	010
69222	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	4	2	010
69222	CMS	"Cutters, Closures, Cautery"	SF009	"blade, surgical chisel 81-86 (Beaver)"	item	3.6	1	0	010
69222	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	2	1	010
69222	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48	1	0	010
69222	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
69222	CMS	"Pharmacy, Rx"	SH053	neomycin-polymyxin-hc otic soln (Cortisporin)	ml	2.2	4	2	010
69222	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	010
69222	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
69222	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	10	10	010
69222	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	4	2	010
69222	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	2	010
69222	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	4	2	010
69222	CMS	Lab	SL033	culture swab system (Culturette)	item	0.96	2	0	010
69222	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	010
69300	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	YYY
69300	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	YYY
69300	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	YYY
69300	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	YYY
69300	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	YYY
69300	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	3.04	1	0	YYY
69300	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	YYY
69300	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	YYY
69300	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2	0	YYY
69300	CMS	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	11.2	1	0	YYY
69300	CMS	"Cutters, Closures, Cautery"	SF038	"suture, prolene, 3-0 to 7-0, p, ps, pc"	item	19.79	2	0	YYY
69300	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	YYY
69300	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	25	0	YYY
69300	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	12	0	YYY
69300	CMS	"Wound Care, Dressings"	SG032	dental rolls	item	0.025	4	0	YYY
69300	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	2	0	YYY
69300	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48	1	0	YYY
69300	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	YYY
69300	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	YYY
69300	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	1	0	YYY
69300	CMS	"Pharmacy, NonRx"	SJ035	mineral oil	ml	0.02	1	0	YYY
69300	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	YYY
69300	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	YYY
69310	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		4	090
69310	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09		4	090
69310	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
69310	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		4	090
69310	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69310	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59		4	090
69310	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090
69310	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		8	090
69310	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		4	090
69310	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
69310	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		8	090
69310	CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69310	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69310	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69310	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		4	090
69310	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69310	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		14	090
69310	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69310	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16	090
69310	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		4	090
69310	CMS	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4	090
69310	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		20	090
69310	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4	090
69310	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		40	090
69310	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		20	090
69310	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69310	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		4	090
69320	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		5	090
69320	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09		5	090
69320	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
69320	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		5	090
69320	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69320	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59		5	090
69320	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090
69320	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		10	090
69320	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		5	090
69320	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		5	090
69320	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		10	090
69320	CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69320	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69320	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69320	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		5	090
69320	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69320	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		18	090
69320	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69320	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		20	090
69320	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		5	090
69320	CMS	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		5	090
69320	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		25	090
69320	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		5	090
69320	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		50	090
69320	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		25	090
69320	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69320	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		5	090
69420	CMS	"Kit, Pack, Tray"	SA023	"kit, phenol applicator"	kit	19.99	1	0	010
69420	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	010
69420	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	1	010
69420	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	2	1	010
69420	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	4	2	010
69420	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	2	1	010
69420	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
69420	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
69420	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	2	0	010
69421	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		1	010
69421	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		1	010
69421	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		2	010
69421	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02		1	010
69421	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8		2	010
69424	CMS	"Kit, Pack, Tray"	SA023	"kit, phenol applicator"	kit	19.99	1	0	000
69424	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	000
69424	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
69424	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
69424	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	000
69424	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	1	0	000
69424	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
69424	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	2	0	000
69433	CMS	"Kit, Pack, Tray"	SA023	"kit, phenol applicator"	kit	19.99	1	0	010
69433	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	010
69433	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	1	010
69433	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	2	1	010
69433	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	4	2	010
69433	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	2	1	010
69433	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
69433	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
69433	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	2	0	010
69436	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		1	010
69436	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		2	010
69436	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8		2	010
69436	CMS	Infection Control	SM025	"specula tips, otoscope"	item	0.45		1	010
69440	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09		3	090
69440	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
69440	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		3	090
69440	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69440	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59		3	090
69440	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
69440	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		6	090
69440	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		3	090
69440	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
69440	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		6	090
69440	CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69440	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69440	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69440	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		3	090
69440	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69440	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		10	090
69440	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69440	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		12	090
69440	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		3	090
69440	CMS	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3	090
69440	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		15	090
69440	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3	090
69440	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		30	090
69440	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		15	090
69440	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69440	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		3	090
69450	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09		2.5	090
69450	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
69450	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		2.5	090
69450	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69450	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59		2.5	090
69450	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5	090
69450	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		5	090
69450	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		2.5	090
69450	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		2.5	090
69450	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		5	090
69450	CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69450	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69450	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69450	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		2.5	090
69450	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69450	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		8	090
69450	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69450	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		10	090
69450	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		2.5	090
69450	CMS	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		2.5	090
69450	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		12.5	090
69450	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		2.5	090
69450	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		25	090
69450	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		12.5	090
69450	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69450	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		2.5	090
69501	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
69501	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		3	090
69501	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69501	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59		3	090
69501	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
69501	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		6	090
69501	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		3	090
69501	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
69501	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		6	090
69501	CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69501	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69501	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69501	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		3	090
69501	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69501	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		10	090
69501	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69501	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		12	090
69501	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		3	090
69501	CMS	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3	090
69501	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		15	090
69501	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3	090
69501	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		30	090
69501	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		15	090
69501	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69501	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		3	090
69502	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
69502	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		4	090
69502	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69502	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59		4	090
69502	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090
69502	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		8	090
69502	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		4	090
69502	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
69502	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		8	090
69502	CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69502	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69502	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69502	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		4	090
69502	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69502	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		14	090
69502	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69502	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16	090
69502	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		4	090
69502	CMS	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4	090
69502	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		20	090
69502	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4	090
69502	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		40	090
69502	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		20	090
69502	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69502	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		4	090
69505	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		4	090
69505	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09		4	090
69505	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
69505	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		4	090
69505	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69505	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59		4	090
69505	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090
69505	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		8	090
69505	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		4	090
69505	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
69505	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		8	090
69505	CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69505	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69505	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69505	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		4	090
69505	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69505	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		14	090
69505	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69505	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16	090
69505	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		4	090
69505	CMS	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4	090
69505	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		20	090
69505	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4	090
69505	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		40	090
69505	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		20	090
69505	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69505	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		4	090
69511	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		4	090
69511	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09		4	090
69511	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
69511	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		4	090
69511	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69511	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59		4	090
69511	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090
69511	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		8	090
69511	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		4	090
69511	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
69511	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		8	090
69511	CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69511	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69511	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69511	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		4	090
69511	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69511	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		14	090
69511	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69511	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16	090
69511	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		4	090
69511	CMS	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4	090
69511	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		20	090
69511	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4	090
69511	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		40	090
69511	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		20	090
69511	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69511	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		4	090
69530	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		4.5	090
69530	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09		4.5	090
69530	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
69530	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		4.5	090
69530	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69530	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59		4.5	090
69530	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		9	090
69530	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		9	090
69530	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		4.5	090
69530	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4.5	090
69530	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		9	090
69530	CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69530	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69530	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69530	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		4.5	090
69530	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69530	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		16	090
69530	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69530	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		18	090
69530	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		4.5	090
69530	CMS	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4.5	090
69530	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		22.5	090
69530	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4.5	090
69530	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		45	090
69530	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		22.5	090
69530	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69530	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		4.5	090
69535	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		5	090
69535	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09		5	090
69535	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
69535	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		5	090
69535	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69535	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59		5	090
69535	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090
69535	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		10	090
69535	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		5	090
69535	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		5	090
69535	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		10	090
69535	CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69535	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69535	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69535	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		5	090
69535	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69535	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		18	090
69535	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69535	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		20	090
69535	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		5	090
69535	CMS	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		5	090
69535	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		25	090
69535	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		5	090
69535	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		50	090
69535	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		25	090
69535	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69535	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		5	090
69540	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	010
69540	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	2	010
69540	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	2	1	010
69540	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	4	2	010
69540	CMS	"Cutters, Closures, Cautery"	SF009	"blade, surgical chisel 81-86 (Beaver)"	item	3.6	1	0	010
69540	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	2	1	010
69540	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48	1	0	010
69540	CMS	"Wound Care, Dressings"	SG059	oto-wick	item	3.38	2	1	010
69540	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	010
69540	CMS	"Pharmacy, Rx"	SH053	neomycin-polymyxin-hc otic soln (Cortisporin)	ml	2.2	4	2	010
69540	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	010
69540	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
69540	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	10	10	010
69540	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	4	2	010
69540	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	2	010
69540	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	4	2	010
69540	CMS	Lab	SL033	culture swab system (Culturette)	item	0.96	2	0	010
69540	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	010
69550	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		3.5	090
69550	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09		3.5	090
69550	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
69550	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		3.5	090
69550	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69550	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59		3.5	090
69550	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		7	090
69550	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		7	090
69550	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		3.5	090
69550	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3.5	090
69550	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		7	090
69550	CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69550	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69550	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69550	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		3.5	090
69550	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69550	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		12	090
69550	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69550	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		14	090
69550	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		3.5	090
69550	CMS	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3.5	090
69550	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		17.5	090
69550	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3.5	090
69550	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		35	090
69550	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		17.5	090
69550	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69550	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		3.5	090
69552	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		4	090
69552	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09		4	090
69552	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
69552	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		4	090
69552	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69552	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59		4	090
69552	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090
69552	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		8	090
69552	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		4	090
69552	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
69552	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		8	090
69552	CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69552	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69552	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69552	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		4	090
69552	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69552	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		14	090
69552	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69552	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16	090
69552	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		4	090
69552	CMS	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4	090
69552	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		20	090
69552	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4	090
69552	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		40	090
69552	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		20	090
69552	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69552	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		4	090
69554	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		4	090
69554	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09		4	090
69554	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
69554	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		4	090
69554	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69554	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59		4	090
69554	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090
69554	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		8	090
69554	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		4	090
69554	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
69554	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		8	090
69554	CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69554	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69554	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69554	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		4	090
69554	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69554	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		14	090
69554	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69554	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16	090
69554	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		4	090
69554	CMS	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4	090
69554	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		20	090
69554	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4	090
69554	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		40	090
69554	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		20	090
69554	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69554	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		4	090
69601	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
69601	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		4.5	090
69601	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69601	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59		4.5	090
69601	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		9	090
69601	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		9	090
69601	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		4.5	090
69601	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4.5	090
69601	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		9	090
69601	CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69601	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69601	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69601	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		4.5	090
69601	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69601	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		16	090
69601	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69601	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		18	090
69601	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		4.5	090
69601	CMS	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4.5	090
69601	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		22.5	090
69601	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4.5	090
69601	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		45	090
69601	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		22.5	090
69601	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69601	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		4.5	090
69602	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09		4	090
69602	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
69602	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		4	090
69602	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69602	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59		4	090
69602	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090
69602	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		8	090
69602	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		4	090
69602	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
69602	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		8	090
69602	CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69602	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69602	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69602	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		4	090
69602	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69602	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		14	090
69602	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69602	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16	090
69602	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		4	090
69602	CMS	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4	090
69602	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		20	090
69602	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4	090
69602	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		40	090
69602	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		20	090
69602	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69602	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		4	090
69603	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		4	090
69603	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09		4	090
69603	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
69603	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		4	090
69603	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69603	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59		4	090
69603	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090
69603	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		8	090
69603	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		4	090
69603	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
69603	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		8	090
69603	CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69603	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69603	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69603	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		4	090
69603	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69603	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		14	090
69603	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69603	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16	090
69603	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		4	090
69603	CMS	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4	090
69603	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		20	090
69603	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4	090
69603	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		40	090
69603	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		20	090
69603	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69603	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		4	090
69604	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09		4	090
69604	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
69604	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		4	090
69604	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69604	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59		4	090
69604	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090
69604	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		8	090
69604	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		4	090
69604	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
69604	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		8	090
69604	CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69604	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69604	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69604	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		4	090
69604	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69604	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		14	090
69604	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69604	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16	090
69604	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		4	090
69604	CMS	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4	090
69604	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		20	090
69604	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4	090
69604	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		40	090
69604	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		20	090
69604	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69604	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		4	090
69610	CMS	"Kit, Pack, Tray"	SA023	"kit, phenol applicator"	kit	19.99	1	0	010
69610	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	010
69610	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	1	010
69610	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	2	1	010
69610	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	4	2	010
69610	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	2	1	010
69610	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	010
69610	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	010
69610	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	2	0	010
69620	CMS	"Kit, Pack, Tray"	SA023	"kit, phenol applicator"	kit	19.99	1	0	090
69620	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	2	1	090
69620	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	2	0	090
69620	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	4	3	090
69620	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	1	090
69620	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	090
69620	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	090
69620	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	4	0	090
69620	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	3	1	090
69620	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	1	090
69620	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	1	090
69620	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1	0	090
69620	CMS	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.78	1	0	090
69620	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	2	1	090
69620	CMS	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.41	2	1	090
69620	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	4	2	090
69620	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.37	1	0	090
69620	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1	0	090
69620	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	090
69620	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	090
69620	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	3.21	1	0	090
69620	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6	2	090
69620	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	090
69620	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03	3	1	090
69620	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10	0	090
69620	CMS	"Pharmacy, Rx"	SH081	Floxin 0.3% otic soln	ml	2.62	10	5	090
69620	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	090
69620	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	2	1	090
69620	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	20	0	090
69620	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	090
69620	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02	2	1	090
69631	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09		4	090
69631	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
69631	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		4	090
69631	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69631	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59		4	090
69631	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090
69631	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		8	090
69631	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		4	090
69631	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
69631	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		8	090
69631	CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69631	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69631	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69631	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		4	090
69631	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69631	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		14	090
69631	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69631	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16	090
69631	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		4	090
69631	CMS	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4	090
69631	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		20	090
69631	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4	090
69631	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		40	090
69631	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		20	090
69631	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69631	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		4	090
69632	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09		4.5	090
69632	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
69632	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		4.5	090
69632	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69632	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59		4.5	090
69632	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		9	090
69632	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		9	090
69632	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		4.5	090
69632	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4.5	090
69632	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		9	090
69632	CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69632	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69632	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69632	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		4.5	090
69632	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69632	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		16	090
69632	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69632	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		18	090
69632	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		4.5	090
69632	CMS	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4.5	090
69632	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		22.5	090
69632	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4.5	090
69632	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		45	090
69632	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		22.5	090
69632	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69632	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		4.5	090
69633	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09		4.5	090
69633	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
69633	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		4.5	090
69633	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69633	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59		4.5	090
69633	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		9	090
69633	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		9	090
69633	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		4.5	090
69633	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4.5	090
69633	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		9	090
69633	CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69633	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69633	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69633	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		4.5	090
69633	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69633	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		16	090
69633	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69633	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		18	090
69633	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		4.5	090
69633	CMS	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4.5	090
69633	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		22.5	090
69633	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4.5	090
69633	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		45	090
69633	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		22.5	090
69633	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69633	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		4.5	090
69635	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		4	090
69635	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09		4	090
69635	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
69635	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		4	090
69635	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69635	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59		4	090
69635	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090
69635	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		8	090
69635	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		4	090
69635	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
69635	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		8	090
69635	CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69635	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69635	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69635	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		4	090
69635	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69635	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		14	090
69635	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69635	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16	090
69635	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		4	090
69635	CMS	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4	090
69635	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		20	090
69635	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4	090
69635	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		40	090
69635	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		20	090
69635	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69635	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		4	090
69636	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		4.5	090
69636	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09		4.5	090
69636	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
69636	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		4.5	090
69636	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69636	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59		4.5	090
69636	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		9	090
69636	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		9	090
69636	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		4.5	090
69636	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4.5	090
69636	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		9	090
69636	CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69636	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69636	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69636	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		4.5	090
69636	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69636	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		16	090
69636	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69636	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		18	090
69636	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		4.5	090
69636	CMS	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4.5	090
69636	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		22.5	090
69636	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4.5	090
69636	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		45	090
69636	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		22.5	090
69636	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69636	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		4.5	090
69637	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		4.5	090
69637	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09		4.5	090
69637	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
69637	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		4.5	090
69637	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69637	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59		4.5	090
69637	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		9	090
69637	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		9	090
69637	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		4.5	090
69637	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4.5	090
69637	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		9	090
69637	CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69637	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69637	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69637	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		4.5	090
69637	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69637	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		16	090
69637	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69637	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		18	090
69637	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		4.5	090
69637	CMS	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4.5	090
69637	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		22.5	090
69637	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4.5	090
69637	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		45	090
69637	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		22.5	090
69637	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69637	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		4.5	090
69641	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09		4	090
69641	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
69641	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		4	090
69641	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69641	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59		4	090
69641	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090
69641	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		8	090
69641	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		4	090
69641	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
69641	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		8	090
69641	CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69641	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69641	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69641	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		4	090
69641	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69641	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		14	090
69641	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69641	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16	090
69641	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		4	090
69641	CMS	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4	090
69641	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		20	090
69641	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4	090
69641	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		40	090
69641	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		20	090
69641	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69641	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		4	090
69642	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09		5	090
69642	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
69642	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		5	090
69642	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69642	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59		5	090
69642	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10	090
69642	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		10	090
69642	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		5	090
69642	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		5	090
69642	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		10	090
69642	CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69642	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69642	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69642	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		5	090
69642	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69642	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		18	090
69642	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69642	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		20	090
69642	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		5	090
69642	CMS	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		5	090
69642	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		25	090
69642	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		5	090
69642	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		50	090
69642	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		25	090
69642	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69642	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		5	090
69643	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09		4.5	090
69643	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
69643	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		4.5	090
69643	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69643	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59		4.5	090
69643	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		9	090
69643	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		9	090
69643	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		4.5	090
69643	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4.5	090
69643	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		9	090
69643	CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69643	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69643	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69643	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		4.5	090
69643	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69643	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		16	090
69643	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69643	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		18	090
69643	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		4.5	090
69643	CMS	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4.5	090
69643	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		22.5	090
69643	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4.5	090
69643	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		45	090
69643	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		22.5	090
69643	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69643	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		4.5	090
69644	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		4.5	090
69644	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09		4.5	090
69644	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
69644	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		4.5	090
69644	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69644	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59		4.5	090
69644	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		9	090
69644	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		9	090
69644	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		4.5	090
69644	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4.5	090
69644	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		9	090
69644	CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69644	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69644	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69644	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		4.5	090
69644	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69644	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		16	090
69644	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69644	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		18	090
69644	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		4.5	090
69644	CMS	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4.5	090
69644	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		22.5	090
69644	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4.5	090
69644	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		45	090
69644	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		22.5	090
69644	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69644	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		4.5	090
69645	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		4.5	090
69645	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09		4.5	090
69645	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
69645	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		4.5	090
69645	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69645	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59		4.5	090
69645	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		9	090
69645	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		9	090
69645	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		4.5	090
69645	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4.5	090
69645	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		9	090
69645	CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69645	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69645	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69645	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		4.5	090
69645	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69645	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		16	090
69645	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69645	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		18	090
69645	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		4.5	090
69645	CMS	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4.5	090
69645	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		22.5	090
69645	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4.5	090
69645	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		45	090
69645	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		22.5	090
69645	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69645	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		4.5	090
69646	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36		4.5	090
69646	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09		4.5	090
69646	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
69646	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		4.5	090
69646	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69646	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59		4.5	090
69646	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		9	090
69646	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		9	090
69646	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		4.5	090
69646	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4.5	090
69646	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		9	090
69646	CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69646	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69646	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69646	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		4.5	090
69646	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69646	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		16	090
69646	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69646	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		18	090
69646	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		4.5	090
69646	CMS	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4.5	090
69646	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		22.5	090
69646	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4.5	090
69646	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		45	090
69646	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		22.5	090
69646	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69646	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		4.5	090
69650	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09		3	090
69650	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
69650	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		3	090
69650	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69650	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59		3	090
69650	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
69650	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		6	090
69650	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		3	090
69650	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
69650	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		6	090
69650	CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69650	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69650	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69650	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		3	090
69650	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69650	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		10	090
69650	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69650	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		12	090
69650	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		3	090
69650	CMS	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3	090
69650	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		15	090
69650	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3	090
69650	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		30	090
69650	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		15	090
69650	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69650	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		3	090
69660	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09		3	090
69660	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
69660	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		3	090
69660	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69660	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59		3	090
69660	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
69660	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		6	090
69660	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		3	090
69660	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
69660	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		6	090
69660	CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69660	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69660	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69660	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		3	090
69660	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69660	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		10	090
69660	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69660	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		12	090
69660	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		3	090
69660	CMS	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3	090
69660	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		15	090
69660	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3	090
69660	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		30	090
69660	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		15	090
69660	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69660	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		3	090
69661	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09		4	090
69661	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
69661	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		4	090
69661	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69661	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59		4	090
69661	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090
69661	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		8	090
69661	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		4	090
69661	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
69661	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		8	090
69661	CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69661	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69661	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69661	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		4	090
69661	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69661	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		14	090
69661	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69661	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16	090
69661	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		4	090
69661	CMS	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4	090
69661	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		20	090
69661	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4	090
69661	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		40	090
69661	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		20	090
69661	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69661	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		4	090
69662	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09		3.5	090
69662	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
69662	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		3.5	090
69662	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69662	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59		3.5	090
69662	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		7	090
69662	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		7	090
69662	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		3.5	090
69662	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3.5	090
69662	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		7	090
69662	CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69662	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69662	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69662	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		3.5	090
69662	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69662	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		12	090
69662	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69662	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		14	090
69662	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		3.5	090
69662	CMS	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3.5	090
69662	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		17.5	090
69662	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3.5	090
69662	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		35	090
69662	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		17.5	090
69662	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69662	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		3.5	090
69666	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09		3	090
69666	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
69666	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		3	090
69666	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69666	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59		3	090
69666	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
69666	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		6	090
69666	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		3	090
69666	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
69666	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		6	090
69666	CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69666	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69666	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69666	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		3	090
69666	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69666	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		10	090
69666	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69666	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		12	090
69666	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		3	090
69666	CMS	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3	090
69666	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		15	090
69666	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3	090
69666	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		30	090
69666	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		15	090
69666	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69666	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		3	090
69667	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09		3	090
69667	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
69667	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		3	090
69667	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69667	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59		3	090
69667	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
69667	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		6	090
69667	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		3	090
69667	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
69667	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		6	090
69667	CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69667	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69667	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69667	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		3	090
69667	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69667	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		10	090
69667	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69667	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		12	090
69667	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		3	090
69667	CMS	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3	090
69667	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		15	090
69667	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3	090
69667	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		30	090
69667	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		15	090
69667	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69667	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		3	090
69670	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09		3.5	090
69670	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
69670	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		3.5	090
69670	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69670	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59		3.5	090
69670	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		7	090
69670	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		7	090
69670	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		3.5	090
69670	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3.5	090
69670	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		7	090
69670	CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69670	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69670	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69670	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		3.5	090
69670	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69670	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		12	090
69670	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69670	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		14	090
69670	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		3.5	090
69670	CMS	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3.5	090
69670	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		17.5	090
69670	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3.5	090
69670	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		35	090
69670	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		17.5	090
69670	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69670	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		3.5	090
69676	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09		3.5	090
69676	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
69676	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		3.5	090
69676	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69676	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59		3.5	090
69676	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		7	090
69676	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		7	090
69676	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		3.5	090
69676	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3.5	090
69676	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		7	090
69676	CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69676	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69676	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69676	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		3.5	090
69676	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69676	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		12	090
69676	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69676	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		14	090
69676	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		3.5	090
69676	CMS	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3.5	090
69676	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		17.5	090
69676	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3.5	090
69676	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		35	090
69676	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		17.5	090
69676	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69676	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		3.5	090
69700	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
69700	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		3	090
69700	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69700	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59		3	090
69700	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
69700	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		6	090
69700	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		3	090
69700	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
69700	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		6	090
69700	CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69700	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69700	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69700	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		3	090
69700	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69700	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		10	090
69700	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69700	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		12	090
69700	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		3	090
69700	CMS	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3	090
69700	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		15	090
69700	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3	090
69700	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		30	090
69700	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		15	090
69700	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69700	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		3	090
69705	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
69705	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	000
69705	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
69705	CMS	"Kit, Pack, Tray"	SA134	"kit, eustachian tube procedure"	kit	2010	1	0	000
69705	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
69705	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
69705	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
69705	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
69705	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
69705	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	000
69705	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
69705	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
69705	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
69705	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
69705	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	000
69705	CMS	"Accessory, Procedure"	SD338	eustachian tube balloon	item	83.01	1	0	000
69705	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8	5	0	000
69705	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
69705	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	10	0	000
69705	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	3	0	000
69705	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	000
69705	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
69705	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	3	0	000
69705	CMS	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	1	0	000
69705	CMS	Lab	SL038	"cup-container, sterile, graduated 1000ml"	item	1.15	1	0	000
69705	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02	2	0	000
69705	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	2	0	000
69706	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1	0	000
69706	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	000
69706	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
69706	CMS	"Kit, Pack, Tray"	SA134	"kit, eustachian tube procedure"	kit	2010	1	0	000
69706	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
69706	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
69706	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
69706	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
69706	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
69706	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1	0	000
69706	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	000
69706	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
69706	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
69706	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
69706	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	000
69706	CMS	"Accessory, Procedure"	SD338	eustachian tube balloon	item	83.01	1	0	000
69706	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8	10	0	000
69706	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
69706	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	20	0	000
69706	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	6	0	000
69706	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	000
69706	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
69706	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	6	0	000
69706	CMS	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	1	0	000
69706	CMS	Lab	SL038	"cup-container, sterile, graduated 1000ml"	item	1.15	1	0	000
69706	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02	2	0	000
69706	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	2	0	000
69711	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
69711	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		4	090
69711	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69711	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59		4	090
69711	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090
69711	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		8	090
69711	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		4	090
69711	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
69711	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		8	090
69711	CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69711	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69711	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69711	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		4	090
69711	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69711	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		14	090
69711	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69711	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16	090
69711	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		4	090
69711	CMS	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4	090
69711	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		20	090
69711	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4	090
69711	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		40	090
69711	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		20	090
69711	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69711	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		4	090
69714	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09		2	090
69714	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
69714	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
69714	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		1	090
69714	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		2	090
69714	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		2	090
69714	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		1	090
69714	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		1	090
69716	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09		2	090
69716	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
69716	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
69716	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		1	090
69716	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		2	090
69716	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		2	090
69716	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		1	090
69716	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		1	090
69717	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09		2	090
69717	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
69717	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
69717	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		1	090
69717	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		2	090
69717	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		2	090
69717	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		1	090
69717	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		1	090
69719	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09		2	090
69719	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
69719	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
69719	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		1	090
69719	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		2	090
69719	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		2	090
69719	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		1	090
69719	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		1	090
69720	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09		4.5	090
69720	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
69720	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		4.5	090
69720	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69720	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59		4.5	090
69720	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		9	090
69720	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		9	090
69720	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		4.5	090
69720	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4.5	090
69720	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		9	090
69720	CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69720	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69720	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69720	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		4.5	090
69720	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69720	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		16	090
69720	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69720	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		18	090
69720	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		4.5	090
69720	CMS	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4.5	090
69720	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		22.5	090
69720	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4.5	090
69720	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		45	090
69720	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		22.5	090
69720	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69720	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		4.5	090
69725	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09		4	090
69725	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
69725	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		4	090
69725	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69725	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59		4	090
69725	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090
69725	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		8	090
69725	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		4	090
69725	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
69725	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		8	090
69725	CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69725	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69725	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69725	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		4	090
69725	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69725	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		14	090
69725	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69725	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16	090
69725	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		4	090
69725	CMS	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4	090
69725	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		20	090
69725	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4	090
69725	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		40	090
69725	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		20	090
69725	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69725	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		4	090
69726	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09		2	090
69726	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
69726	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
69726	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		1	090
69726	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		2	090
69726	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		2	090
69726	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		1	090
69726	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		1	090
69727	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09		2	090
69727	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
69727	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
69727	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		1	090
69727	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		2	090
69727	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		2	090
69727	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		1	090
69727	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		1	090
69728	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09		2	090
69728	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
69728	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
69728	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		1	090
69728	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		2	090
69728	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		2	090
69728	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		1	090
69728	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		1	090
69729	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09		2	090
69729	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
69729	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
69729	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		1	090
69729	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		2	090
69729	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		2	090
69729	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		1	090
69729	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		1	090
69730	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09		2	090
69730	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2	090
69730	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
69730	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		1	090
69730	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		2	090
69730	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		2	090
69730	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		1	090
69730	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		1	090
69740	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09		3	090
69740	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
69740	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		3	090
69740	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69740	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59		3	090
69740	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
69740	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		6	090
69740	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		3	090
69740	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
69740	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		6	090
69740	CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69740	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69740	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69740	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		3	090
69740	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69740	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		10	090
69740	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69740	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		12	090
69740	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		3	090
69740	CMS	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3	090
69740	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		15	090
69740	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3	090
69740	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		30	090
69740	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		15	090
69740	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69740	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		3	090
69745	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09		3.5	090
69745	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
69745	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		3.5	090
69745	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69745	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59		3.5	090
69745	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		7	090
69745	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		7	090
69745	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		3.5	090
69745	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3.5	090
69745	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		7	090
69745	CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69745	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69745	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69745	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		3.5	090
69745	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69745	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		12	090
69745	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69745	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		14	090
69745	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		3.5	090
69745	CMS	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3.5	090
69745	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		17.5	090
69745	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3.5	090
69745	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		35	090
69745	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		17.5	090
69745	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69745	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		3.5	090
69801	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	000
69801	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
69801	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
69801	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
69801	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
69801	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
69801	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	4	0	000
69801	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	2	0	000
69801	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
69801	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	000
69801	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	31.25	1	0	000
69801	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03	1	0	000
69801	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	1	0	000
69801	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	000
69801	CMS	"Pharmacy, Rx"	SH088	"phenol, liquified, USP"	ml	0.48	1	0	000
69801	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
69801	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
69801	CMS	Lab	SL038	"cup-container, sterile, graduated 1000ml"	item	1.15	1	0	000
69805	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
69805	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		3	090
69805	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69805	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59		3	090
69805	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
69805	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		6	090
69805	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		3	090
69805	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
69805	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		6	090
69805	CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69805	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69805	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69805	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		3	090
69805	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69805	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		10	090
69805	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69805	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		12	090
69805	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		3	090
69805	CMS	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3	090
69805	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		15	090
69805	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3	090
69805	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		30	090
69805	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		15	090
69805	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69805	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		3	090
69806	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
69806	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		3.5	090
69806	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69806	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59		3.5	090
69806	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		7	090
69806	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		7	090
69806	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		3.5	090
69806	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3.5	090
69806	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		7	090
69806	CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69806	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69806	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69806	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		3.5	090
69806	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69806	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		12	090
69806	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69806	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		14	090
69806	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		3.5	090
69806	CMS	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3.5	090
69806	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		17.5	090
69806	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3.5	090
69806	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		35	090
69806	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		17.5	090
69806	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69806	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		3.5	090
69905	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09		3.5	090
69905	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
69905	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		3.5	090
69905	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69905	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59		3.5	090
69905	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		7	090
69905	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		7	090
69905	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		3.5	090
69905	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3.5	090
69905	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		7	090
69905	CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69905	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69905	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69905	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		3.5	090
69905	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69905	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		12	090
69905	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69905	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		14	090
69905	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		3.5	090
69905	CMS	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3.5	090
69905	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		17.5	090
69905	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3.5	090
69905	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		35	090
69905	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		17.5	090
69905	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69905	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		3.5	090
69910	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
69910	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		3.5	090
69910	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69910	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59		3.5	090
69910	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		7	090
69910	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		7	090
69910	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		3.5	090
69910	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3.5	090
69910	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		7	090
69910	CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69910	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69910	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69910	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		3.5	090
69910	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69910	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		12	090
69910	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69910	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		14	090
69910	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		3.5	090
69910	CMS	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3.5	090
69910	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		17.5	090
69910	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3.5	090
69910	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		35	090
69910	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		17.5	090
69910	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69910	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		3.5	090
69915	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
69915	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		4	090
69915	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69915	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59		4	090
69915	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090
69915	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		8	090
69915	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		4	090
69915	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
69915	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		8	090
69915	CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69915	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69915	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69915	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		4	090
69915	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69915	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		14	090
69915	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69915	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16	090
69915	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		4	090
69915	CMS	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4	090
69915	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		20	090
69915	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4	090
69915	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		40	090
69915	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		20	090
69915	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69915	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		4	090
69930	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09		3	090
69930	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
69930	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		3	090
69930	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69930	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59		3	090
69930	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
69930	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		6	090
69930	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		3	090
69930	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
69930	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		6	090
69930	CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69930	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69930	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69930	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		3	090
69930	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69930	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		10	090
69930	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69930	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		12	090
69930	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		3	090
69930	CMS	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3	090
69930	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		15	090
69930	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3	090
69930	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		30	090
69930	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		15	090
69930	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69930	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		3	090
69950	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
69950	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		3	090
69950	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69950	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59		3	090
69950	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
69950	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		6	090
69950	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		3	090
69950	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		3	090
69950	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		6	090
69950	CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69950	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69950	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69950	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		3	090
69950	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69950	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		10	090
69950	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69950	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		12	090
69950	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		3	090
69950	CMS	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3	090
69950	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		15	090
69950	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		3	090
69950	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		30	090
69950	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		15	090
69950	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69950	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		3	090
69955	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09		4	090
69955	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
69955	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		4	090
69955	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69955	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59		4	090
69955	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090
69955	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		8	090
69955	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		4	090
69955	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
69955	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		8	090
69955	CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		2	090
69955	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69955	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69955	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		4	090
69955	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69955	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		14	090
69955	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		78	090
69955	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16	090
69955	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		4	090
69955	CMS	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4	090
69955	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		20	090
69955	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4	090
69955	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		40	090
69955	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		20	090
69955	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		2	090
69955	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		4	090
69960	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
69960	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		4	090
69960	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69960	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59		4	090
69960	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090
69960	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		8	090
69960	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		4	090
69960	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
69960	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		8	090
69960	CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69960	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69960	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69960	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		4	090
69960	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69960	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		14	090
69960	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69960	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16	090
69960	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		4	090
69960	CMS	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4	090
69960	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		20	090
69960	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4	090
69960	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		40	090
69960	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		20	090
69960	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69960	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		4	090
69970	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09		4	090
69970	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	7.49		1	090
69970	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07		4	090
69970	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		1	090
69970	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59		4	090
69970	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8	090
69970	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4		8	090
69970	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32		4	090
69970	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31		4	090
69970	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63		8	090
69970	CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1	090
69970	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56		1	090
69970	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.31		1	090
69970	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8		4	090
69970	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	13.48		1	090
69970	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19		14	090
69970	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		48	090
69970	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16	090
69970	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03		4	090
69970	CMS	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4	090
69970	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13		20	090
69970	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25		4	090
69970	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04		40	090
69970	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		20	090
69970	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.33		1	090
69970	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02		4	090
70134	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
70140	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
70150	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
70160	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
70190	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
70200	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
70240	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
70300	CMS	"Office Supply, Grocery"	SK024	"film, dental"	item	1.73	1		XXX
70310	CMS	"Office Supply, Grocery"	SK024	"film, dental"	item	1.73	12		XXX
70320	CMS	"Office Supply, Grocery"	SK024	"film, dental"	item	1.73	16		XXX
70336	CMS	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
70370	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
70370	CMS	"Pharmacy, Rx"	SH016	barium suspension (Polibar)	ml	0.04	1		XXX
70371	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
70371	CMS	"Pharmacy, Rx"	SH016	barium suspension (Polibar)	ml	0.04	1		XXX
70371	CMS	"Pharmacy, Rx"	SH071	Telepaque capsule	item	0.78	2		XXX
70380	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
70390	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
70450	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
70460	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
70460	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
70460	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
70460	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
70460	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
70460	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
70460	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
70460	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
70460	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
70460	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
70470	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
70470	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
70470	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
70470	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
70470	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
70470	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
70470	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
70470	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
70470	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
70470	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
70471	RUC	"Kit, Pack, Tray"	SA114	"Kit, Contrast Imaging"	kit	7.59	1		XXX
70471	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
70471	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
70471	RUC	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	11.51	1		XXX
70471	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		XXX
70471	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1		XXX
70471	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1		XXX
70472	RUC	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	11.51	1		ZZZ
70472	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1		ZZZ
70473	RUC	"Kit, Pack, Tray"	SA114	"Kit, Contrast Imaging"	kit	7.59	1		XXX
70473	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
70473	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
70473	RUC	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	11.51	1		XXX
70473	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		XXX
70473	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1		XXX
70473	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1		XXX
70480	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
70480	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
70481	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
70481	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
70481	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
70481	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
70481	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
70481	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
70481	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
70481	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
70481	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
70481	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
70481	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
70482	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
70482	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
70482	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
70482	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
70482	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
70482	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
70482	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
70482	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
70482	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
70482	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
70482	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
70486	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
70486	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
70487	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
70487	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
70487	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
70488	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
70488	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
70488	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
70490	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
70490	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
70491	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
70491	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
70491	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
70491	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
70491	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
70491	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
70491	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
70491	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
70491	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
70491	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
70491	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1		XXX
70492	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
70492	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
70492	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
70492	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
70492	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
70492	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
70492	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
70492	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
70492	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
70492	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
70492	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1		XXX
70496	RUC	"Kit, Pack, Tray"	SA114	"Kit, Contrast Imaging"	kit	7.59	1		XXX
70496	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
70496	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
70496	RUC	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	11.51	1		XXX
70496	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		XXX
70496	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1		XXX
70496	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1		XXX
70498	RUC	"Kit, Pack, Tray"	SA114	"Kit, Contrast Imaging"	kit	7.59	1		XXX
70498	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
70498	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
70498	RUC	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	11.51	1		XXX
70498	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		XXX
70498	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1		XXX
70498	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1		XXX
70540	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
70540	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
70540	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
70540	CMS	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
70542	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
70542	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
70542	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
70542	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
70542	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
70542	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
70542	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
70542	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
70542	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
70542	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
70542	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
70542	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
70542	CMS	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
70543	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
70543	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
70543	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
70543	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
70543	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
70543	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
70543	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
70543	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
70543	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
70543	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
70543	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
70543	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
70543	CMS	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
70544	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
70544	CMS	"Gown, Drape"	SB029	"cap-headcover, patient"	item	0.05	1		XXX
70544	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
70544	CMS	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
70544	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
70545	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
70545	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
70545	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
70545	CMS	"Gown, Drape"	SB029	"cap-headcover, patient"	item	0.05	1		XXX
70545	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
70545	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
70545	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
70545	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
70545	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2		XXX
70545	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	2		XXX
70545	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	2		XXX
70545	CMS	"Hypodermic, IV"	SC059	"syringe, 25ml (MRI power injector)"	item	13.2	1		XXX
70545	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
70545	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	1		XXX
70545	CMS	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
70545	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
70546	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
70546	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
70546	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
70546	CMS	"Gown, Drape"	SB029	"cap-headcover, patient"	item	0.05	1		XXX
70546	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
70546	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
70546	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
70546	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
70546	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2		XXX
70546	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	2		XXX
70546	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	2		XXX
70546	CMS	"Hypodermic, IV"	SC059	"syringe, 25ml (MRI power injector)"	item	13.2	1		XXX
70546	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
70546	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	1		XXX
70546	CMS	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
70546	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
70547	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
70547	CMS	"Gown, Drape"	SB029	"cap-headcover, patient"	item	0.05	1		XXX
70547	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
70547	CMS	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
70547	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
70548	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
70548	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
70548	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
70548	CMS	"Gown, Drape"	SB029	"cap-headcover, patient"	item	0.05	1		XXX
70548	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
70548	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
70548	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
70548	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
70548	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2		XXX
70548	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	2		XXX
70548	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	2		XXX
70548	CMS	"Hypodermic, IV"	SC059	"syringe, 25ml (MRI power injector)"	item	13.2	1		XXX
70548	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
70548	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	1		XXX
70548	CMS	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
70548	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
70549	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
70549	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
70549	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
70549	CMS	"Gown, Drape"	SB029	"cap-headcover, patient"	item	0.05	1		XXX
70549	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
70549	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
70549	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
70549	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
70549	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2		XXX
70549	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	2		XXX
70549	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	2		XXX
70549	CMS	"Hypodermic, IV"	SC059	"syringe, 25ml (MRI power injector)"	item	13.2	1		XXX
70549	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
70549	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	1		XXX
70549	CMS	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
70549	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
70551	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
70551	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
70551	CMS	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
70552	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
70552	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
70552	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
70552	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
70552	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
70552	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
70552	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
70552	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
70552	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
70552	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
70552	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
70552	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
70552	CMS	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
70553	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
70553	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
70553	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
70553	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
70553	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
70553	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
70553	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
70553	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
70553	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
70553	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
70553	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
70553	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
70553	CMS	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
70554	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
70554	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
70554	CMS	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
71045	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
71046	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
71047	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
71048	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
71100	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
71101	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
71110	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
71111	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
71120	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
71130	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
71250	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
71250	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
71260	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
71260	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
71260	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
71260	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
71260	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
71260	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
71260	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
71260	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
71260	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
71260	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
71260	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
71270	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
71270	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
71270	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
71270	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
71270	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
71270	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
71270	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
71270	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
71270	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
71270	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
71270	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
71271	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
71271	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
71275	CMS	"Kit, Pack, Tray"	SA114	"Kit, Contrast Imaging"	kit	7.59	1		XXX
71275	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
71275	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
71275	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	3		XXX
71275	CMS	"Hypodermic, IV"	SC050	"stop cock, 4-way"	item	0.66	1		XXX
71275	CMS	"Hypodermic, IV"	SC059	"syringe, 25ml (MRI power injector)"	item	13.2	1		XXX
71275	CMS	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	11.51	1		XXX
71275	CMS	"Accessory, Procedure"	SD212	"tubing, sterile, connecting (fluid administration)"	item	1.13	1		XXX
71275	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		XXX
71275	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1		XXX
71550	CMS	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
71551	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
71551	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
71551	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
71551	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
71551	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
71551	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
71551	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
71551	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
71551	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
71551	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
71551	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
71551	CMS	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1		XXX
71551	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		XXX
71551	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
71551	CMS	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
71551	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1		XXX
71551	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
71552	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
71552	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
71552	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
71552	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
71552	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
71552	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
71552	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
71552	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
71552	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2		XXX
71552	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
71552	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
71552	CMS	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1		XXX
71552	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		XXX
71552	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
71552	CMS	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
71552	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1		XXX
71552	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
71555	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
71555	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
71555	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
71555	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
71555	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
71555	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
71555	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
71555	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
71555	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
71555	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
71555	CMS	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1		XXX
71555	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		XXX
71555	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
71555	CMS	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
71555	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1		XXX
71555	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
72020	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
72050	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
72052	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
72072	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
72074	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
72081	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
72082	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
72083	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
72084	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
72125	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
72125	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
72126	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
72126	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
72126	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
72126	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
72126	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
72126	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
72126	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
72126	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
72126	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
72126	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1		XXX
72127	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
72127	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
72127	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
72127	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
72127	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
72127	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
72127	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
72127	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
72127	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
72127	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1		XXX
72128	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
72128	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
72129	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
72129	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
72129	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
72129	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
72129	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
72129	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
72129	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
72129	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
72129	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
72129	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1		XXX
72130	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
72130	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
72130	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
72130	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
72130	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
72130	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
72130	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
72130	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
72130	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
72130	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1		XXX
72131	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
72131	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
72132	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
72132	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
72132	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
72132	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
72132	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
72132	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
72132	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
72132	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
72132	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
72132	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1		XXX
72133	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
72133	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
72133	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
72133	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
72133	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
72133	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
72133	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
72133	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
72133	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
72133	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1		XXX
72141	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
72141	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
72141	CMS	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
72142	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
72142	CMS	"Kit, Pack, Tray"	SA114	"Kit, Contrast Imaging"	kit	7.59	1		XXX
72142	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
72142	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
72142	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
72142	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
72142	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
72142	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
72142	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
72142	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
72142	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
72142	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
72142	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
72142	CMS	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
72146	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
72146	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
72146	CMS	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
72147	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
72147	CMS	"Kit, Pack, Tray"	SA114	"Kit, Contrast Imaging"	kit	7.59	1		XXX
72147	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
72147	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
72147	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
72147	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
72147	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
72147	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
72147	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
72147	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
72147	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
72147	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
72147	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
72147	CMS	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
72148	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
72148	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
72148	CMS	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
72149	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
72149	CMS	"Kit, Pack, Tray"	SA114	"Kit, Contrast Imaging"	kit	7.59	1		XXX
72149	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
72149	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
72149	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
72149	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
72149	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
72149	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
72149	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
72149	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
72149	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
72149	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
72149	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
72149	CMS	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
72149	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
72156	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
72156	CMS	"Kit, Pack, Tray"	SA114	"Kit, Contrast Imaging"	kit	7.59	1		XXX
72156	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
72156	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
72156	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
72156	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
72156	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
72156	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
72156	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
72156	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2		XXX
72156	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
72156	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
72156	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
72156	CMS	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
72157	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
72157	CMS	"Kit, Pack, Tray"	SA114	"Kit, Contrast Imaging"	kit	7.59	1		XXX
72157	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
72157	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
72157	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
72157	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
72157	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
72157	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
72157	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
72157	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2		XXX
72157	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
72157	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
72157	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
72157	CMS	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
72157	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
72158	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
72158	CMS	"Kit, Pack, Tray"	SA114	"Kit, Contrast Imaging"	kit	7.59	1		XXX
72158	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
72158	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
72158	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
72158	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
72158	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
72158	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
72158	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
72158	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2		XXX
72158	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
72158	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
72158	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
72158	CMS	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
72158	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
72159	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
72159	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
72159	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
72159	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
72159	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
72159	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
72159	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
72159	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
72159	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
72159	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
72159	CMS	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1		XXX
72159	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		XXX
72159	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
72159	CMS	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
72159	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1		XXX
72159	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
72191	CMS	"Kit, Pack, Tray"	SA114	"Kit, Contrast Imaging"	kit	7.59	1		XXX
72191	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
72191	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
72191	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	3		XXX
72191	CMS	"Hypodermic, IV"	SC050	"stop cock, 4-way"	item	0.66	1		XXX
72191	CMS	"Hypodermic, IV"	SC059	"syringe, 25ml (MRI power injector)"	item	13.2	1		XXX
72191	CMS	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	11.51	1		XXX
72191	CMS	"Accessory, Procedure"	SD212	"tubing, sterile, connecting (fluid administration)"	item	1.13	1		XXX
72191	CMS	"Wound Care, Dressings"	SG075	"tape, elastic, 1in (Elastoplast, Elasticon) (5yd uou)"	item	5.86	6		XXX
72191	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1		XXX
72192	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
72192	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
72193	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
72193	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1		XXX
72193	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
72193	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
72193	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
72193	CMS	"Hypodermic, IV"	SC002	angiocatheter set	item	13.96	1		XXX
72193	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
72193	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
72193	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
72193	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
72193	CMS	"Hypodermic, IV"	SC059	"syringe, 25ml (MRI power injector)"	item	13.2	1		XXX
72193	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
72193	CMS	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1		XXX
72193	CMS	"Wound Care, Dressings"	SG075	"tape, elastic, 1in (Elastoplast, Elasticon) (5yd uou)"	item	5.86	6		XXX
72193	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1		XXX
72193	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
72194	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
72194	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1		XXX
72194	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
72194	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
72194	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
72194	CMS	"Hypodermic, IV"	SC002	angiocatheter set	item	13.96	1		XXX
72194	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
72194	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
72194	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
72194	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
72194	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
72194	CMS	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1		XXX
72194	CMS	"Wound Care, Dressings"	SG059	oto-wick	item	3.38	1		XXX
72194	CMS	"Wound Care, Dressings"	SG075	"tape, elastic, 1in (Elastoplast, Elasticon) (5yd uou)"	item	5.86	6		XXX
72194	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	15		XXX
72194	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1		XXX
72194	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
72194	CMS	"Office Supply, Grocery"	SK076	slide sleeve (photo slides)	item	0.27	1		XXX
72195	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
72195	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
72195	CMS	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
72196	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
72196	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
72196	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
72196	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
72196	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
72196	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
72196	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
72196	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2		XXX
72196	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	2		XXX
72196	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
72196	CMS	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
72197	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
72197	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
72197	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
72197	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
72197	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
72197	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
72197	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
72197	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2		XXX
72197	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	2		XXX
72197	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
72197	CMS	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
72198	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
72198	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
72198	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
72198	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
72198	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
72198	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
72198	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
72198	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
72198	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
72198	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
72198	CMS	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1		XXX
72198	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		XXX
72198	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
72198	CMS	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
72198	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1		XXX
72198	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
72200	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
72202	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
72220	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
73000	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
73060	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
73090	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
73092	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
73200	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
73200	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
73201	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
73201	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
73201	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
73201	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
73201	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
73201	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
73201	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
73201	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
73201	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
73201	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
73201	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
73201	CMS	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1		XXX
73201	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		XXX
73201	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
73201	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1		XXX
73201	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
73202	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
73202	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
73202	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
73202	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
73202	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
73202	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
73202	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
73202	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
73202	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
73202	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
73202	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
73202	CMS	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1		XXX
73202	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		XXX
73202	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
73202	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1		XXX
73202	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
73206	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1		XXX
73206	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
73206	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
73206	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
73206	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
73206	CMS	"Hypodermic, IV"	SC050	"stop cock, 4-way"	item	0.66	1		XXX
73206	CMS	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	11.51	1		XXX
73206	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
73206	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		XXX
73206	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	0.34		XXX
73206	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
73218	CMS	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
73219	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
73219	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
73219	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
73219	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
73219	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
73219	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
73219	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
73219	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
73219	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
73219	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
73219	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
73219	CMS	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1		XXX
73219	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		XXX
73219	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
73219	CMS	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
73219	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1		XXX
73219	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
73220	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
73220	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
73220	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
73220	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
73220	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
73220	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
73220	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
73220	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
73220	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2		XXX
73220	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
73220	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
73220	CMS	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1		XXX
73220	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		XXX
73220	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
73220	CMS	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
73220	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1		XXX
73220	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
73221	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
73221	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
73221	CMS	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
73222	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
73222	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
73222	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
73222	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
73222	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
73222	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
73222	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
73222	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
73222	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
73222	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
73222	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
73222	CMS	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1		XXX
73222	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		XXX
73222	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
73222	CMS	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
73222	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1		XXX
73222	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
73223	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
73223	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
73223	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
73223	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
73223	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
73223	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
73223	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
73223	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
73223	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2		XXX
73223	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
73223	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
73223	CMS	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1		XXX
73223	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		XXX
73223	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
73223	CMS	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
73223	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1		XXX
73223	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
73225	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
73225	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
73225	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
73225	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
73225	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
73225	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
73225	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
73225	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
73225	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
73225	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
73225	CMS	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1		XXX
73225	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		XXX
73225	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
73225	CMS	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
73225	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1		XXX
73225	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
73501	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
73502	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
73503	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
73521	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
73522	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
73523	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
73551	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
73552	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
73560	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
73562	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
73564	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
73565	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
73590	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
73592	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
73600	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
73610	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
73620	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
73630	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
73700	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
73700	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
73701	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
73701	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
73701	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
73701	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
73701	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
73701	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
73701	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
73701	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
73701	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
73701	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1		XXX
73702	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
73702	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
73702	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
73702	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
73702	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
73702	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
73702	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
73702	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
73702	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
73702	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1		XXX
73706	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1		XXX
73706	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
73706	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
73706	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
73706	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
73706	CMS	"Hypodermic, IV"	SC050	"stop cock, 4-way"	item	0.66	1		XXX
73706	CMS	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	11.51	1		XXX
73706	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
73706	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		XXX
73706	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	0.34		XXX
73706	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
73718	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
73718	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
73718	CMS	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
73719	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
73719	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
73719	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
73719	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
73719	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
73719	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
73719	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
73719	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2		XXX
73719	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
73719	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
73719	CMS	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
73720	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
73720	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
73720	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
73720	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
73720	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
73720	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
73720	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
73720	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2		XXX
73720	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	2		XXX
73720	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
73720	CMS	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
73721	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
73721	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
73721	CMS	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
73722	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
73722	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
73722	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
73722	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
73722	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
73722	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
73722	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
73722	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
73722	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
73722	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
73722	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
73722	CMS	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1		XXX
73722	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		XXX
73722	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
73722	CMS	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
73722	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1		XXX
73722	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
73723	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
73723	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
73723	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
73723	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
73723	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
73723	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
73723	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
73723	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
73723	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2		XXX
73723	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
73723	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
73723	CMS	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1		XXX
73723	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		XXX
73723	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
73723	CMS	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
73723	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1		XXX
73723	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
73725	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
73725	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
73725	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
73725	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
73725	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
73725	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
73725	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
73725	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
73725	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
73725	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
73725	CMS	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1		XXX
73725	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		XXX
73725	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
73725	CMS	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
73725	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1		XXX
73725	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
74018	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
74019	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
74021	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
74022	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
74150	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
74150	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
74160	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
74160	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1		XXX
74160	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
74160	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
74160	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
74160	CMS	"Hypodermic, IV"	SC002	angiocatheter set	item	13.96	1		XXX
74160	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
74160	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
74160	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
74160	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
74160	CMS	"Hypodermic, IV"	SC059	"syringe, 25ml (MRI power injector)"	item	13.2	1		XXX
74160	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
74160	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
74160	CMS	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1		XXX
74160	CMS	"Wound Care, Dressings"	SG075	"tape, elastic, 1in (Elastoplast, Elasticon) (5yd uou)"	item	5.86	6		XXX
74160	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1		XXX
74160	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
74160	CMS	"Office Supply, Grocery"	SK076	slide sleeve (photo slides)	item	0.27	1		XXX
74170	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
74170	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1		XXX
74170	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
74170	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
74170	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
74170	CMS	"Hypodermic, IV"	SC002	angiocatheter set	item	13.96	1		XXX
74170	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
74170	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
74170	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
74170	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
74170	CMS	"Hypodermic, IV"	SC059	"syringe, 25ml (MRI power injector)"	item	13.2	1		XXX
74170	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
74170	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
74170	CMS	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1		XXX
74170	CMS	"Wound Care, Dressings"	SG075	"tape, elastic, 1in (Elastoplast, Elasticon) (5yd uou)"	item	5.86	6		XXX
74170	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1		XXX
74170	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
74170	CMS	"Office Supply, Grocery"	SK076	slide sleeve (photo slides)	item	0.27	1		XXX
74174	CMS	"Kit, Pack, Tray"	SA114	"Kit, Contrast Imaging"	kit	7.59	1		XXX
74174	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
74174	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
74174	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	3		XXX
74174	CMS	"Hypodermic, IV"	SC050	"stop cock, 4-way"	item	0.66	1		XXX
74174	CMS	"Hypodermic, IV"	SC059	"syringe, 25ml (MRI power injector)"	item	13.2	1		XXX
74174	CMS	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	11.51	1		XXX
74174	CMS	"Accessory, Procedure"	SD212	"tubing, sterile, connecting (fluid administration)"	item	1.13	1		XXX
74174	CMS	"Wound Care, Dressings"	SG075	"tape, elastic, 1in (Elastoplast, Elasticon) (5yd uou)"	item	5.86	6		XXX
74174	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1		XXX
74175	CMS	"Kit, Pack, Tray"	SA114	"Kit, Contrast Imaging"	kit	7.59	1		XXX
74175	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
74175	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
74175	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	3		XXX
74175	CMS	"Hypodermic, IV"	SC050	"stop cock, 4-way"	item	0.66	1		XXX
74175	CMS	"Hypodermic, IV"	SC059	"syringe, 25ml (MRI power injector)"	item	13.2	1		XXX
74175	CMS	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	11.51	1		XXX
74175	CMS	"Accessory, Procedure"	SD212	"tubing, sterile, connecting (fluid administration)"	item	1.13	1		XXX
74175	CMS	"Wound Care, Dressings"	SG075	"tape, elastic, 1in (Elastoplast, Elasticon) (5yd uou)"	item	5.86	6		XXX
74175	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1		XXX
74176	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
74176	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
74176	CMS	"Office Supply, Grocery"	SK076	slide sleeve (photo slides)	item	0.27	1		XXX
74177	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
74177	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1		XXX
74177	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
74177	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
74177	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
74177	CMS	"Hypodermic, IV"	SC002	angiocatheter set	item	13.96	1		XXX
74177	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
74177	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
74177	CMS	"Hypodermic, IV"	SC025	"needle, 14-20g, biopsy"	item	11.13	1		XXX
74177	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
74177	CMS	"Hypodermic, IV"	SC059	"syringe, 25ml (MRI power injector)"	item	13.2	1		XXX
74177	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
74177	CMS	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1		XXX
74177	CMS	"Wound Care, Dressings"	SG075	"tape, elastic, 1in (Elastoplast, Elasticon) (5yd uou)"	item	5.86	6		XXX
74177	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	15		XXX
74177	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1		XXX
74177	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
74177	CMS	"Office Supply, Grocery"	SK076	slide sleeve (photo slides)	item	0.27	1		XXX
74178	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
74178	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1		XXX
74178	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
74178	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
74178	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
74178	CMS	"Hypodermic, IV"	SC002	angiocatheter set	item	13.96	1		XXX
74178	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
74178	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
74178	CMS	"Hypodermic, IV"	SC025	"needle, 14-20g, biopsy"	item	11.13	1		XXX
74178	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
74178	CMS	"Hypodermic, IV"	SC059	"syringe, 25ml (MRI power injector)"	item	13.2	1		XXX
74178	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
74178	CMS	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1		XXX
74178	CMS	"Wound Care, Dressings"	SG075	"tape, elastic, 1in (Elastoplast, Elasticon) (5yd uou)"	item	5.86	6		XXX
74178	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	15		XXX
74178	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1		XXX
74178	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
74178	CMS	"Office Supply, Grocery"	SK076	slide sleeve (photo slides)	item	0.27	1		XXX
74181	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
74181	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
74181	CMS	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
74182	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
74182	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
74182	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
74182	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
74182	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
74182	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
74182	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
74182	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2		XXX
74182	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	2		XXX
74182	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
74182	CMS	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
74183	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
74183	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
74183	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
74183	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
74183	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
74183	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
74183	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
74183	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2		XXX
74183	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	2		XXX
74183	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
74183	CMS	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
74185	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
74185	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
74185	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
74185	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
74185	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
74185	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
74185	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
74185	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
74185	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
74185	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
74185	CMS	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1		XXX
74185	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		XXX
74185	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
74185	CMS	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
74185	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1		XXX
74185	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
74210	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
74210	CMS	"Pharmacy, Rx"	SH016	barium suspension (Polibar)	ml	0.04	150		XXX
74220	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
74220	CMS	"Pharmacy, Rx"	SH013	barium high density susp (11-12oz uou)	item	3.81	1		XXX
74220	CMS	"Pharmacy, Rx"	SH016	barium suspension (Polibar)	ml	0.04	100		XXX
74221	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
74221	CMS	"Pharmacy, Rx"	SH013	barium high density susp (11-12oz uou)	item	3.81	1		XXX
74221	CMS	"Pharmacy, Rx"	SH016	barium suspension (Polibar)	ml	0.04	100		XXX
74221	CMS	"Pharmacy, Rx"	SH029	"effervescent granules (Sparkles, EZ Gas) (4gm uou)"	item	1.97	1		XXX
74230	CMS	"Pharmacy, Rx"	SH013	barium high density susp (11-12oz uou)	item	3.81	1		XXX
74230	CMS	"Pharmacy, Rx"	SH017	"barium, honey (Varibar)"	ml	0.09	60		XXX
74230	CMS	"Pharmacy, Rx"	SH018	"barium, nectar (Varibar)"	ml	0.05	60		XXX
74230	CMS	"Pharmacy, Rx"	SH019	"barium, pudding (Varibar)"	ml	0.23	60		XXX
74230	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	1		XXX
74230	CMS	"Office Supply, Grocery"	SK017	cookie (each)	item	0.11	1		XXX
74230	CMS	"Office Supply, Grocery"	SK020	drinking straw	item	0.02	1		XXX
74230	CMS	"Office Supply, Grocery"	SK077	"spoon, plastic"	item	0.04	2		XXX
74240	CMS	"Pharmacy, Rx"	SH016	barium suspension (Polibar)	ml	0.04	100		XXX
74246	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
74246	CMS	"Pharmacy, Rx"	SH013	barium high density susp (11-12oz uou)	item	3.81	1		XXX
74246	CMS	"Pharmacy, Rx"	SH016	barium suspension (Polibar)	ml	0.04	100		XXX
74246	CMS	"Pharmacy, Rx"	SH029	"effervescent granules (Sparkles, EZ Gas) (4gm uou)"	item	1.97	1		XXX
74248	CMS	"Pharmacy, Rx"	SH013	barium high density susp (11-12oz uou)	item	3.81	1		ZZZ
74250	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
74250	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
74250	CMS	"Pharmacy, Rx"	SH013	barium high density susp (11-12oz uou)	item	3.81	1		XXX
74251	CMS	"Kit, Pack, Tray"	SA004	"kit, barium with insufflator"	kit	34.09	1		XXX
74251	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
74251	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
74251	CMS	"Accessory, Procedure"	SD023	"catheter, enteroclysis"	item	187.42	1		XXX
74251	CMS	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.57	1		XXX
74261	CMS	"Kit, Pack, Tray"	SA102	"kit, tubing, use w-automated insufflation, CT colonography"	kit	10.81	1		XXX
74261	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
74261	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
74261	CMS	"Accessory, Procedure"	SD228	"gas, CO2, use w-automated insufflation, CT colonography"	liter	1.79	4		XXX
74262	CMS	"Kit, Pack, Tray"	SA102	"kit, tubing, use w-automated insufflation, CT colonography"	kit	10.81	1		XXX
74262	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
74262	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
74262	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
74262	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
74262	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
74262	CMS	"Hypodermic, IV"	SC050	"stop cock, 4-way"	item	0.66	1		XXX
74262	CMS	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	11.51	1		XXX
74262	CMS	"Accessory, Procedure"	SD228	"gas, CO2, use w-automated insufflation, CT colonography"	liter	1.79	4		XXX
74262	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
74262	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	1		XXX
74262	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
74262	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
74263	CMS	"Kit, Pack, Tray"	SA102	"kit, tubing, use w-automated insufflation, CT colonography"	kit	10.81	1		XXX
74263	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
74263	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
74263	CMS	"Accessory, Procedure"	SD228	"gas, CO2, use w-automated insufflation, CT colonography"	liter	1.79	4		XXX
74270	CMS	"Kit, Pack, Tray"	SA073	"kit, barium enema"	kit	5.36	1		XXX
74270	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
74270	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
74270	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
74270	CMS	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.57	1		XXX
74280	CMS	"Kit, Pack, Tray"	SA004	"kit, barium with insufflator"	kit	34.09	1		XXX
74280	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
74280	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
74280	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
74280	CMS	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.57	1		XXX
74283	CMS	"Kit, Pack, Tray"	SA073	"kit, barium enema"	kit	5.36	1		XXX
74283	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
74283	CMS	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.57	1		XXX
74290	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
74290	CMS	"Pharmacy, Rx"	SH071	Telepaque capsule	item	0.78	1		XXX
74400	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
74400	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
74400	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
74400	CMS	"Hypodermic, IV"	SC018	iv infusion set	item	1.27	1		XXX
74400	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1		XXX
74400	CMS	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.54	1		XXX
74400	CMS	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.95	1		XXX
74410	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
74410	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
74410	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
74410	CMS	"Hypodermic, IV"	SC018	iv infusion set	item	1.27	1		XXX
74410	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1		XXX
74410	CMS	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.54	1		XXX
74410	CMS	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.95	1		XXX
74415	CMS	"Kit, Pack, Tray"	SA066	"tray, myelogram"	tray	20.63	1		XXX
74415	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
74415	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
74415	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
74415	CMS	"Hypodermic, IV"	SC018	iv infusion set	item	1.27	1		XXX
74415	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	9.96	1		XXX
74415	CMS	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.54	1		XXX
74415	CMS	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.95	1		XXX
74425	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1		XXX
74425	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
74430	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
74430	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	2		XXX
74440	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.46	1		XXX
74440	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
74440	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
74440	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
74440	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
74440	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1		XXX
74455	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
74455	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	2		XXX
74485	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
74485	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
74712	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
74712	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
74712	CMS	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
74740	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
74740	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	2		XXX
75557	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
75557	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
75557	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
75557	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
75557	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	4		XXX
75557	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2		XXX
75557	CMS	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
75557	CMS	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.15	1		XXX
75559	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
75559	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
75559	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
75559	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
75559	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
75559	CMS	"Hypodermic, IV"	SC013	infusion pump cassette-reservoir	item	8.75	1		XXX
75559	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	5		XXX
75559	CMS	"Hypodermic, IV"	SC027	"needle, 18-19g, filter"	item	0.21	2		XXX
75559	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2		XXX
75559	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
75559	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	4		XXX
75559	CMS	"Accessory, Procedure"	SD112	"sensor, airflow cannula (adult)"	item	3.17	1		XXX
75559	CMS	"Wound Care, Dressings"	SG014	"bandage, elastic, self-adherent wrap 1in (Coban)"	item	1.59	1		XXX
75559	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	4		XXX
75559	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03	4		XXX
75559	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
75559	CMS	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
75559	CMS	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.15	1		XXX
75559	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	2		XXX
75559	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
75559	CMS	Lab	SL107	phosphate buffered saline solution	ml	0.01	40		XXX
75561	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
75561	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
75561	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
75561	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
75561	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
75561	CMS	"Hypodermic, IV"	SC027	"needle, 18-19g, filter"	item	0.21	2		XXX
75561	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
75561	CMS	"Hypodermic, IV"	SC059	"syringe, 25ml (MRI power injector)"	item	13.2	1		XXX
75561	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	4		XXX
75561	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2		XXX
75561	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03	4		XXX
75561	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
75561	CMS	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
75561	CMS	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.15	1		XXX
75561	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	2		XXX
75561	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
75561	CMS	Lab	SL107	phosphate buffered saline solution	ml	0.01	40		XXX
75563	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	2		XXX
75563	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
75563	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
75563	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
75563	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
75563	CMS	"Hypodermic, IV"	SC013	infusion pump cassette-reservoir	item	8.75	1		XXX
75563	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	4		XXX
75563	CMS	"Hypodermic, IV"	SC027	"needle, 18-19g, filter"	item	0.21	4		XXX
75563	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2		XXX
75563	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
75563	CMS	"Hypodermic, IV"	SC059	"syringe, 25ml (MRI power injector)"	item	13.2	1		XXX
75563	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	4		XXX
75563	CMS	"Accessory, Procedure"	SD112	"sensor, airflow cannula (adult)"	item	3.17	1		XXX
75563	CMS	"Wound Care, Dressings"	SG014	"bandage, elastic, self-adherent wrap 1in (Coban)"	item	1.59	1		XXX
75563	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	4		XXX
75563	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.03	4		XXX
75563	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
75563	CMS	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
75563	CMS	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.15	1		XXX
75563	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	2		XXX
75563	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
75563	CMS	Lab	SL107	phosphate buffered saline solution	ml	0.01	40		XXX
75571	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
75571	CMS	"Pharmacy, NonRx"	SJ019	electrode adhesive disk	item	0.21	3		XXX
75571	CMS	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.05	1		XXX
75572	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
75572	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
75572	CMS	"Hypodermic, IV"	SC027	"needle, 18-19g, filter"	item	0.21	3		XXX
75572	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
75572	CMS	"Accessory, Procedure"	SD145	"cannula, anterior chamber, 18-27g"	item	3.21	1		XXX
75572	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
75572	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
75572	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2		XXX
75572	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
75572	CMS	"Pharmacy, NonRx"	SJ019	electrode adhesive disk	item	0.21	3		XXX
75572	CMS	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.05	1		XXX
75572	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
75573	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
75573	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
75573	CMS	"Hypodermic, IV"	SC027	"needle, 18-19g, filter"	item	0.21	3		XXX
75573	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
75573	CMS	"Accessory, Procedure"	SD145	"cannula, anterior chamber, 18-27g"	item	3.21	1		XXX
75573	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
75573	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
75573	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2		XXX
75573	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
75573	CMS	"Pharmacy, NonRx"	SJ019	electrode adhesive disk	item	0.21	3		XXX
75573	CMS	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.05	1		XXX
75573	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
75574	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
75574	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
75574	CMS	"Hypodermic, IV"	SC027	"needle, 18-19g, filter"	item	0.21	3		XXX
75574	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
75574	CMS	"Accessory, Procedure"	SD145	"cannula, anterior chamber, 18-27g"	item	3.21	1		XXX
75574	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
75574	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
75574	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2		XXX
75574	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
75574	CMS	"Pharmacy, NonRx"	SJ019	electrode adhesive disk	item	0.21	3		XXX
75574	CMS	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.05	1		XXX
75574	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
75600	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
75600	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
75600	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1		XXX
75600	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
75600	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
75600	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
75600	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
75600	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
75600	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
75600	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
75600	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
75600	CMS	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
75600	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
75600	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
75600	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
75600	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
75605	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1		XXX
75605	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
75625	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1		XXX
75625	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
75630	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1		XXX
75630	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
75635	CMS	"Kit, Pack, Tray"	SA114	"Kit, Contrast Imaging"	kit	7.59	1		XXX
75635	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
75635	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
75635	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	3		XXX
75635	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
75635	CMS	"Hypodermic, IV"	SC050	"stop cock, 4-way"	item	0.66	1		XXX
75635	CMS	"Hypodermic, IV"	SC059	"syringe, 25ml (MRI power injector)"	item	13.2	1		XXX
75635	CMS	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	11.51	1		XXX
75635	CMS	"Accessory, Procedure"	SD212	"tubing, sterile, connecting (fluid administration)"	item	1.13	1		XXX
75635	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
75635	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		XXX
75635	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1		XXX
75705	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1		XXX
75705	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
75710	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1		XXX
75710	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
75716	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1		XXX
75716	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
75726	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1		XXX
75726	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
75731	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1		XXX
75731	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
75733	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1		XXX
75733	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
75736	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1		XXX
75736	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
75741	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1		XXX
75741	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
75743	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1		XXX
75743	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
75746	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1		XXX
75746	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
75756	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1		XXX
75756	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
75809	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
75820	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1		XXX
75820	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
75822	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1		XXX
75822	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
75825	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1		XXX
75825	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
75827	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1		XXX
75827	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
75831	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1		XXX
75831	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
75833	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1		XXX
75833	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
75840	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1		XXX
75840	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
75860	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1		XXX
75860	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
75870	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1		XXX
75870	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
75872	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1		XXX
75872	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
75880	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1		XXX
75880	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
75885	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1		XXX
75885	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
75887	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1		XXX
75887	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
75889	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1		XXX
75889	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
75891	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1		XXX
75891	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
75893	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1		XXX
75893	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
75894	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1		XXX
75894	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
75898	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1		XXX
75898	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
75901	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	3		XXX
75902	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	3		XXX
75984	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1		XXX
75984	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
75984	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
75989	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
75989	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
76000	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1		XXX
76010	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
76018	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
76018	RUC	"Accessory, Procedure"	SD369	Disposable oximeter probe and clip (MR Conditional)	item	6.4	1		XXX
76018	RUC	"Office Supply, Grocery"	SK055	"paper, card stock (8.5 x 11)"	item	0.08	1		XXX
76019	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	4		XXX
76019	RUC	"Accessory, Procedure"	SD369	Disposable oximeter probe and clip (MR Conditional)	item	6.4	1		XXX
76019	RUC	"Wound Care, Dressings"	SG014	"bandage, elastic, self-adherent wrap 1in (Coban)"	item	1.59	1		XXX
76019	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	0.56	2		XXX
76019	RUC	"Wound Care, Dressings"	SG100	Thermoplastic splint material 6”x9” (MR Safe)	item	21.75	1		XXX
76019	RUC	"Office Supply, Grocery"	SK055	"paper, card stock (8.5 x 11)"	item	0.08	1		XXX
76019	RUC	Lab	SL082	"impression material, dental putty (per bite block)"	item	2.138	1		XXX
76080	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
76098	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
76098	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	0.5		XXX
76100	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
76120	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
76380	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
76380	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
76391	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
76391	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
76391	CMS	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
76506	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
76506	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
76506	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	30		XXX
76506	CMS	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	10		XXX
76506	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
76510	CMS	"Kit, Pack, Tray"	SA124	scleral shell tubing kit	item	2.35	1		XXX
76510	CMS	"Pharmacy, Rx"	SH037	Goniosol 2.5% ophth	ml	0.64	10		XXX
76511	CMS	"Kit, Pack, Tray"	SA124	scleral shell tubing kit	item	2.35	1		XXX
76511	CMS	"Pharmacy, Rx"	SH037	Goniosol 2.5% ophth	ml	0.64	5		XXX
76512	CMS	"Pharmacy, Rx"	SH037	Goniosol 2.5% ophth	ml	0.64	5		XXX
76513	CMS	"Gown, Drape"	SB055	ClearScan ultrasound water-filled condom probe cover	item	10.5	1		XXX
76513	CMS	"Pharmacy, Rx"	SH037	Goniosol 2.5% ophth	ml	0.64	14		XXX
76513	CMS	"Pharmacy, Rx"	SH075	"water, sterile inj"	ml	0.05	30		XXX
76516	CMS	"Kit, Pack, Tray"	SA124	scleral shell tubing kit	item	2.35	1		XXX
76516	CMS	"Pharmacy, Rx"	SH037	Goniosol 2.5% ophth	ml	0.64	5		XXX
76519	CMS	"Kit, Pack, Tray"	SA124	scleral shell tubing kit	item	2.35	1		XXX
76519	CMS	"Pharmacy, Rx"	SH037	Goniosol 2.5% ophth	ml	0.64	5		XXX
76529	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	1		XXX
76529	CMS	"Pharmacy, Rx"	SH037	Goniosol 2.5% ophth	ml	0.64	7		XXX
76529	CMS	"Office Supply, Grocery"	SK032	"film, type 667 Polaroid (per exposure)"	item	1.61	10		XXX
76536	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
76536	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
76536	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60		XXX
76536	CMS	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	10		XXX
76536	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
76604	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
76604	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
76604	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
76604	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
76604	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
76604	CMS	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.45	1		XXX
76604	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60		XXX
76604	CMS	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	10		XXX
76604	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
76604	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
76641	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
76641	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
76641	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
76641	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
76641	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
76641	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
76641	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	90		XXX
76641	CMS	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	10		XXX
76641	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
76641	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
76642	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
76642	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
76642	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
76642	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
76642	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
76642	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
76642	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60		XXX
76642	CMS	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	10		XXX
76642	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
76642	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
76700	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
76700	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
76700	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
76700	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
76700	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
76700	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
76700	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60		XXX
76700	CMS	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	10		XXX
76700	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
76700	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
76705	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
76705	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
76705	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
76705	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
76705	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
76705	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
76705	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60		XXX
76705	CMS	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	10		XXX
76705	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
76705	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
76706	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
76706	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
76706	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
76706	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
76706	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
76706	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
76706	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60		XXX
76706	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
76706	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1		XXX
76706	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3		XXX
76770	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
76770	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
76770	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
76770	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
76770	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
76770	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
76770	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60		XXX
76770	CMS	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	10		XXX
76770	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
76770	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
76775	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
76775	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
76775	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
76775	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
76775	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
76775	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
76775	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60		XXX
76775	CMS	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	10		XXX
76775	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
76775	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
76776	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
76776	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
76776	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60		XXX
76776	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	10		XXX
76776	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
76800	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
76800	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
76800	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
76800	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
76800	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
76800	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60		XXX
76800	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	0.33		XXX
76800	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
76801	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
76801	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
76801	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60		XXX
76801	CMS	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	10		XXX
76801	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
76802	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	30		ZZZ
76805	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
76805	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
76805	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60		XXX
76805	CMS	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	10		XXX
76805	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
76810	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	30		ZZZ
76811	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
76811	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
76811	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60		XXX
76811	CMS	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	10		XXX
76811	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
76812	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	30		ZZZ
76813	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
76813	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
76813	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
76813	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60		XXX
76813	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	10		XXX
76813	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
76814	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	30		ZZZ
76815	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
76815	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
76815	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60		XXX
76815	CMS	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	10		XXX
76815	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
76816	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
76816	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
76816	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60		XXX
76816	CMS	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	10		XXX
76816	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
76817	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
76817	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
76817	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	1		XXX
76817	CMS	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	10		XXX
76817	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
76818	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1		XXX
76818	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
76818	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
76818	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
76818	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
76818	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	30		XXX
76818	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	6		XXX
76819	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1		XXX
76819	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
76819	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
76819	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
76819	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
76819	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	30		XXX
76821	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
76821	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
76821	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
76821	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
76821	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
76821	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60		XXX
76821	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	0.3		XXX
76821	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
76825	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
76825	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
76825	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	3		XXX
76825	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	180		XXX
76825	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
76825	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.034		XXX
76825	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3		XXX
76826	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
76826	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
76826	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	3		XXX
76826	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	180		XXX
76826	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
76826	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.034		XXX
76826	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3		XXX
76830	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1		XXX
76830	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
76830	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
76830	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
76830	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
76830	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	1		XXX
76830	CMS	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	10		XXX
76830	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
76831	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1		XXX
76831	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
76831	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
76831	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	1		XXX
76831	CMS	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.57	1		XXX
76831	CMS	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	10		XXX
76831	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
76856	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
76856	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
76856	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
76856	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
76856	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
76856	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
76856	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60		XXX
76856	CMS	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	10		XXX
76856	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
76856	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
76857	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
76857	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
76857	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
76857	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
76857	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
76857	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
76857	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60		XXX
76857	CMS	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	10		XXX
76857	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
76857	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
76870	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
76870	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
76870	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
76870	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
76870	CMS	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.45	1		XXX
76870	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60		XXX
76870	CMS	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	10		XXX
76870	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
76872	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	25.36	1		XXX
76872	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
76872	RUC	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1		XXX
76872	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
76872	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1		XXX
76872	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
76872	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
76872	RUC	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	1.04	10		XXX
76872	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	2		XXX
76872	RUC	"Pharmacy, NonRx"	SJ089	"ultrasound transmission gel, sterile (single use)"	item	2.28	1		XXX
76872	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1		XXX
76872	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
76873	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1		XXX
76873	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
76873	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
76873	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
76873	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	1		XXX
76873	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	30		XXX
76873	CMS	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	10		XXX
76873	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
76881	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
76881	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60		XXX
76881	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
76881	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1		XXX
76881	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3		XXX
76882	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
76882	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	40		XXX
76882	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
76882	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1		XXX
76882	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3		XXX
76883	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
76883	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
76883	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
76883	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
76883	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
76883	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60		XXX
76883	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
76883	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1		XXX
76883	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3		XXX
76885	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
76885	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
76885	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60		XXX
76885	CMS	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	10		XXX
76885	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
76886	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
76886	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
76886	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
76886	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
76886	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
76886	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60		XXX
76886	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	0.33		XXX
76886	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
76936	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
76936	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
76936	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
76936	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
76936	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
76936	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60		XXX
76936	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	0.33		XXX
76936	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
76937	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1		ZZZ
76937	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	2		ZZZ
76937	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	6		ZZZ
76937	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	150		ZZZ
76937	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	5		ZZZ
76937	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		ZZZ
76942	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1		XXX
76942	CMS	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.57	4		XXX
76942	CMS	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	10		XXX
76942	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
76946	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
76946	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60		XXX
76946	CMS	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	10		XXX
76946	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
76948	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1		XXX
76948	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1		XXX
76948	CMS	"Accessory, Procedure"	SD087	"guide, needle, for localization"	item	21.29	1		XXX
76948	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60		XXX
76948	CMS	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	10		XXX
76948	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
76965	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1		XXX
76965	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	1		XXX
76965	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1		XXX
76965	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX
76965	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	1		XXX
76965	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	2		XXX
76978	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
76978	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
76978	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
76978	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
76978	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
76978	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
76978	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
76978	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	3		XXX
76978	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
76978	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
76978	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60		XXX
76978	CMS	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	10		XXX
76978	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
76978	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
76979	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		ZZZ
76979	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60		ZZZ
76981	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
76981	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
76981	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
76981	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
76981	RUC	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
76981	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
76981	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60		XXX
76981	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	10		XXX
76981	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
76981	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
76982	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
76982	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
76982	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
76982	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
76982	RUC	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
76982	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
76982	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60		XXX
76982	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	10		XXX
76982	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
76982	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
76983	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60		ZZZ
77001	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1		ZZZ
77001	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1		ZZZ
77001	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1		ZZZ
77001	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1		ZZZ
77001	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	1		ZZZ
77001	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1		ZZZ
77001	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	1		ZZZ
77001	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		ZZZ
77002	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1		ZZZ
77002	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		ZZZ
77002	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		ZZZ
77003	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1		ZZZ
77003	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		ZZZ
77003	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		ZZZ
77011	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
77011	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
77012	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1		XXX
77012	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
77046	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
77046	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
77046	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
77046	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
77047	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
77047	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
77047	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
77047	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
77048	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
77048	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
77048	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
77048	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
77048	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
77048	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
77048	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
77048	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
77048	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
77048	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
77048	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
77048	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
77049	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
77049	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
77049	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
77049	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
77049	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
77049	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
77049	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
77049	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
77049	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
77049	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
77049	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
77049	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
77063	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		ZZZ
77065	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
77065	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
77065	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
77065	CMS	"Gown, Drape"	SB043	"towel, professional 13in x 18in"	item	0.04	1		XXX
77065	CMS	"Accessory, Procedure"	SD096	"markers, radiographic, multi-modality"	item	7.27	1		XXX
77065	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	2		XXX
77065	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
77065	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	0.5		XXX
77065	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1		XXX
77065	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3		XXX
77066	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
77066	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
77066	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
77066	CMS	"Gown, Drape"	SB043	"towel, professional 13in x 18in"	item	0.04	1		XXX
77066	CMS	"Accessory, Procedure"	SD096	"markers, radiographic, multi-modality"	item	7.27	2		XXX
77066	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	4		XXX
77066	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
77066	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	0.5		XXX
77066	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
77066	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3		XXX
77067	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
77067	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
77067	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
77067	CMS	"Gown, Drape"	SB043	"towel, professional 13in x 18in"	item	0.04	1		XXX
77067	CMS	"Accessory, Procedure"	SD096	"markers, radiographic, multi-modality"	item	7.27	1		XXX
77067	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	4		XXX
77067	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
77067	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	0.5		XXX
77067	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
77067	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3		XXX
77071	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	XXX
77072	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
77073	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
77074	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
77075	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
77076	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
77078	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
77078	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
77080	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
77080	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
77080	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
77081	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
77084	CMS	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1		XXX
77085	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
77085	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
77085	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
77086	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
77086	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
77086	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
77280	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
77280	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
77280	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
77280	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2		XXX
77280	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
77280	CMS	"Office Supply, Grocery"	SK073	skin marking ink (tattoo)	ml	0.51	2		XXX
77280	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1		XXX
77285	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
77285	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
77285	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
77285	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2		XXX
77285	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
77285	CMS	"Office Supply, Grocery"	SK073	skin marking ink (tattoo)	ml	0.51	2		XXX
77285	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1		XXX
77290	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
77290	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
77290	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
77290	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2		XXX
77290	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
77290	CMS	"Office Supply, Grocery"	SK073	skin marking ink (tattoo)	ml	0.51	2		XXX
77290	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1		XXX
77295	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	3		XXX
77300	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	3		XXX
77301	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
77301	CMS	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	1.27	1		XXX
77301	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
77301	CMS	"Accessory, Procedure"	SD024	"catheter, Foley"	item	10.85	1		XXX
77301	CMS	"Accessory, Procedure"	SD096	"markers, radiographic, multi-modality"	item	7.27	4		XXX
77301	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	20		XXX
77301	CMS	Lab	SL001	acetone	ml	0.06	6		XXX
77306	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	3		XXX
77307	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	3		XXX
77316	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	8		XXX
77317	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	8		XXX
77318	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	8		XXX
77321	CMS	"Office Supply, Grocery"	SK002	anatomical drawings (for treatment recording)	item	3.5	1		XXX
77321	CMS	"Office Supply, Grocery"	SK056	"paper, graph-plotter"	item	0.91	1		XXX
77321	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1		XXX
77331	CMS	"Office Supply, Grocery"	SK056	"paper, graph-plotter"	item	0.91	1		XXX
77331	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1		XXX
77333	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
77333	CMS	"Accessory, Procedure"	SD321	Thermoplastic tissue bolus 30X30X0.3cm	item	49.83	2		XXX
77334	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
77334	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
77334	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12		XXX
77334	CMS	"Office Supply, Grocery"	SK068	razor	item	0.51	1		XXX
77334	CMS	Lab	SL519	Urethane Foaming Agent	item	49.46	1		XXX
77338	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	9		XXX
77370	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	5		XXX
77372	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		XXX
77372	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
77372	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	4		XXX
77372	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	3		XXX
77372	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
77372	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
77372	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	10		XXX
77372	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
77373	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
77373	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
77373	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	3		XXX
77373	CMS	"Accessory, Procedure"	SD084	"gas, oxygen"	liter	0.01	10		XXX
77373	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	10		XXX
77423	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
77423	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
77423	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
77423	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	2		XXX
77423	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	1		XXX
77427	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	0.5	0	XXX
77431	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	XXX
77600	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	2		XXX
77600	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
77600	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1		XXX
77600	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3		XXX
77600	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1		XXX
77600	CMS	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.45	5		XXX
77600	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2		XXX
77600	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
77600	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2		XXX
77600	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	2		XXX
77600	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1		XXX
77600	CMS	"Hypodermic, IV"	SC070	"catheter, hyperthermia, closed-end"	item	25	2		XXX
77600	CMS	"Hypodermic, IV"	SC071	"catheter, hyperthermia, open-end"	item	23.75	2		XXX
77600	CMS	"Hypodermic, IV"	SC078	"needle, flexi, hyperthermia"	item	49.04	1		XXX
77600	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	2		XXX
77600	CMS	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	4		XXX
77600	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	3		XXX
77600	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12		XXX
77600	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10		XXX
77600	CMS	"Pharmacy, NonRx"	SJ001	alcohol isopropyl 70%	ml	0.03	480		XXX
77600	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1		XXX
77600	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10		XXX
77600	CMS	Lab	SL020	bleach	ml	0.01	110		XXX
77605	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	2		XXX
77605	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
77605	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1		XXX
77605	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3		XXX
77605	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1		XXX
77605	CMS	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.45	5		XXX
77605	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2		XXX
77605	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
77605	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	4		XXX
77605	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	2		XXX
77605	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1		XXX
77605	CMS	"Hypodermic, IV"	SC070	"catheter, hyperthermia, closed-end"	item	25	4		XXX
77605	CMS	"Hypodermic, IV"	SC078	"needle, flexi, hyperthermia"	item	49.04	1		XXX
77605	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
77605	CMS	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	4		XXX
77605	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	3		XXX
77605	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12		XXX
77605	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10		XXX
77605	CMS	"Pharmacy, NonRx"	SJ001	alcohol isopropyl 70%	ml	0.03	480		XXX
77605	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1		XXX
77605	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10		XXX
77605	CMS	Lab	SL020	bleach	ml	0.01	1137		XXX
77610	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	2		XXX
77610	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
77610	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1		XXX
77610	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3		XXX
77610	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1		XXX
77610	CMS	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.45	5		XXX
77610	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2		XXX
77610	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
77610	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2		XXX
77610	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	2		XXX
77610	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1		XXX
77610	CMS	"Hypodermic, IV"	SC070	"catheter, hyperthermia, closed-end"	item	25	6		XXX
77610	CMS	"Hypodermic, IV"	SC078	"needle, flexi, hyperthermia"	item	49.04	1		XXX
77610	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	4		XXX
77610	CMS	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	4		XXX
77610	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	3		XXX
77610	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12		XXX
77610	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10		XXX
77610	CMS	"Pharmacy, NonRx"	SJ001	alcohol isopropyl 70%	ml	0.03	480		XXX
77610	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1		XXX
77610	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10		XXX
77610	CMS	Lab	SL020	bleach	ml	0.01	1137		XXX
77615	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	2		XXX
77615	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
77615	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1		XXX
77615	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3		XXX
77615	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2		XXX
77615	CMS	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.45	5		XXX
77615	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2		XXX
77615	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
77615	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	12		XXX
77615	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	2		XXX
77615	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1		XXX
77615	CMS	"Hypodermic, IV"	SC070	"catheter, hyperthermia, closed-end"	item	25	16		XXX
77615	CMS	"Hypodermic, IV"	SC078	"needle, flexi, hyperthermia"	item	49.04	1		XXX
77615	CMS	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	4		XXX
77615	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	3		XXX
77615	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	18		XXX
77615	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10		XXX
77615	CMS	"Pharmacy, NonRx"	SJ001	alcohol isopropyl 70%	ml	0.03	480		XXX
77615	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1		XXX
77615	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10		XXX
77620	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	2		XXX
77620	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
77620	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1		XXX
77620	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3		XXX
77620	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1		XXX
77620	CMS	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.45	5		XXX
77620	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2		XXX
77620	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
77620	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	4		XXX
77620	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	2		XXX
77620	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1		XXX
77620	CMS	"Hypodermic, IV"	SC070	"catheter, hyperthermia, closed-end"	item	25	3		XXX
77620	CMS	"Hypodermic, IV"	SC078	"needle, flexi, hyperthermia"	item	49.04	1		XXX
77620	CMS	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	4		XXX
77620	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	3		XXX
77620	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12		XXX
77620	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.14	10		XXX
77620	CMS	"Pharmacy, NonRx"	SJ001	alcohol isopropyl 70%	ml	0.03	480		XXX
77620	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1		XXX
77620	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10		XXX
77620	CMS	Lab	SL020	bleach	ml	0.01	1137		XXX
77750	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		090
77750	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	3		090
77750	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1		090
77750	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		090
77750	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1		090
77750	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	3		090
77750	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		090
77750	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		090
77750	CMS	"Hypodermic, IV"	SC018	iv infusion set	item	1.27	1		090
77750	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		090
77750	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		090
77750	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		090
77750	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		090
77750	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1		090
77750	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		090
77750	CMS	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1		090
77750	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2		090
77750	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		090
77750	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	1		090
77750	CMS	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		090
77750	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		090
77750	CMS	"Pharmacy, NonRx"	SJ001	alcohol isopropyl 70%	ml	0.03	60		090
77750	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		090
77761	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1		090
77761	CMS	"Kit, Pack, Tray"	SA045	"pack, drapes, cystoscopy"	pack	14.99	1		090
77761	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1		090
77761	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2		090
77761	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1		090
77761	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	8		090
77761	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	4		090
77761	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		090
77761	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2		090
77761	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2		090
77761	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	3		090
77761	CMS	"Accessory, Procedure"	SD024	"catheter, Foley"	item	10.85	1		090
77761	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.76	1		090
77761	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1		090
77761	CMS	"Wound Care, Dressings"	SG063	"packing, gauze plain 1in (5 yd uou)"	item	3.72	2		090
77761	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	45		090
77761	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1		090
77761	CMS	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.57	4		090
77762	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1		090
77762	CMS	"Kit, Pack, Tray"	SA045	"pack, drapes, cystoscopy"	pack	14.99	1		090
77762	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1		090
77762	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2		090
77762	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1		090
77762	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	8		090
77762	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	4		090
77762	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		090
77762	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2		090
77762	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2		090
77762	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	3		090
77762	CMS	"Accessory, Procedure"	SD024	"catheter, Foley"	item	10.85	1		090
77762	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.76	1		090
77762	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1		090
77762	CMS	"Wound Care, Dressings"	SG063	"packing, gauze plain 1in (5 yd uou)"	item	3.72	2		090
77762	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	45		090
77762	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1		090
77762	CMS	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.57	4		090
77763	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1		090
77763	CMS	"Kit, Pack, Tray"	SA045	"pack, drapes, cystoscopy"	pack	14.99	1		090
77763	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1		090
77763	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2		090
77763	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1		090
77763	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	4		090
77763	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	4		090
77763	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		090
77763	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2		090
77763	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2		090
77763	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	3		090
77763	CMS	"Accessory, Procedure"	SD024	"catheter, Foley"	item	10.85	1		090
77763	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.76	1		090
77763	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1		090
77763	CMS	"Wound Care, Dressings"	SG063	"packing, gauze plain 1in (5 yd uou)"	item	3.72	2		090
77763	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	45		090
77763	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1		090
77763	CMS	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.57	4		090
77767	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3		XXX
77767	CMS	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.45	1		XXX
77767	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2		XXX
77767	CMS	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	6		XXX
77767	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	5		XXX
77767	CMS	"Pharmacy, NonRx"	SJ059	"tincture of benzoin, liquid"	ml	0.13	5		XXX
77767	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	2		XXX
77767	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	13		XXX
77768	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3		XXX
77768	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
77768	CMS	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.45	1		XXX
77768	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
77768	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	5		XXX
77768	CMS	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	12		XXX
77768	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1		XXX
77768	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	5		XXX
77768	CMS	"Pharmacy, NonRx"	SJ059	"tincture of benzoin, liquid"	ml	0.13	5		XXX
77768	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	6		XXX
77768	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	13		XXX
77770	CMS	"Kit, Pack, Tray"	SA027	"kit, scissors and clamp"	kit	0.82	1		XXX
77770	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3		XXX
77770	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	3		XXX
77770	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
77770	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2		XXX
77770	CMS	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.45	1		XXX
77770	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
77770	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	5		XXX
77770	CMS	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	12		XXX
77770	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1		XXX
77770	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	5		XXX
77770	CMS	"Pharmacy, NonRx"	SJ059	"tincture of benzoin, liquid"	ml	0.13	5		XXX
77770	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	4		XXX
77770	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	13		XXX
77771	CMS	"Kit, Pack, Tray"	SA027	"kit, scissors and clamp"	kit	0.82	1		XXX
77771	CMS	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	1.27	1		XXX
77771	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	6		XXX
77771	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	3		XXX
77771	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
77771	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2		XXX
77771	CMS	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.45	6		XXX
77771	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
77771	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	5		XXX
77771	CMS	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	12		XXX
77771	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1		XXX
77771	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	5		XXX
77771	CMS	"Pharmacy, NonRx"	SJ059	"tincture of benzoin, liquid"	ml	0.13	5		XXX
77771	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	6		XXX
77771	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	13		XXX
77772	CMS	"Kit, Pack, Tray"	SA027	"kit, scissors and clamp"	kit	0.82	1		XXX
77772	CMS	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	1.27	1		XXX
77772	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	6		XXX
77772	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	4		XXX
77772	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
77772	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2		XXX
77772	CMS	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.45	6		XXX
77772	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
77772	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6		XXX
77772	CMS	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	12		XXX
77772	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1		XXX
77772	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	5		XXX
77772	CMS	"Pharmacy, NonRx"	SJ059	"tincture of benzoin, liquid"	ml	0.13	5		XXX
77772	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	8		XXX
77772	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	13		XXX
77778	CMS	"Kit, Pack, Tray"	SA045	"pack, drapes, cystoscopy"	pack	14.99	1		000
77778	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		000
77778	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	3.45	1		000
77778	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3		000
77778	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	2		000
77778	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		000
77778	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	6		000
77778	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	3		000
77778	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2		000
77778	CMS	"Accessory, Procedure"	SD024	"catheter, Foley"	item	10.85	1		000
77778	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1		000
77778	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	2		000
77778	CMS	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.57	2		000
77789	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		000
77789	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		000
77789	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1		000
77789	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1		000
77789	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000
77789	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	3		000
77789	CMS	"Wound Care, Dressings"	SG043	"dressing, eye pad (Opticlude)"	item	0.34	2		000
77789	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4		000
77789	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12		000
77789	CMS	"Pharmacy, Rx"	SH053	neomycin-polymyxin-hc otic soln (Cortisporin)	ml	2.2	10		000
77789	CMS	"Pharmacy, Rx"	SH058	"proparacaine 0.5% ophth (Ophthaine, Alcaine)"	ml	2.3533	3		000
77789	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1		000
77789	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	3		000
77790	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
78012	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3		XXX
78012	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
78013	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
78013	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
78013	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78013	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78013	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78013	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78013	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78013	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78013	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78013	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78013	CMS	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78013	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78013	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
78013	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78014	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3		XXX
78014	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
78014	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78014	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78014	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78014	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78014	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78014	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78014	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78014	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78014	CMS	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78014	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78014	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
78014	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78015	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
78015	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78015	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78015	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78015	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78015	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78015	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78015	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78015	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78015	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78015	CMS	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78015	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78015	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
78015	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78016	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
78016	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78016	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
78016	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78016	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78016	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78016	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78016	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78016	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78016	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78016	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78016	CMS	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78016	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78016	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
78016	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78018	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2		XXX
78018	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2		XXX
78018	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
78018	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2		XXX
78018	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78018	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78018	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2		XXX
78018	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78018	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2		XXX
78018	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78018	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	2		XXX
78018	CMS	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78018	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	2		XXX
78018	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
78018	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	10		XXX
78070	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
78070	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	2		XXX
78070	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2		XXX
78070	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78070	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78070	CMS	"Hypodermic, IV"	SC018	iv infusion set	item	1.27	1		XXX
78070	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
78070	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2		XXX
78070	CMS	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.54	1		XXX
78070	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78070	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2		XXX
78070	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
78070	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1		XXX
78070	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1		XXX
78070	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78070	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	2		XXX
78070	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	2		XXX
78070	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	2		XXX
78070	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
78070	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	10		XXX
78071	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
78071	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	2		XXX
78071	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2		XXX
78071	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78071	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78071	CMS	"Hypodermic, IV"	SC018	iv infusion set	item	1.27	1		XXX
78071	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
78071	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2		XXX
78071	CMS	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.54	1		XXX
78071	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78071	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2		XXX
78071	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
78071	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1		XXX
78071	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1		XXX
78071	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78071	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	2		XXX
78071	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	2		XXX
78071	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	2		XXX
78071	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
78071	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	10		XXX
78072	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
78072	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	2		XXX
78072	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2		XXX
78072	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78072	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78072	CMS	"Hypodermic, IV"	SC018	iv infusion set	item	1.27	1		XXX
78072	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
78072	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2		XXX
78072	CMS	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.54	1		XXX
78072	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78072	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2		XXX
78072	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
78072	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1		XXX
78072	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1		XXX
78072	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78072	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	2		XXX
78072	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	2		XXX
78072	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	2		XXX
78072	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
78072	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	10		XXX
78075	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2		XXX
78075	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2		XXX
78075	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2		XXX
78075	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78075	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78075	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2		XXX
78075	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78075	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2		XXX
78075	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78075	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	2		XXX
78075	CMS	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78075	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	2		XXX
78075	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
78075	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	10		XXX
78102	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
78102	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78102	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78102	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78102	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78102	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78102	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78102	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78102	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78102	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78102	CMS	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78102	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78102	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
78102	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78103	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
78103	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78103	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78103	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78103	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78103	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78103	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78103	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78103	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78103	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78103	CMS	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78103	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78103	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
78103	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78104	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
78104	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78104	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78104	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78104	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78104	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78104	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78104	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78104	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78104	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78104	CMS	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78104	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78104	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
78104	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78110	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3		XXX
78110	CMS	"Hypodermic, IV"	SC006	blood collection tube (Vacutainer)	item	0.18	1		XXX
78110	CMS	"Hypodermic, IV"	SC067	blood collection tube holder	item	0.1625	1		XXX
78110	CMS	"Hypodermic, IV"	SC068	blood collection tube needle	item	0.59	1		XXX
78110	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78110	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
78110	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
78111	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	4		XXX
78111	CMS	"Hypodermic, IV"	SC006	blood collection tube (Vacutainer)	item	0.18	2		XXX
78111	CMS	"Hypodermic, IV"	SC067	blood collection tube holder	item	0.1625	2		XXX
78111	CMS	"Hypodermic, IV"	SC068	blood collection tube needle	item	0.59	2		XXX
78111	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	2		XXX
78111	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	3		XXX
78111	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
78120	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3		XXX
78120	CMS	"Hypodermic, IV"	SC006	blood collection tube (Vacutainer)	item	0.18	1		XXX
78120	CMS	"Hypodermic, IV"	SC067	blood collection tube holder	item	0.1625	1		XXX
78120	CMS	"Hypodermic, IV"	SC068	blood collection tube needle	item	0.59	1		XXX
78120	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78120	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
78120	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
78121	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	4		XXX
78121	CMS	"Hypodermic, IV"	SC006	blood collection tube (Vacutainer)	item	0.18	2		XXX
78121	CMS	"Hypodermic, IV"	SC067	blood collection tube holder	item	0.1625	2		XXX
78121	CMS	"Hypodermic, IV"	SC068	blood collection tube needle	item	0.59	2		XXX
78121	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	2		XXX
78121	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	3		XXX
78121	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
78122	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	4		XXX
78122	CMS	"Hypodermic, IV"	SC006	blood collection tube (Vacutainer)	item	0.18	2		XXX
78122	CMS	"Hypodermic, IV"	SC067	blood collection tube holder	item	0.1625	2		XXX
78122	CMS	"Hypodermic, IV"	SC068	blood collection tube needle	item	0.59	2		XXX
78122	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	2		XXX
78122	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	3		XXX
78122	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
78130	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	6		XXX
78130	CMS	"Hypodermic, IV"	SC006	blood collection tube (Vacutainer)	item	0.18	4		XXX
78130	CMS	"Hypodermic, IV"	SC067	blood collection tube holder	item	0.1625	4		XXX
78130	CMS	"Hypodermic, IV"	SC068	blood collection tube needle	item	0.59	4		XXX
78130	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	4		XXX
78130	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	5		XXX
78130	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
78140	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
78140	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78140	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78140	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78140	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78140	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78140	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78140	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78140	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78140	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78140	CMS	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78140	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78140	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
78140	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78185	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
78185	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78185	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78185	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78185	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78185	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78185	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78185	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78185	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78185	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78185	CMS	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78185	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78185	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
78185	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78191	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	6		XXX
78191	CMS	"Hypodermic, IV"	SC006	blood collection tube (Vacutainer)	item	0.18	4		XXX
78191	CMS	"Hypodermic, IV"	SC067	blood collection tube holder	item	0.1625	4		XXX
78191	CMS	"Hypodermic, IV"	SC068	blood collection tube needle	item	0.59	4		XXX
78191	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	4		XXX
78191	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	5		XXX
78191	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
78195	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2		XXX
78195	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2		XXX
78195	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
78195	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2		XXX
78195	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78195	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78195	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2		XXX
78195	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78195	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2		XXX
78195	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78195	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	2		XXX
78195	CMS	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78195	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	2		XXX
78195	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
78195	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	10		XXX
78201	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
78201	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78201	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78201	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78201	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78201	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78201	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78201	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78201	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78201	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78201	CMS	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78201	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78201	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
78201	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78202	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
78202	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78202	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78202	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78202	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78202	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78202	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78202	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78202	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78202	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78202	CMS	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78202	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78202	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
78202	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78215	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
78215	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78215	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78215	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78215	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78215	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78215	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78215	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78215	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78215	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78215	CMS	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78215	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78215	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
78215	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78216	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
78216	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78216	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78216	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78216	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78216	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78216	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78216	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78216	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78216	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78216	CMS	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78216	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78216	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
78216	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78226	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
78226	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2		XXX
78226	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
78226	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2		XXX
78226	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78226	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78226	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78226	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78226	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78226	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	2		XXX
78226	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78226	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
78226	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	10		XXX
78227	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
78227	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2		XXX
78227	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
78227	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2		XXX
78227	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78227	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78227	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2		XXX
78227	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78227	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2		XXX
78227	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78227	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	2		XXX
78227	CMS	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78227	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	2		XXX
78227	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
78227	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	10		XXX
78230	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
78230	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78230	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78230	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78230	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78230	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78230	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78230	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78230	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78230	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78230	CMS	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78230	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78230	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
78230	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78231	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
78231	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78231	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78231	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78231	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78231	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78231	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78231	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78231	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78231	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78231	CMS	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78231	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78231	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
78231	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78232	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
78232	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78232	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78232	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78232	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78232	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78232	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78232	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78232	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78232	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78232	CMS	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78232	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78232	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
78232	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78258	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
78258	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78258	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78258	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78261	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
78261	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78261	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78261	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78261	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78261	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78261	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78261	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78261	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78261	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78261	CMS	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78261	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78261	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
78261	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78262	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
78262	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78262	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78262	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78264	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
78264	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78264	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78264	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1		XXX
78264	CMS	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	1		XXX
78264	CMS	"Office Supply, Grocery"	SK020	drinking straw	item	0.02	1		XXX
78264	CMS	"Office Supply, Grocery"	SK042	"juice, apple"	oz	0.09	1		XXX
78264	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	2		XXX
78264	CMS	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.015	3		XXX
78264	CMS	"Office Supply, Grocery"	SK121	Bread	per slice	0.19	2		XXX
78264	CMS	"Office Supply, Grocery"	SK122	Egg Whites	oz	0.35	4		XXX
78264	CMS	"Office Supply, Grocery"	SK123	Jelly	Packet (0.5 oz)	0.13	1		XXX
78264	CMS	"Office Supply, Grocery"	SK124	Paper plate	item	0.26	1		XXX
78264	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78265	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
78265	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78265	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78265	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1		XXX
78265	CMS	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	1		XXX
78265	CMS	"Office Supply, Grocery"	SK020	drinking straw	item	0.02	1		XXX
78265	CMS	"Office Supply, Grocery"	SK042	"juice, apple"	oz	0.09	4		XXX
78265	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	2		XXX
78265	CMS	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.015	3		XXX
78265	CMS	"Office Supply, Grocery"	SK121	Bread	per slice	0.19	2		XXX
78265	CMS	"Office Supply, Grocery"	SK122	Egg Whites	oz	0.35	4		XXX
78265	CMS	"Office Supply, Grocery"	SK123	Jelly	Packet (0.5 oz)	0.13	1		XXX
78265	CMS	"Office Supply, Grocery"	SK124	Paper plate	item	0.26	1		XXX
78265	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78266	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
78266	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78266	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78266	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1		XXX
78266	CMS	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	1		XXX
78266	CMS	"Office Supply, Grocery"	SK020	drinking straw	item	0.02	1		XXX
78266	CMS	"Office Supply, Grocery"	SK042	"juice, apple"	oz	0.09	4		XXX
78266	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	2		XXX
78266	CMS	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.015	3		XXX
78266	CMS	"Office Supply, Grocery"	SK121	Bread	per slice	0.19	2		XXX
78266	CMS	"Office Supply, Grocery"	SK122	Egg Whites	oz	0.35	4		XXX
78266	CMS	"Office Supply, Grocery"	SK123	Jelly	Packet (0.5 oz)	0.13	1		XXX
78266	CMS	"Office Supply, Grocery"	SK124	Paper plate	item	0.26	1		XXX
78266	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78278	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2		XXX
78278	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2		XXX
78278	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
78278	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2		XXX
78278	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78278	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78278	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2		XXX
78278	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78278	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2		XXX
78278	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78278	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	2		XXX
78278	CMS	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78278	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	2		XXX
78278	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
78278	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	10		XXX
78290	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2		XXX
78290	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	3		XXX
78290	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
78290	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2		XXX
78290	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78290	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78290	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2		XXX
78290	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78290	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2		XXX
78290	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78290	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	2		XXX
78290	CMS	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78290	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	2		XXX
78290	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
78290	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	10		XXX
78291	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
78291	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78291	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78291	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78291	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78291	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78291	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78291	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78291	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78291	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78291	CMS	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78291	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78291	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
78291	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78300	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
78300	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78300	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78300	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78300	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78300	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78300	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78300	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78300	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78300	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78300	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
78300	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78305	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
78305	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78305	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78305	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78305	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78305	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78305	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78305	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78305	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78305	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78305	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
78305	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78306	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
78306	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78306	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78306	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78306	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78306	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78306	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78306	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78306	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78306	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78306	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
78306	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78315	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2		XXX
78315	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	3		XXX
78315	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
78315	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2		XXX
78315	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78315	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78315	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2		XXX
78315	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78315	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2		XXX
78315	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78315	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	2		XXX
78315	CMS	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78315	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	2		XXX
78315	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
78315	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	10		XXX
78350	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
78350	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
78350	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	3		XXX
78428	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
78428	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78428	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78428	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78428	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78428	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78428	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78428	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78428	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78428	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78428	CMS	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78428	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78428	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
78428	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78445	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
78445	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78445	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78445	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78445	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78445	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78445	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78445	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78445	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78445	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78445	CMS	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78445	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78445	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
78445	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78451	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
78451	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78451	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78451	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78451	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78451	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78451	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78451	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78451	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78451	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78451	CMS	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78451	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78451	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
78451	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78452	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2		XXX
78452	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2		XXX
78452	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	4		XXX
78452	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78452	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78452	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2		XXX
78452	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78452	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2		XXX
78452	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78452	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	2		XXX
78452	CMS	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78452	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	2		XXX
78452	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
78452	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	10		XXX
78453	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
78453	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78453	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78453	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78453	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78453	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78453	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78453	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78453	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78453	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78453	CMS	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78453	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78453	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
78453	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78454	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2		XXX
78454	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2		XXX
78454	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2		XXX
78454	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78454	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78454	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2		XXX
78454	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78454	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2		XXX
78454	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78454	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	2		XXX
78454	CMS	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78454	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	2		XXX
78454	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
78454	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	10		XXX
78456	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2		XXX
78456	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	3		XXX
78456	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
78456	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2		XXX
78456	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78456	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78456	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2		XXX
78456	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78456	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2		XXX
78456	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78456	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	2		XXX
78456	CMS	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78456	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	2		XXX
78456	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
78456	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	10		XXX
78457	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
78457	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78457	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78457	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78457	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78457	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78457	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78457	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78457	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78457	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78457	CMS	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78457	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78457	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
78457	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78458	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
78458	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78458	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78458	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78458	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78458	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78458	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78458	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78458	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78458	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78458	CMS	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78458	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78458	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
78458	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78466	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
78466	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78466	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78466	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78466	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78466	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78466	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78466	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78466	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78466	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78466	CMS	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78466	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78466	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
78466	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78468	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
78468	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78468	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78468	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78468	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78468	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78468	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78468	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78468	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78468	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78468	CMS	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78468	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78468	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
78468	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78469	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
78469	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78469	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78469	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78469	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78469	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78469	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78469	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78469	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78469	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78469	CMS	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78469	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78469	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
78469	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78472	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
78472	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78472	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78472	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78472	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78472	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78472	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78472	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	1		XXX
78472	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78472	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78472	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78472	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
78472	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1		XXX
78473	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
78473	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78473	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78473	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78473	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78473	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78473	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78473	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78473	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78473	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78473	CMS	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78473	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78473	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
78473	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1		XXX
78481	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
78481	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78481	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78481	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78481	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78481	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78481	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78481	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	1		XXX
78481	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78481	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78481	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78481	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
78481	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1		XXX
78483	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
78483	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78483	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78483	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78483	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78483	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78483	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78483	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78483	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	1		XXX
78483	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78483	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78483	CMS	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78483	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78483	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
78494	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
78494	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78494	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78494	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78494	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78494	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78494	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78494	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78494	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78494	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78494	CMS	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78494	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78494	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
78494	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78579	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
78579	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2		XXX
78579	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
78579	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78579	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78579	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78579	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78579	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
78579	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78580	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
78580	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2		XXX
78580	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
78580	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78580	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78580	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78580	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78580	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78580	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78580	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78580	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78580	CMS	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78580	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78580	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
78580	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78582	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2		XXX
78582	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2		XXX
78582	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
78582	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2		XXX
78582	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78582	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78582	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2		XXX
78582	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78582	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2		XXX
78582	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78582	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78582	CMS	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78582	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78582	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
78582	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	10		XXX
78597	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
78597	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2		XXX
78597	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
78597	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78597	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78597	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78597	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78597	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78597	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78597	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78597	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78597	CMS	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78597	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78597	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
78597	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78598	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2		XXX
78598	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2		XXX
78598	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
78598	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2		XXX
78598	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78598	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78598	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2		XXX
78598	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78598	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2		XXX
78598	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78598	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78598	CMS	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78598	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78598	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
78598	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	10		XXX
78600	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2		XXX
78600	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
78600	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
78600	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78600	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78600	CMS	"Hypodermic, IV"	SC018	iv infusion set	item	1.27	1		XXX
78600	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2		XXX
78600	CMS	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.54	1		XXX
78600	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
78600	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1		XXX
78600	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	2		XXX
78600	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	2		XXX
78600	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
78600	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	10		XXX
78601	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
78601	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78601	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78601	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78601	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78601	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78601	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78601	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78601	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78601	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78601	CMS	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78601	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78601	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
78601	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78605	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
78605	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78605	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78605	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78605	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78605	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78605	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78605	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78605	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78605	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78605	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
78605	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78606	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2		XXX
78606	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2		XXX
78606	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
78606	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2		XXX
78606	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78606	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78606	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2		XXX
78606	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78606	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2		XXX
78606	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78606	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	2		XXX
78606	CMS	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78606	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	2		XXX
78606	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
78606	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	10		XXX
78610	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
78610	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78610	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78610	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78610	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78610	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78610	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78610	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78610	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78610	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78610	CMS	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78610	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78610	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
78610	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78630	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2		XXX
78630	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2		XXX
78630	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
78630	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2		XXX
78630	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78630	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78630	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2		XXX
78630	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78630	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2		XXX
78630	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78630	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	2		XXX
78630	CMS	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78630	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	2		XXX
78630	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
78630	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	10		XXX
78635	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2		XXX
78635	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	3		XXX
78635	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
78635	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2		XXX
78635	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78635	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78635	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2		XXX
78635	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78635	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2		XXX
78635	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78635	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	2		XXX
78635	CMS	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78635	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	2		XXX
78635	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
78635	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	10		XXX
78645	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2		XXX
78645	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2		XXX
78645	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
78645	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2		XXX
78645	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78645	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78645	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2		XXX
78645	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78645	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2		XXX
78645	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78645	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	2		XXX
78645	CMS	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78645	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	2		XXX
78645	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
78645	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	10		XXX
78650	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2		XXX
78650	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2		XXX
78650	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
78650	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2		XXX
78650	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78650	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78650	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2		XXX
78650	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78650	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2		XXX
78650	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78650	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	2		XXX
78650	CMS	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78650	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	2		XXX
78650	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
78650	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	10		XXX
78660	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
78660	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78660	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78660	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78660	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78660	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78660	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78660	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78660	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78660	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78660	CMS	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78660	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78660	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
78660	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78700	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
78700	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78700	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78700	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78700	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78700	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78700	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78700	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78700	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78700	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78700	CMS	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78700	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78700	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
78700	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78701	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
78701	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78701	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78701	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78701	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78701	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78701	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78701	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78701	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78701	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78701	CMS	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78701	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78701	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
78701	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78707	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
78707	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78707	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78707	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78707	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78707	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78707	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78707	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78707	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78707	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78707	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
78707	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78708	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
78708	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78708	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78708	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78708	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78708	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78708	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78708	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78708	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78708	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78708	CMS	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78708	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78708	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
78708	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78709	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2		XXX
78709	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2		XXX
78709	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
78709	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2		XXX
78709	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78709	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78709	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2		XXX
78709	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78709	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2		XXX
78709	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78709	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	2		XXX
78709	CMS	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78709	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	2		XXX
78709	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
78709	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	10		XXX
78725	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	6		XXX
78725	CMS	"Hypodermic, IV"	SC006	blood collection tube (Vacutainer)	item	0.18	3		XXX
78725	CMS	"Hypodermic, IV"	SC067	blood collection tube holder	item	0.1625	3		XXX
78725	CMS	"Hypodermic, IV"	SC068	blood collection tube needle	item	0.59	3		XXX
78725	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	3		XXX
78725	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	6		XXX
78725	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
78730	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2		ZZZ
78740	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
78740	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78740	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	3		XXX
78740	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
78740	CMS	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78740	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1		XXX
78740	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78761	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
78761	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78761	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78761	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78761	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
78761	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78761	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78761	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78761	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78761	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78761	CMS	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
78761	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78761	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
78761	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78800	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
78800	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78800	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78800	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78800	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78800	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78800	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78800	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78800	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78800	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78800	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
78800	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78801	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
78801	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78801	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78801	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78801	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78801	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78801	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78801	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78801	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78801	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78801	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
78801	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	10		XXX
78802	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
78802	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78802	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78802	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78802	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78802	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78802	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78802	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78802	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78802	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78802	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
78802	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78803	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
78803	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78803	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78803	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78803	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78803	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78803	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78803	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78803	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78803	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78803	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
78803	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78804	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
78804	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78804	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78804	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78804	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78804	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78804	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78804	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78804	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78804	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78804	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
78804	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	10		XXX
78808	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
78808	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2		XXX
78808	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78808	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78808	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78808	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78808	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78808	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	2		XXX
78808	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
78808	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	4		XXX
78830	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
78830	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78830	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78830	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78830	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78830	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78830	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78830	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78830	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78830	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78830	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
78830	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78831	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
78831	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78831	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78831	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78831	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78831	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78831	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78831	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78831	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78831	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78831	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
78831	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
78832	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
78832	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
78832	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
78832	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
78832	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
78832	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
78832	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
78832	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
78832	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
78832	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
78832	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
78832	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	10		XXX
79005	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
79005	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2		XXX
79005	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	6		XXX
79101	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
79101	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2		XXX
79101	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
79101	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
79101	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
79101	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
79101	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
79101	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
79101	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
79101	CMS	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
79101	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
79101	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
79101	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	6		XXX
79200	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
79200	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	4		XXX
79200	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
79200	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
79200	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
79200	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
79200	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
79200	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
79200	CMS	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
79200	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
79200	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
79200	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	6		XXX
79403	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
79403	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2		XXX
79403	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
79403	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
79403	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
79403	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
79403	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
79403	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
79403	CMS	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1		XXX
79403	CMS	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
79403	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
79403	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
79403	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
79440	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
79440	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2		XXX
79440	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
79440	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
79440	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
79440	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
79440	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
79440	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
79440	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
79440	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	6		XXX
85097	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	XXX
85097	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66	1	0	XXX
85097	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	4	0	XXX
85097	CMS	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.015	4	0	XXX
85097	CMS	Lab	SL020	bleach	ml	0.01	10	0	XXX
85097	CMS	Lab	SL030	"cover slip, glass"	item	0.114	4	0	XXX
85097	CMS	Lab	SL080	immersion oil	ml	0.079	1	0	XXX
85097	CMS	Lab	SL085	label for microscope slides	item	0.14	4	0	XXX
85097	CMS	Lab	SL087	lens paper	item	0.31	2	0	XXX
85097	CMS	Lab	SL090	"methanol, absolute, 99.8% min."	ml	0.02	25	0	XXX
85097	CMS	Lab	SL095	mounting media (Histomount)	ml	0.5	1	0	XXX
85097	CMS	Lab	SL140	"stain, Wright's Pack (per slide)"	ml	0.161	9	0	XXX
86486	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
86486	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1		XXX
86486	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
86486	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
86486	CMS	"Pharmacy, Rx"	SH006	"antigen, mite"	ml	4.48	0.1		XXX
86486	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
86510	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
86510	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1		XXX
86510	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
86510	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
86510	CMS	"Pharmacy, Rx"	SH006	"antigen, mite"	ml	4.48	0.1		XXX
86510	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
86580	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
86580	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1		XXX
86580	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
86580	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
86580	CMS	"Pharmacy, Rx"	SH059	purified protein derivative (0.1ml per test) (PPD-Tubersol)	ml	26.11	0.1		XXX
86580	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
88104	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
88104	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX
88104	CMS	Lab	SL020	bleach	ml	0.01	50		XXX
88104	CMS	Lab	SL030	"cover slip, glass"	item	0.114	4		XXX
88104	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1		XXX
88104	CMS	Lab	SL065	"filter paper, qualitative, 18.5cm"	item	0.14	0.3		XXX
88104	CMS	Lab	SL085	label for microscope slides	item	0.14	4		XXX
88104	CMS	Lab	SL095	mounting media (Histomount)	ml	0.5	0.4		XXX
88104	CMS	Lab	SL121	slide specimen mailer (1-5 microscope slides)	item	0.14	1		XXX
88104	CMS	Lab	SL122	"slide, microscope"	item	0.36	4		XXX
88104	CMS	Lab	SL135	"stain, hematoxylin"	ml	0.044	8		XXX
88104	CMS	Lab	SL137	"stain, PAP EA-50"	ml	0.035	8		XXX
88104	CMS	Lab	SL139	"stain, quick differential (5ml per slide)"	ml	0.05	10		XXX
88104	CMS	Lab	SL151	xylenes solvent	ml	0.012	20		XXX
88104	CMS	Lab	SL189	"ethanol, 100%"	ml	0.0033	13		XXX
88104	CMS	Lab	SL190	"ethanol, 70%"	ml	0.0033	13		XXX
88104	CMS	Lab	SL248	"ethanol, 95%"	ml	0.0033	32		XXX
88104	CMS	Lab	SL491	"stain, PAP OG-6"	ml	0.02	8		XXX
88104	CMS	Infection Control	SM016	"eye shield, splash protection"	item	3.18	1		XXX
88104	CMS	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.04	4		XXX
88106	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
88106	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX
88106	CMS	Lab	SL020	bleach	ml	0.01	50		XXX
88106	CMS	Lab	SL030	"cover slip, glass"	item	0.114	2		XXX
88106	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1		XXX
88106	CMS	Lab	SL043	"cytology, vacuum grease"	oz	6.13	0.2		XXX
88106	CMS	Lab	SL065	"filter paper, qualitative, 18.5cm"	item	0.14	0.3		XXX
88106	CMS	Lab	SL085	label for microscope slides	item	0.14	2		XXX
88106	CMS	Lab	SL095	mounting media (Histomount)	ml	0.5	0.2		XXX
88106	CMS	Lab	SL109	"pipette, transfer 23ml"	item	0.16	1		XXX
88106	CMS	Lab	SL121	slide specimen mailer (1-5 microscope slides)	item	0.14	1		XXX
88106	CMS	Lab	SL122	"slide, microscope"	item	0.36	2		XXX
88106	CMS	Lab	SL135	"stain, hematoxylin"	ml	0.044	4		XXX
88106	CMS	Lab	SL137	"stain, PAP EA-50"	ml	0.035	4		XXX
88106	CMS	Lab	SL139	"stain, quick differential (5ml per slide)"	ml	0.05	5		XXX
88106	CMS	Lab	SL151	xylenes solvent	ml	0.012	20		XXX
88106	CMS	Lab	SL189	"ethanol, 100%"	ml	0.0033	13		XXX
88106	CMS	Lab	SL190	"ethanol, 70%"	ml	0.0033	13		XXX
88106	CMS	Lab	SL248	"ethanol, 95%"	ml	0.0033	32		XXX
88106	CMS	Lab	SL491	"stain, PAP OG-6"	ml	0.02	4		XXX
88106	CMS	Lab	SL502	Millipore filter	item	1.74	1		XXX
88106	CMS	Infection Control	SM016	"eye shield, splash protection"	item	3.18	1		XXX
88106	CMS	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.04	2		XXX
88108	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	0.2		XXX
88108	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	0.2		XXX
88108	CMS	"Accessory, Procedure"	SD298	"Shannon cyto funnel, cytospin"	item	4.52	2		XXX
88108	CMS	Lab	SL020	bleach	ml	0.01	50		XXX
88108	CMS	Lab	SL024	centrifuge tube	item	0.26	1		XXX
88108	CMS	Lab	SL030	"cover slip, glass"	item	0.114	2		XXX
88108	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1		XXX
88108	CMS	Lab	SL040	"cytology, preservative and vial (Preserv-cyt)"	item	1.18	1		XXX
88108	CMS	Lab	SL065	"filter paper, qualitative, 18.5cm"	item	0.14	0.3		XXX
88108	CMS	Lab	SL085	label for microscope slides	item	0.14	2		XXX
88108	CMS	Lab	SL095	mounting media (Histomount)	ml	0.5	0.2		XXX
88108	CMS	Lab	SL109	"pipette, transfer 23ml"	item	0.16	1		XXX
88108	CMS	Lab	SL121	slide specimen mailer (1-5 microscope slides)	item	0.14	1		XXX
88108	CMS	Lab	SL135	"stain, hematoxylin"	ml	0.044	8		XXX
88108	CMS	Lab	SL137	"stain, PAP EA-50"	ml	0.035	8		XXX
88108	CMS	Lab	SL151	xylenes solvent	ml	0.012	20		XXX
88108	CMS	Lab	SL189	"ethanol, 100%"	ml	0.0033	13		XXX
88108	CMS	Lab	SL190	"ethanol, 70%"	ml	0.0033	13		XXX
88108	CMS	Lab	SL248	"ethanol, 95%"	ml	0.0033	32		XXX
88108	CMS	Lab	SL491	"stain, PAP OG-6"	ml	0.02	8		XXX
88108	CMS	Lab	SL503	fixative spray for cytospin	ml	1.24	0.2		XXX
88108	CMS	Lab	SL504	"slide, microscope coated cytospin (single circle)"	item	0.36	2		XXX
88108	CMS	Infection Control	SM016	"eye shield, splash protection"	item	3.18	0.2		XXX
88108	CMS	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.04	2		XXX
88112	CMS	"Kit, Pack, Tray"	SA104	ThinPrep UroCyte Urine Collection Kit	kit	7.14	1		XXX
88112	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	0.2		XXX
88112	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	0.2		XXX
88112	CMS	Lab	SL020	bleach	ml	0.01	50		XXX
88112	CMS	Lab	SL024	centrifuge tube	item	0.26	1		XXX
88112	CMS	Lab	SL030	"cover slip, glass"	item	0.114	1		XXX
88112	CMS	Lab	SL039	"cytology, lysing soln (CytoLyt)"	ml	0.06	30		XXX
88112	CMS	Lab	SL065	"filter paper, qualitative, 18.5cm"	item	0.14	0.15		XXX
88112	CMS	Lab	SL085	label for microscope slides	item	0.14	1		XXX
88112	CMS	Lab	SL095	mounting media (Histomount)	ml	0.5	0.1		XXX
88112	CMS	Lab	SL109	"pipette, transfer 23ml"	item	0.16	1		XXX
88112	CMS	Lab	SL121	slide specimen mailer (1-5 microscope slides)	item	0.14	1		XXX
88112	CMS	Lab	SL135	"stain, hematoxylin"	ml	0.044	4		XXX
88112	CMS	Lab	SL137	"stain, PAP EA-50"	ml	0.035	4		XXX
88112	CMS	Lab	SL151	xylenes solvent	ml	0.012	10		XXX
88112	CMS	Lab	SL189	"ethanol, 100%"	ml	0.0033	6.5		XXX
88112	CMS	Lab	SL190	"ethanol, 70%"	ml	0.0033	6.5		XXX
88112	CMS	Lab	SL248	"ethanol, 95%"	ml	0.0033	16		XXX
88112	CMS	Lab	SL256	ThinPrep  UroCyte filter	item	8.88	1		XXX
88112	CMS	Lab	SL490	"microscopic slide, cytology liquid based preparation"	item	0.24	1		XXX
88112	CMS	Lab	SL491	"stain, PAP OG-6"	ml	0.02	4		XXX
88112	CMS	Infection Control	SM016	"eye shield, splash protection"	item	3.18	0.2		XXX
88112	CMS	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.04	4		XXX
88120	CMS	"Kit, Pack, Tray"	SA104	ThinPrep UroCyte Urine Collection Kit	kit	7.14	1		XXX
88120	CMS	"Kit, Pack, Tray"	SA105	UroVysion test kit	item	187.49	1.7		XXX
88120	CMS	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	3		XXX
88120	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX
88120	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1		XXX
88120	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	0.3		XXX
88120	CMS	"Pharmacy, NonRx"	SJ070	rubber cement	ml	0.12	1		XXX
88120	CMS	Lab	SL024	centrifuge tube	item	0.26	3		XXX
88120	CMS	Lab	SL030	"cover slip, glass"	item	0.114	1		XXX
88120	CMS	Lab	SL039	"cytology, lysing soln (CytoLyt)"	ml	0.06	30		XXX
88120	CMS	Lab	SL040	"cytology, preservative and vial (Preserv-cyt)"	item	1.18	1		XXX
88120	CMS	Lab	SL070	fixative processing (buffered formalin)	ml	0.009	4.2		XXX
88120	CMS	Lab	SL072	formalin	ml	0.009	0.3		XXX
88120	CMS	Lab	SL080	immersion oil	ml	0.079	0.3		XXX
88120	CMS	Lab	SL179	1.0N NaOH	ml	0.65	3.3		XXX
88120	CMS	Lab	SL181	"pipette tips, sterile"	item	0.19	2		XXX
88120	CMS	Lab	SL189	"ethanol, 100%"	ml	0.0033	33.3		XXX
88120	CMS	Lab	SL190	"ethanol, 70%"	ml	0.0033	66.7		XXX
88120	CMS	Lab	SL191	"ethanol, 85%"	ml	0.0215	33.3		XXX
88120	CMS	Lab	SL244	"water, de-ionized"	ml	0.017	3		XXX
88120	CMS	Lab	SL248	"ethanol, 95%"	ml	0.0033	1		XXX
88120	CMS	Lab	SL253	Non-Gyn Filter unit	item	4.65	0.3		XXX
88120	CMS	Lab	SL254	0.45 ?m pore filtration unit	item	6.18	0.7		XXX
88120	CMS	Lab	SL255	12-well slides	item	0.86	1		XXX
88120	CMS	Lab	SL256	ThinPrep  UroCyte filter	item	8.88	1		XXX
88120	CMS	Lab	SL257	Humidity cards	item	0.26	0.7		XXX
88120	CMS	Lab	SL258	Control slides	kit	203.73	0.3		XXX
88120	CMS	Lab	SL259	Bleach cleaning wipe	item	0.39	0.3		XXX
88120	CMS	Lab	SL260	"Fresh Fixative (3:1, methanol: acetic acid)"	item	0.13	47.5		XXX
88120	CMS	Lab	SL261	FISH pre-treatment kit	kit	579.21	0.3		XXX
88120	CMS	Infection Control	SM008	biohazard specimen transport bag	item	0.087	1		XXX
88120	CMS	Infection Control	SM016	"eye shield, splash protection"	item	3.18	1		XXX
88121	CMS	"Kit, Pack, Tray"	SA104	ThinPrep UroCyte Urine Collection Kit	kit	7.14	1		XXX
88121	CMS	"Kit, Pack, Tray"	SA105	UroVysion test kit	item	187.49	1.3		XXX
88121	CMS	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	1.5		XXX
88121	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	0.5		XXX
88121	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	0.5		XXX
88121	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	0.2		XXX
88121	CMS	"Pharmacy, NonRx"	SJ070	rubber cement	ml	0.12	1		XXX
88121	CMS	Lab	SL024	centrifuge tube	item	0.26	3		XXX
88121	CMS	Lab	SL030	"cover slip, glass"	item	0.114	1		XXX
88121	CMS	Lab	SL039	"cytology, lysing soln (CytoLyt)"	ml	0.06	30		XXX
88121	CMS	Lab	SL040	"cytology, preservative and vial (Preserv-cyt)"	item	1.18	1		XXX
88121	CMS	Lab	SL070	fixative processing (buffered formalin)	ml	0.009	2.1		XXX
88121	CMS	Lab	SL072	formalin	ml	0.009	0.2		XXX
88121	CMS	Lab	SL080	immersion oil	ml	0.079	0.2		XXX
88121	CMS	Lab	SL179	1.0N NaOH	ml	0.65	1.7		XXX
88121	CMS	Lab	SL181	"pipette tips, sterile"	item	0.19	1.84		XXX
88121	CMS	Lab	SL189	"ethanol, 100%"	ml	0.0033	16.7		XXX
88121	CMS	Lab	SL190	"ethanol, 70%"	ml	0.0033	33.3		XXX
88121	CMS	Lab	SL191	"ethanol, 85%"	ml	0.0215	16.7		XXX
88121	CMS	Lab	SL244	"water, de-ionized"	ml	0.017	1.5		XXX
88121	CMS	Lab	SL248	"ethanol, 95%"	ml	0.0033	1		XXX
88121	CMS	Lab	SL253	Non-Gyn Filter unit	item	4.65	0.2		XXX
88121	CMS	Lab	SL254	0.45 ?m pore filtration unit	item	6.18	0.3		XXX
88121	CMS	Lab	SL255	12-well slides	item	0.86	1		XXX
88121	CMS	Lab	SL256	ThinPrep  UroCyte filter	item	8.88	1		XXX
88121	CMS	Lab	SL257	Humidity cards	item	0.26	0.3		XXX
88121	CMS	Lab	SL258	Control slides	kit	203.73	0.2		XXX
88121	CMS	Lab	SL259	Bleach cleaning wipe	item	0.39	0.2		XXX
88121	CMS	Lab	SL260	"Fresh Fixative (3:1, methanol: acetic acid)"	item	0.13	47.5		XXX
88121	CMS	Lab	SL261	FISH pre-treatment kit	kit	579.21	0.2		XXX
88121	CMS	Infection Control	SM008	biohazard specimen transport bag	item	0.087	1		XXX
88121	CMS	Infection Control	SM016	"eye shield, splash protection"	item	3.18	0.5		XXX
88125	CMS	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.015	4		XXX
88125	CMS	Lab	SL020	bleach	ml	0.01	50		XXX
88125	CMS	Lab	SL026	clearing agent (Histo-clear)	ml	0.02	4		XXX
88125	CMS	Lab	SL030	"cover slip, glass"	item	0.114	2		XXX
88125	CMS	Lab	SL085	label for microscope slides	item	0.14	2		XXX
88125	CMS	Lab	SL095	mounting media (Histomount)	ml	0.5	1		XXX
88125	CMS	Lab	SL109	"pipette, transfer 23ml"	item	0.16	1		XXX
88125	CMS	Lab	SL122	"slide, microscope"	item	0.36	2		XXX
88125	CMS	Lab	SL138	"stain, PAP toluidine blue O"	ml	0.07	1		XXX
88160	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
88160	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX
88160	CMS	Lab	SL020	bleach	ml	0.01	50		XXX
88160	CMS	Lab	SL030	"cover slip, glass"	item	0.114	4		XXX
88160	CMS	Lab	SL065	"filter paper, qualitative, 18.5cm"	item	0.14	0.3		XXX
88160	CMS	Lab	SL071	fixative spray	ml	0.047	0.4		XXX
88160	CMS	Lab	SL085	label for microscope slides	item	0.14	4		XXX
88160	CMS	Lab	SL095	mounting media (Histomount)	ml	0.5	0.4		XXX
88160	CMS	Lab	SL121	slide specimen mailer (1-5 microscope slides)	item	0.14	1		XXX
88160	CMS	Lab	SL122	"slide, microscope"	item	0.36	4		XXX
88160	CMS	Lab	SL135	"stain, hematoxylin"	ml	0.044	8		XXX
88160	CMS	Lab	SL137	"stain, PAP EA-50"	ml	0.035	8		XXX
88160	CMS	Lab	SL139	"stain, quick differential (5ml per slide)"	ml	0.05	10		XXX
88160	CMS	Lab	SL151	xylenes solvent	ml	0.012	20		XXX
88160	CMS	Lab	SL189	"ethanol, 100%"	ml	0.0033	13		XXX
88160	CMS	Lab	SL190	"ethanol, 70%"	ml	0.0033	13		XXX
88160	CMS	Lab	SL248	"ethanol, 95%"	ml	0.0033	32		XXX
88160	CMS	Lab	SL491	"stain, PAP OG-6"	ml	0.02	8		XXX
88160	CMS	Infection Control	SM016	"eye shield, splash protection"	item	3.18	1		XXX
88160	CMS	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.04	4		XXX
88161	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
88161	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX
88161	CMS	Lab	SL020	bleach	ml	0.01	50		XXX
88161	CMS	Lab	SL030	"cover slip, glass"	item	0.114	4		XXX
88161	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1		XXX
88161	CMS	Lab	SL065	"filter paper, qualitative, 18.5cm"	item	0.14	0.3		XXX
88161	CMS	Lab	SL085	label for microscope slides	item	0.14	4		XXX
88161	CMS	Lab	SL095	mounting media (Histomount)	ml	0.5	0.4		XXX
88161	CMS	Lab	SL121	slide specimen mailer (1-5 microscope slides)	item	0.14	1		XXX
88161	CMS	Lab	SL122	"slide, microscope"	item	0.36	4		XXX
88161	CMS	Lab	SL135	"stain, hematoxylin"	ml	0.044	8		XXX
88161	CMS	Lab	SL137	"stain, PAP EA-50"	ml	0.035	8		XXX
88161	CMS	Lab	SL139	"stain, quick differential (5ml per slide)"	ml	0.05	10		XXX
88161	CMS	Lab	SL151	xylenes solvent	ml	0.012	20		XXX
88161	CMS	Lab	SL189	"ethanol, 100%"	ml	0.0033	13		XXX
88161	CMS	Lab	SL190	"ethanol, 70%"	ml	0.0033	13		XXX
88161	CMS	Lab	SL248	"ethanol, 95%"	ml	0.0033	32		XXX
88161	CMS	Lab	SL491	"stain, PAP OG-6"	ml	0.02	8		XXX
88161	CMS	Infection Control	SM016	"eye shield, splash protection"	item	3.18	1		XXX
88161	CMS	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.04	4		XXX
88162	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
88162	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX
88162	CMS	Lab	SL020	bleach	ml	0.01	50		XXX
88162	CMS	Lab	SL030	"cover slip, glass"	item	0.114	7		XXX
88162	CMS	Lab	SL065	"filter paper, qualitative, 18.5cm"	item	0.14	0.45		XXX
88162	CMS	Lab	SL071	fixative spray	ml	0.047	0.8		XXX
88162	CMS	Lab	SL085	label for microscope slides	item	0.14	7		XXX
88162	CMS	Lab	SL095	mounting media (Histomount)	ml	0.5	0.7		XXX
88162	CMS	Lab	SL121	slide specimen mailer (1-5 microscope slides)	item	0.14	2		XXX
88162	CMS	Lab	SL122	"slide, microscope"	item	0.36	7		XXX
88162	CMS	Lab	SL135	"stain, hematoxylin"	ml	0.044	16		XXX
88162	CMS	Lab	SL137	"stain, PAP EA-50"	ml	0.035	16		XXX
88162	CMS	Lab	SL139	"stain, quick differential (5ml per slide)"	ml	0.05	15		XXX
88162	CMS	Lab	SL151	xylenes solvent	ml	0.012	30		XXX
88162	CMS	Lab	SL189	"ethanol, 100%"	ml	0.0033	19.5		XXX
88162	CMS	Lab	SL190	"ethanol, 70%"	ml	0.0033	19.5		XXX
88162	CMS	Lab	SL248	"ethanol, 95%"	ml	0.0033	36		XXX
88162	CMS	Lab	SL491	"stain, PAP OG-6"	ml	0.02	16		XXX
88162	CMS	Infection Control	SM016	"eye shield, splash protection"	item	3.18	1		XXX
88162	CMS	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.04	7		XXX
88172	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
88172	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		XXX
88172	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66	2		XXX
88172	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	8		XXX
88172	CMS	Lab	SL020	bleach	ml	0.01	50		XXX
88173	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
88173	CMS	"Gown, Drape"	SB030	"lab coat, staff"	item	9.27	1		XXX
88173	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66	1		XXX
88173	CMS	Lab	SL020	bleach	ml	0.01	50		XXX
88173	CMS	Lab	SL024	centrifuge tube	item	0.26	1		XXX
88173	CMS	Lab	SL026	clearing agent (Histo-clear)	ml	0.02	36		XXX
88173	CMS	Lab	SL030	"cover slip, glass"	item	0.114	9		XXX
88173	CMS	Lab	SL039	"cytology, lysing soln (CytoLyt)"	ml	0.06	3		XXX
88173	CMS	Lab	SL040	"cytology, preservative and vial (Preserv-cyt)"	item	1.18	1		XXX
88173	CMS	Lab	SL041	"cytology, specimen filter (Transcyt)"	item	4.15	1		XXX
88173	CMS	Lab	SL042	"cytology, transport prefilled container"	item	1.34	1		XXX
88173	CMS	Lab	SL065	"filter paper, qualitative, 18.5cm"	item	0.14	2		XXX
88173	CMS	Lab	SL071	fixative spray	ml	0.047	1.8		XXX
88173	CMS	Lab	SL085	label for microscope slides	item	0.14	9		XXX
88173	CMS	Lab	SL095	mounting media (Histomount)	ml	0.5	1.8		XXX
88173	CMS	Lab	SL109	"pipette, transfer 23ml"	item	0.16	2		XXX
88173	CMS	Lab	SL121	slide specimen mailer (1-5 microscope slides)	item	0.14	2		XXX
88173	CMS	Lab	SL122	"slide, microscope"	item	0.36	9		XXX
88173	CMS	Lab	SL138	"stain, PAP toluidine blue O"	ml	0.07	25		XXX
88173	CMS	Lab	SL139	"stain, quick differential (5ml per slide)"	ml	0.05	2		XXX
88177	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		ZZZ
88177	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	8		ZZZ
88182	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3		XXX
88182	CMS	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	2.61	1		XXX
88182	CMS	"Pharmacy, NonRx"	SJ001	alcohol isopropyl 70%	ml	0.03	5		XXX
88182	CMS	Lab	SL024	centrifuge tube	item	0.26	2		XXX
88182	CMS	Lab	SL026	clearing agent (Histo-clear)	ml	0.02	20		XXX
88182	CMS	Lab	SL066	"filter, nylon mesh (55mm)"	item	0.47	1		XXX
88182	CMS	Lab	SL084	Isoton II diluent	ml	0.0035	5		XXX
88182	CMS	Lab	SL110	pipette tip (blue-yellow)	item	0.13	10		XXX
88182	CMS	Lab	SL115	propidium iodide	ml	6.7	1		XXX
88182	CMS	Lab	SL141	"stain, Wright's soln"	ml	0.19	0.3		XXX
88182	CMS	Lab	SL189	"ethanol, 100%"	ml	0.0033	20		XXX
88182	CMS	Lab	SL190	"ethanol, 70%"	ml	0.0033	20		XXX
88182	CMS	Lab	SL191	"ethanol, 85%"	ml	0.0215	20		XXX
88182	CMS	Lab	SL248	"ethanol, 95%"	ml	0.0033	20		XXX
88182	CMS	Lab	SL506	Protease	mg	1.11	1.12		XXX
88184	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3		XXX
88184	CMS	Lab	SL021	calibration beads (each test)	item	13.09	1		XXX
88184	CMS	Lab	SL024	centrifuge tube	item	0.26	4		XXX
88184	CMS	Lab	SL030	"cover slip, glass"	item	0.114	1		XXX
88184	CMS	Lab	SL084	Isoton II diluent	ml	0.0035	25		XXX
88184	CMS	Lab	SL089	lysing reagent (FACS)	ml	6.009	5		XXX
88184	CMS	Lab	SL095	mounting media (Histomount)	ml	0.5	0.2		XXX
88184	CMS	Lab	SL099	paraformaldehyde	gm	0.05	0.5		XXX
88184	CMS	Lab	SL107	phosphate buffered saline solution	ml	0.01	20		XXX
88184	CMS	Lab	SL110	pipette tip (blue-yellow)	item	0.13	5		XXX
88184	CMS	Lab	SL122	"slide, microscope"	item	0.36	1		XXX
88184	CMS	Lab	SL141	"stain, Wright's soln"	ml	0.19	0.3		XXX
88184	CMS	Lab	SL186	"antibody, flow cytometry (each test)"	item	9.13	1.6		XXX
88185	CMS	Lab	SL024	centrifuge tube	item	0.26	2		ZZZ
88185	CMS	Lab	SL084	Isoton II diluent	ml	0.0035	25		ZZZ
88185	CMS	Lab	SL089	lysing reagent (FACS)	ml	6.009	2		ZZZ
88185	CMS	Lab	SL099	paraformaldehyde	gm	0.05	0.5		ZZZ
88185	CMS	Lab	SL107	phosphate buffered saline solution	ml	0.01	20		ZZZ
88185	CMS	Lab	SL110	pipette tip (blue-yellow)	item	0.13	2		ZZZ
88185	CMS	Lab	SL186	"antibody, flow cytometry (each test)"	item	9.13	1.6		ZZZ
88300	CMS	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	1		XXX
88300	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	0.1		XXX
88300	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	0.1		XXX
88300	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66	0.1		XXX
88300	CMS	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.015	2		XXX
88300	CMS	Lab	SL020	bleach	ml	0.01	10		XXX
88300	CMS	Lab	SL034	"cup, biopsy-specimen 86oz"	item	1.47	1		XXX
88302	CMS	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	2		XXX
88302	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	0.1		XXX
88302	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	0.1		XXX
88302	CMS	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	2.61	0.1		XXX
88302	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1		XXX
88302	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66	0.1		XXX
88302	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	2		XXX
88302	CMS	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.015	2		XXX
88302	CMS	Lab	SL020	bleach	ml	0.01	10		XXX
88302	CMS	Lab	SL030	"cover slip, glass"	item	0.114	1		XXX
88302	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1		XXX
88302	CMS	Lab	SL058	embedding cassette	item	0.1805	1		XXX
88302	CMS	Lab	SL060	embedding mold	item	0.1231	1		XXX
88302	CMS	Lab	SL061	embedding paraffin	kg	9.38	0.008		XXX
88302	CMS	Lab	SL068	fixative (for tissue specimen)	ml	0.013	50		XXX
88302	CMS	Lab	SL070	fixative processing (buffered formalin)	ml	0.009	14		XXX
88302	CMS	Lab	SL078	histology freezing spray (Freeze-It)	oz	1.32	0.1		XXX
88302	CMS	Lab	SL085	label for microscope slides	item	0.14	1		XXX
88302	CMS	Lab	SL093	"mold release agent, liquid"	ml	0.1	0.1		XXX
88302	CMS	Lab	SL095	mounting media (Histomount)	ml	0.5	1		XXX
88302	CMS	Lab	SL122	"slide, microscope"	item	0.36	1		XXX
88302	CMS	Lab	SL135	"stain, hematoxylin"	ml	0.044	16		XXX
88302	CMS	Lab	SL151	xylenes solvent	ml	0.012	30		XXX
88302	CMS	Lab	SL189	"ethanol, 100%"	ml	0.0033	30		XXX
88302	CMS	Lab	SL190	"ethanol, 70%"	ml	0.0033	4		XXX
88302	CMS	Lab	SL201	"stain, eosin"	ml	0.06	4		XXX
88302	CMS	Lab	SL248	"ethanol, 95%"	ml	0.0033	18		XXX
88302	CMS	Lab	SL468	Paraffin repel	ml	0.21	1		XXX
88302	CMS	Lab	SL469	Clarifier	ml	0.007	2		XXX
88302	CMS	Infection Control	SM017	formaldehyde spill control	ml	0.02	5		XXX
88302	CMS	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.04	1		XXX
88304	CMS	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	2		XXX
88304	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	0.1		XXX
88304	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	0.1		XXX
88304	CMS	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	2.61	0.2		XXX
88304	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1		XXX
88304	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66	0.1		XXX
88304	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	4		XXX
88304	CMS	"Pharmacy, Rx"	SH001	acetic acid 5%	ml	0.03	2		XXX
88304	CMS	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.015	2		XXX
88304	CMS	Lab	SL020	bleach	ml	0.01	10		XXX
88304	CMS	Lab	SL030	"cover slip, glass"	item	0.114	2		XXX
88304	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1		XXX
88304	CMS	Lab	SL058	embedding cassette	item	0.1805	2		XXX
88304	CMS	Lab	SL060	embedding mold	item	0.1231	2		XXX
88304	CMS	Lab	SL061	embedding paraffin	kg	9.38	0.016		XXX
88304	CMS	Lab	SL068	fixative (for tissue specimen)	ml	0.013	100		XXX
88304	CMS	Lab	SL070	fixative processing (buffered formalin)	ml	0.009	28		XXX
88304	CMS	Lab	SL078	histology freezing spray (Freeze-It)	oz	1.32	0.1		XXX
88304	CMS	Lab	SL085	label for microscope slides	item	0.14	2		XXX
88304	CMS	Lab	SL093	"mold release agent, liquid"	ml	0.1	0.2		XXX
88304	CMS	Lab	SL095	mounting media (Histomount)	ml	0.5	1		XXX
88304	CMS	Lab	SL122	"slide, microscope"	item	0.36	2		XXX
88304	CMS	Lab	SL135	"stain, hematoxylin"	ml	0.044	32		XXX
88304	CMS	Lab	SL151	xylenes solvent	ml	0.012	60		XXX
88304	CMS	Lab	SL189	"ethanol, 100%"	ml	0.0033	60		XXX
88304	CMS	Lab	SL190	"ethanol, 70%"	ml	0.0033	8		XXX
88304	CMS	Lab	SL201	"stain, eosin"	ml	0.06	8		XXX
88304	CMS	Lab	SL248	"ethanol, 95%"	ml	0.0033	36		XXX
88304	CMS	Lab	SL468	Paraffin repel	ml	0.21	1		XXX
88304	CMS	Lab	SL469	Clarifier	ml	0.007	4		XXX
88304	CMS	Infection Control	SM017	formaldehyde spill control	ml	0.02	10		XXX
88304	CMS	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.04	1		XXX
88305	CMS	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	2		XXX
88305	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	0.1		XXX
88305	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	0.1		XXX
88305	CMS	"Accessory, Procedure"	SD005	biopsy sponge (Histo-Prep)	item	0.2665	2		XXX
88305	CMS	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	2.61	0.2		XXX
88305	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1		XXX
88305	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66	0.1		XXX
88305	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	4		XXX
88305	CMS	"Pharmacy, Rx"	SH001	acetic acid 5%	ml	0.03	1		XXX
88305	CMS	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.015	2		XXX
88305	CMS	Lab	SL020	bleach	ml	0.01	10		XXX
88305	CMS	Lab	SL030	"cover slip, glass"	item	0.114	6		XXX
88305	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1		XXX
88305	CMS	Lab	SL058	embedding cassette	item	0.1805	2		XXX
88305	CMS	Lab	SL060	embedding mold	item	0.1231	2		XXX
88305	CMS	Lab	SL061	embedding paraffin	kg	9.38	0.005		XXX
88305	CMS	Lab	SL068	fixative (for tissue specimen)	ml	0.013	50		XXX
88305	CMS	Lab	SL070	fixative processing (buffered formalin)	ml	0.009	28		XXX
88305	CMS	Lab	SL078	histology freezing spray (Freeze-It)	oz	1.32	0.2		XXX
88305	CMS	Lab	SL085	label for microscope slides	item	0.14	6		XXX
88305	CMS	Lab	SL093	"mold release agent, liquid"	ml	0.1	0.2		XXX
88305	CMS	Lab	SL095	mounting media (Histomount)	ml	0.5	2		XXX
88305	CMS	Lab	SL122	"slide, microscope"	item	0.36	6		XXX
88305	CMS	Lab	SL135	"stain, hematoxylin"	ml	0.044	32		XXX
88305	CMS	Lab	SL151	xylenes solvent	ml	0.012	60		XXX
88305	CMS	Lab	SL189	"ethanol, 100%"	ml	0.0033	60		XXX
88305	CMS	Lab	SL190	"ethanol, 70%"	ml	0.0033	8		XXX
88305	CMS	Lab	SL201	"stain, eosin"	ml	0.06	8		XXX
88305	CMS	Lab	SL248	"ethanol, 95%"	ml	0.0033	36		XXX
88305	CMS	Lab	SL468	Paraffin repel	ml	0.21	1		XXX
88305	CMS	Lab	SL469	Clarifier	ml	0.007	4		XXX
88305	CMS	Lab	SL470	Marking Dyes	ml	0.47	3		XXX
88305	CMS	Lab	SL471	Q-tip	each	0.06	3		XXX
88305	CMS	Infection Control	SM017	formaldehyde spill control	ml	0.02	5		XXX
88305	CMS	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.04	2		XXX
88307	CMS	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	2		XXX
88307	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	0.1		XXX
88307	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	0.1		XXX
88307	CMS	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	2.61	1.2		XXX
88307	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	2		XXX
88307	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66	0.1		XXX
88307	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	8		XXX
88307	CMS	"Pharmacy, Rx"	SH001	acetic acid 5%	ml	0.03	5		XXX
88307	CMS	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.015	8		XXX
88307	CMS	Lab	SL020	bleach	ml	0.01	10		XXX
88307	CMS	Lab	SL030	"cover slip, glass"	item	0.114	12		XXX
88307	CMS	Lab	SL034	"cup, biopsy-specimen 86oz"	item	1.47	1		XXX
88307	CMS	Lab	SL058	embedding cassette	item	0.1805	12		XXX
88307	CMS	Lab	SL060	embedding mold	item	0.1231	12		XXX
88307	CMS	Lab	SL061	embedding paraffin	kg	9.38	0.096		XXX
88307	CMS	Lab	SL068	fixative (for tissue specimen)	ml	0.013	500		XXX
88307	CMS	Lab	SL070	fixative processing (buffered formalin)	ml	0.009	170		XXX
88307	CMS	Lab	SL078	histology freezing spray (Freeze-It)	oz	1.32	0.2		XXX
88307	CMS	Lab	SL085	label for microscope slides	item	0.14	12		XXX
88307	CMS	Lab	SL093	"mold release agent, liquid"	ml	0.1	1.2		XXX
88307	CMS	Lab	SL095	mounting media (Histomount)	ml	0.5	4		XXX
88307	CMS	Lab	SL122	"slide, microscope"	item	0.36	12		XXX
88307	CMS	Lab	SL135	"stain, hematoxylin"	ml	0.044	192		XXX
88307	CMS	Lab	SL151	xylenes solvent	ml	0.012	360		XXX
88307	CMS	Lab	SL189	"ethanol, 100%"	ml	0.0033	360		XXX
88307	CMS	Lab	SL190	"ethanol, 70%"	ml	0.0033	48		XXX
88307	CMS	Lab	SL201	"stain, eosin"	ml	0.06	48		XXX
88307	CMS	Lab	SL248	"ethanol, 95%"	ml	0.0033	216		XXX
88307	CMS	Lab	SL468	Paraffin repel	ml	0.21	2		XXX
88307	CMS	Lab	SL469	Clarifier	ml	0.007	24		XXX
88307	CMS	Lab	SL470	Marking Dyes	ml	0.47	5		XXX
88307	CMS	Lab	SL471	Q-tip	each	0.06	3		XXX
88307	CMS	Infection Control	SM017	formaldehyde spill control	ml	0.02	15		XXX
88307	CMS	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.04	15		XXX
88309	CMS	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	2		XXX
88309	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	0.1		XXX
88309	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	0.1		XXX
88309	CMS	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	2.61	1.8		XXX
88309	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	3		XXX
88309	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66	0.1		XXX
88309	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	10		XXX
88309	CMS	"Pharmacy, Rx"	SH001	acetic acid 5%	ml	0.03	3		XXX
88309	CMS	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.015	10		XXX
88309	CMS	Lab	SL020	bleach	ml	0.01	10		XXX
88309	CMS	Lab	SL030	"cover slip, glass"	item	0.114	18		XXX
88309	CMS	Lab	SL058	embedding cassette	item	0.1805	18		XXX
88309	CMS	Lab	SL060	embedding mold	item	0.1231	18		XXX
88309	CMS	Lab	SL061	embedding paraffin	kg	9.38	0.144		XXX
88309	CMS	Lab	SL068	fixative (for tissue specimen)	ml	0.013	750		XXX
88309	CMS	Lab	SL070	fixative processing (buffered formalin)	ml	0.009	252		XXX
88309	CMS	Lab	SL078	histology freezing spray (Freeze-It)	oz	1.32	0.2		XXX
88309	CMS	Lab	SL085	label for microscope slides	item	0.14	18		XXX
88309	CMS	Lab	SL093	"mold release agent, liquid"	ml	0.1	1.8		XXX
88309	CMS	Lab	SL095	mounting media (Histomount)	ml	0.5	6		XXX
88309	CMS	Lab	SL122	"slide, microscope"	item	0.36	18		XXX
88309	CMS	Lab	SL135	"stain, hematoxylin"	ml	0.044	288		XXX
88309	CMS	Lab	SL151	xylenes solvent	ml	0.012	540		XXX
88309	CMS	Lab	SL189	"ethanol, 100%"	ml	0.0033	540		XXX
88309	CMS	Lab	SL190	"ethanol, 70%"	ml	0.0033	72		XXX
88309	CMS	Lab	SL201	"stain, eosin"	ml	0.06	72		XXX
88309	CMS	Lab	SL248	"ethanol, 95%"	ml	0.0033	324		XXX
88309	CMS	Lab	SL468	Paraffin repel	ml	0.21	2		XXX
88309	CMS	Lab	SL469	Clarifier	ml	0.007	36		XXX
88309	CMS	Lab	SL470	Marking Dyes	ml	0.47	3		XXX
88309	CMS	Lab	SL471	Q-tip	each	0.06	1		XXX
88309	CMS	Lab	SL472	Specimen containter	item	1.12	1		XXX
88309	CMS	Infection Control	SM017	formaldehyde spill control	ml	0.02	15		XXX
88309	CMS	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.04	20		XXX
88311	CMS	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	1		XXX
88311	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1		XXX
88311	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1		XXX
88311	CMS	Lab	SL045	decalcifier solution	ml	0.01	40		XXX
88311	CMS	Lab	SL085	label for microscope slides	item	0.14	1		XXX
88312	CMS	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	3		XXX
88312	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX
88312	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1		XXX
88312	CMS	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	2.61	1		XXX
88312	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66	1		XXX
88312	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	5		XXX
88312	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	5.24		XXX
88312	CMS	Lab	SL020	bleach	ml	0.01	30		XXX
88312	CMS	Lab	SL030	"cover slip, glass"	item	0.114	2		XXX
88312	CMS	Lab	SL065	"filter paper, qualitative, 18.5cm"	item	0.14	1		XXX
88312	CMS	Lab	SL085	label for microscope slides	item	0.14	2		XXX
88312	CMS	Lab	SL112	positive control slide	item	30.97	1		XXX
88312	CMS	Lab	SL122	"slide, microscope"	item	0.36	2		XXX
88312	CMS	Lab	SL130	spatula (pathology)	item	0.99	4		XXX
88312	CMS	Lab	SL151	xylenes solvent	ml	0.012	50		XXX
88312	CMS	Lab	SL189	"ethanol, 100%"	ml	0.0033	255		XXX
88312	CMS	Lab	SL264	uranyl nitrate	oz	11.17	1.69		XXX
88312	CMS	Lab	SL265	hydroquinone	gm	8.1	0.5		XXX
88312	CMS	Lab	SL266	gum mastic	gm	1.98	1.25		XXX
88312	CMS	Lab	SL267	silver nitrate	gm	2.47	0.52		XXX
88312	CMS	Lab	SL273	weighing boat	item	0.21	1		XXX
88312	CMS	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.04	2		XXX
88313	CMS	"Kit, Pack, Tray"	SA110	Congo Red kits	test	6.8	1		XXX
88313	CMS	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	3		XXX
88313	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX
88313	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1		XXX
88313	CMS	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	2.61	1		XXX
88313	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66	1		XXX
88313	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	4		XXX
88313	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	2.367		XXX
88313	CMS	Lab	SL020	bleach	ml	0.01	30		XXX
88313	CMS	Lab	SL030	"cover slip, glass"	item	0.114	2		XXX
88313	CMS	Lab	SL065	"filter paper, qualitative, 18.5cm"	item	0.14	1		XXX
88313	CMS	Lab	SL077	hematoxylin reagent	ml	0.0375	25		XXX
88313	CMS	Lab	SL085	label for microscope slides	item	0.14	2		XXX
88313	CMS	Lab	SL109	"pipette, transfer 23ml"	item	0.16	1		XXX
88313	CMS	Lab	SL112	positive control slide	item	30.97	1		XXX
88313	CMS	Lab	SL122	"slide, microscope"	item	0.36	1		XXX
88313	CMS	Lab	SL128	sodium hydroxide	gm	0.04	1		XXX
88313	CMS	Lab	SL130	spatula (pathology)	item	0.99	1		XXX
88313	CMS	Lab	SL151	xylenes solvent	ml	0.012	50		XXX
88313	CMS	Lab	SL189	"ethanol, 100%"	ml	0.0033	235		XXX
88313	CMS	Lab	SL229	"HCl, 1% hydrochloric acid"	cc	0.14	0.25		XXX
88313	CMS	Lab	SL268	ammonium hydroxide	ml	0.082	0.5		XXX
88313	CMS	Lab	SL273	weighing boat	item	0.21	1		XXX
88313	CMS	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.04	1		XXX
88314	CMS	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	3		XXX
88314	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX
88314	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1		XXX
88314	CMS	"Hypodermic, IV"	SC095	syringe filter	item	1.87	1		XXX
88314	CMS	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.06	500		XXX
88314	CMS	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	2.61	1		XXX
88314	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66	1		XXX
88314	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	2		XXX
88314	CMS	Lab	SL020	bleach	ml	0.01	30		XXX
88314	CMS	Lab	SL030	"cover slip, glass"	item	0.114	2		XXX
88314	CMS	Lab	SL065	"filter paper, qualitative, 18.5cm"	item	0.14	1		XXX
88314	CMS	Lab	SL077	hematoxylin reagent	ml	0.0375	25		XXX
88314	CMS	Lab	SL085	label for microscope slides	item	0.14	2		XXX
88314	CMS	Lab	SL091	methylbutane (Isopentane)	ml	0.04	5		XXX
88314	CMS	Lab	SL095	mounting media (Histomount)	ml	0.5	0.5		XXX
88314	CMS	Lab	SL109	"pipette, transfer 23ml"	item	0.16	1		XXX
88314	CMS	Lab	SL112	positive control slide	item	30.97	1		XXX
88314	CMS	Lab	SL183	"slide, organosilane coated"	item	0.52	2		XXX
88314	CMS	Lab	SL189	"ethanol, 100%"	ml	0.0033	125		XXX
88314	CMS	Lab	SL268	ammonium hydroxide	ml	0.082	0.5		XXX
88314	CMS	Lab	SL271	10% Gum Tragacanth/OCT	oz	0.75	0.067		XXX
88314	CMS	Lab	SL272	cork disc (5 mm thick 15 mm diameter)	item	0.71	1		XXX
88314	CMS	Lab	SL273	weighing boat	item	0.21	1		XXX
88314	CMS	Lab	SL274	Oil Red O	ml	0.45	0.25		XXX
88319	CMS	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	3		XXX
88319	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX
88319	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1		XXX
88319	CMS	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.06	400		XXX
88319	CMS	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	2.61	1		XXX
88319	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66	1		XXX
88319	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1		XXX
88319	CMS	"Pharmacy, Rx"	SH099	.9% sodium chloride	ml	0.02	1.1		XXX
88319	CMS	Lab	SL001	acetone	ml	0.06	112		XXX
88319	CMS	Lab	SL020	bleach	ml	0.01	30		XXX
88319	CMS	Lab	SL030	"cover slip, glass"	item	0.114	1		XXX
88319	CMS	Lab	SL085	label for microscope slides	item	0.14	1		XXX
88319	CMS	Lab	SL091	methylbutane (Isopentane)	ml	0.04	5		XXX
88319	CMS	Lab	SL095	mounting media (Histomount)	ml	0.5	0.5		XXX
88319	CMS	Lab	SL104	"phosphate buffer, dibasic"	gm	0.13	85		XXX
88319	CMS	Lab	SL105	"phosphate buffer, monobasic"	gm	0.13	15		XXX
88319	CMS	Lab	SL109	"pipette, transfer 23ml"	item	0.16	3		XXX
88319	CMS	Lab	SL151	xylenes solvent	ml	0.012	30		XXX
88319	CMS	Lab	SL183	"slide, organosilane coated"	item	0.52	1		XXX
88319	CMS	Lab	SL189	"ethanol, 100%"	ml	0.0033	160		XXX
88319	CMS	Lab	SL269	NADH	mg	0.31	3		XXX
88319	CMS	Lab	SL270	Nitro blue tetrazolium	mg	0.81	8		XXX
88319	CMS	Lab	SL271	10% Gum Tragacanth/OCT	oz	0.75	0.067		XXX
88319	CMS	Lab	SL273	weighing boat	item	0.21	1		XXX
88321	CMS	Lab	SL085	label for microscope slides	item	0.14	10	0	XXX
88321	CMS	Lab	SL120	slide container (for 20 microscope slides)	item	3.78	1	0	XXX
88323	CMS	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	2		XXX
88323	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	0.1		XXX
88323	CMS	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	2.61	0.2		XXX
88323	CMS	Lab	SL020	bleach	ml	0.01	10		XXX
88323	CMS	Lab	SL030	"cover slip, glass"	item	0.114	2		XXX
88323	CMS	Lab	SL078	histology freezing spray (Freeze-It)	oz	1.32	0.2		XXX
88323	CMS	Lab	SL085	label for microscope slides	item	0.14	20		XXX
88323	CMS	Lab	SL095	mounting media (Histomount)	ml	0.5	2		XXX
88323	CMS	Lab	SL120	slide container (for 20 microscope slides)	item	3.78	1		XXX
88323	CMS	Lab	SL122	"slide, microscope"	item	0.36	2		XXX
88323	CMS	Lab	SL135	"stain, hematoxylin"	ml	0.044	16		XXX
88323	CMS	Lab	SL151	xylenes solvent	ml	0.012	60		XXX
88323	CMS	Lab	SL189	"ethanol, 100%"	ml	0.0033	60		XXX
88323	CMS	Lab	SL190	"ethanol, 70%"	ml	0.0033	8		XXX
88323	CMS	Lab	SL201	"stain, eosin"	ml	0.06	8		XXX
88323	CMS	Lab	SL248	"ethanol, 95%"	ml	0.0033	36		XXX
88323	CMS	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.04	2		XXX
88325	CMS	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	2	0	XXX
88325	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	0.1	0	XXX
88325	CMS	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	2.61	0.2	0	XXX
88325	CMS	Lab	SL020	bleach	ml	0.01	10	0	XXX
88325	CMS	Lab	SL030	"cover slip, glass"	item	0.114	2	0	XXX
88325	CMS	Lab	SL078	histology freezing spray (Freeze-It)	oz	1.32	0.2	0	XXX
88325	CMS	Lab	SL085	label for microscope slides	item	0.14	20	0	XXX
88325	CMS	Lab	SL095	mounting media (Histomount)	ml	0.5	2	0	XXX
88325	CMS	Lab	SL120	slide container (for 20 microscope slides)	item	3.78	1	0	XXX
88325	CMS	Lab	SL122	"slide, microscope"	item	0.36	2	0	XXX
88325	CMS	Lab	SL135	"stain, hematoxylin"	ml	0.044	16	0	XXX
88325	CMS	Lab	SL151	xylenes solvent	ml	0.012	60	0	XXX
88325	CMS	Lab	SL189	"ethanol, 100%"	ml	0.0033	60	0	XXX
88325	CMS	Lab	SL190	"ethanol, 70%"	ml	0.0033	8	0	XXX
88325	CMS	Lab	SL201	"stain, eosin"	ml	0.06	8	0	XXX
88325	CMS	Lab	SL248	"ethanol, 95%"	ml	0.0033	36	0	XXX
88325	CMS	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.04	2	0	XXX
88329	CMS	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	2	0	XXX
88329	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	XXX
88329	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	XXX
88329	CMS	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	4.97	1	0	XXX
88329	CMS	Lab	SL020	bleach	ml	0.01	50	0	XXX
88331	CMS	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	2		XXX
88331	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		XXX
88331	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2		XXX
88331	CMS	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	2.61	1		XXX
88331	CMS	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	4.97	1		XXX
88331	CMS	Lab	SL020	bleach	ml	0.01	50		XXX
88331	CMS	Lab	SL030	"cover slip, glass"	item	0.114	2		XXX
88331	CMS	Lab	SL058	embedding cassette	item	0.1805	1		XXX
88331	CMS	Lab	SL060	embedding mold	item	0.1231	1		XXX
88331	CMS	Lab	SL078	histology freezing spray (Freeze-It)	oz	1.32	0.1		XXX
88331	CMS	Lab	SL085	label for microscope slides	item	0.14	2		XXX
88331	CMS	Lab	SL095	mounting media (Histomount)	ml	0.5	0.2		XXX
88331	CMS	Lab	SL097	OCT Tissue-Tek	ml	0.14	2		XXX
88331	CMS	Lab	SL122	"slide, microscope"	item	0.36	2		XXX
88331	CMS	Lab	SL134	"stain, frozen section, H&E (1ml per slide)"	ml	0.68	1		XXX
88331	CMS	Lab	SL470	Marking Dyes	ml	0.47	4		XXX
88331	CMS	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.04	1		XXX
88332	CMS	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	2		XXX
88332	CMS	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	4.97	1		XXX
88332	CMS	Lab	SL030	"cover slip, glass"	item	0.114	2		XXX
88332	CMS	Lab	SL058	embedding cassette	item	0.1805	1		XXX
88332	CMS	Lab	SL060	embedding mold	item	0.1231	1		XXX
88332	CMS	Lab	SL078	histology freezing spray (Freeze-It)	oz	1.32	0.1		XXX
88332	CMS	Lab	SL085	label for microscope slides	item	0.14	2		XXX
88332	CMS	Lab	SL095	mounting media (Histomount)	ml	0.5	0.2		XXX
88332	CMS	Lab	SL097	OCT Tissue-Tek	ml	0.14	2		XXX
88332	CMS	Lab	SL122	"slide, microscope"	item	0.36	2		XXX
88332	CMS	Lab	SL134	"stain, frozen section, H&E (1ml per slide)"	ml	0.68	1		XXX
88332	CMS	Lab	SL470	Marking Dyes	ml	0.47	4		XXX
88332	CMS	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.04	1		XXX
88333	CMS	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	2		XXX
88333	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		XXX
88333	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2		XXX
88333	CMS	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	4.97	1		XXX
88333	CMS	Lab	SL020	bleach	ml	0.01	50		XXX
88333	CMS	Lab	SL030	"cover slip, glass"	item	0.114	4		XXX
88333	CMS	Lab	SL085	label for microscope slides	item	0.14	4		XXX
88333	CMS	Lab	SL095	mounting media (Histomount)	ml	0.5	0.4		XXX
88333	CMS	Lab	SL122	"slide, microscope"	item	0.36	4		XXX
88333	CMS	Lab	SL139	"stain, quick differential (5ml per slide)"	ml	0.05	20		XXX
88333	CMS	Lab	SL248	"ethanol, 95%"	ml	0.0033	50		XXX
88333	CMS	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.04	4		XXX
88334	CMS	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	2		ZZZ
88334	CMS	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	4.97	1		ZZZ
88334	CMS	Lab	SL030	"cover slip, glass"	item	0.114	4		ZZZ
88334	CMS	Lab	SL085	label for microscope slides	item	0.14	4		ZZZ
88334	CMS	Lab	SL095	mounting media (Histomount)	ml	0.5	0.4		ZZZ
88334	CMS	Lab	SL122	"slide, microscope"	item	0.36	4		ZZZ
88334	CMS	Lab	SL139	"stain, quick differential (5ml per slide)"	ml	0.05	20		ZZZ
88334	CMS	Lab	SL248	"ethanol, 95%"	ml	0.0033	50		ZZZ
88334	CMS	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.04	1		ZZZ
88341	CMS	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	2.61	0.3		ZZZ
88341	CMS	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	4.97	1		ZZZ
88341	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	4		ZZZ
88341	CMS	Lab	SL030	"cover slip, glass"	item	0.114	3		ZZZ
88341	CMS	Lab	SL058	embedding cassette	item	0.1805	1		ZZZ
88341	CMS	Lab	SL060	embedding mold	item	0.1231	1		ZZZ
88341	CMS	Lab	SL122	"slide, microscope"	item	0.36	3		ZZZ
88341	CMS	Lab	SL151	xylenes solvent	ml	0.012	50		ZZZ
88341	CMS	Lab	SL189	"ethanol, 100%"	ml	0.0033	50		ZZZ
88341	CMS	Lab	SL248	"ethanol, 95%"	ml	0.0033	50		ZZZ
88341	CMS	Lab	SL475	E-bar labels (Ventana 1358501)	item	1.104	3		ZZZ
88341	CMS	Lab	SL476	E-Bar Printer Ribbon (Ventana 1632900) (prints 8100 labels)	item	141.67	0.00024691		ZZZ
88341	CMS	Lab	SL477	Permanent marking pen	item	2.81	0.00065		ZZZ
88341	CMS	Lab	SL478	Reaction buffer 10X (Ventana 950-300)	ml	0.045	6		ZZZ
88341	CMS	Lab	SL479	Liquid coverslip (Ventana 650-010)	ml	0.084	12		ZZZ
88341	CMS	Lab	SL480	SSC (10X) (Ventana 950-110)	ml	0.069	4.8		ZZZ
88341	CMS	Lab	SL481	EZ Prep (10X) (Ventana 950-102)	ml	0.034	3		ZZZ
88341	CMS	Lab	SL482	Cell Conditioning 1 (Ventana 950-124)	ml	0.937	3		ZZZ
88341	CMS	Lab	SL483	Hematoxylin II (Ventana 790-2208)	ml	0.78	0.2		ZZZ
88341	CMS	Lab	SL484	Bluing reagent (Ventana 760-2037)	ml	4.2467	0.2		ZZZ
88341	CMS	Lab	SL485	Cover slip glue/Mounting media	ml	0.39	0.5		ZZZ
88341	CMS	Lab	SL488	UltraView Universal DAB Detection Kit	test	12.28	2		ZZZ
88341	CMS	Lab	SL495	Anti CD45 Monoclonal Antibody	Test	8.73	2		ZZZ
88341	CMS	Infection Control	SM024	"soap, liquid, antibacterial"	oz	0.17	0.1		ZZZ
88341	CMS	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.04	2		ZZZ
88342	CMS	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	2		XXX
88342	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	0.2		XXX
88342	CMS	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	2.61	0.3		XXX
88342	CMS	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	4.97	1		XXX
88342	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66	0.1		XXX
88342	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	4		XXX
88342	CMS	Lab	SL020	bleach	ml	0.01	10		XXX
88342	CMS	Lab	SL030	"cover slip, glass"	item	0.114	3		XXX
88342	CMS	Lab	SL058	embedding cassette	item	0.1805	1		XXX
88342	CMS	Lab	SL060	embedding mold	item	0.1231	1		XXX
88342	CMS	Lab	SL122	"slide, microscope"	item	0.36	3		XXX
88342	CMS	Lab	SL151	xylenes solvent	ml	0.012	50		XXX
88342	CMS	Lab	SL189	"ethanol, 100%"	ml	0.0033	50		XXX
88342	CMS	Lab	SL248	"ethanol, 95%"	ml	0.0033	50		XXX
88342	CMS	Lab	SL474	Confirm anti-CD15 Mouse Monoclonal Antibody (Ventana 760-2504)	test	9.24	2		XXX
88342	CMS	Lab	SL475	E-bar labels (Ventana 1358501)	item	1.104	3		XXX
88342	CMS	Lab	SL476	E-Bar Printer Ribbon (Ventana 1632900) (prints 8100 labels)	item	141.67	0.00024691		XXX
88342	CMS	Lab	SL477	Permanent marking pen	item	2.81	0.00065		XXX
88342	CMS	Lab	SL478	Reaction buffer 10X (Ventana 950-300)	ml	0.045	6		XXX
88342	CMS	Lab	SL479	Liquid coverslip (Ventana 650-010)	ml	0.084	12		XXX
88342	CMS	Lab	SL480	SSC (10X) (Ventana 950-110)	ml	0.069	4.8		XXX
88342	CMS	Lab	SL481	EZ Prep (10X) (Ventana 950-102)	ml	0.034	3		XXX
88342	CMS	Lab	SL482	Cell Conditioning 1 (Ventana 950-124)	ml	0.937	3		XXX
88342	CMS	Lab	SL483	Hematoxylin II (Ventana 790-2208)	ml	0.78	0.2		XXX
88342	CMS	Lab	SL484	Bluing reagent (Ventana 760-2037)	ml	4.2467	0.2		XXX
88342	CMS	Lab	SL485	Cover slip glue/Mounting media	ml	0.39	0.5		XXX
88342	CMS	Lab	SL488	UltraView Universal DAB Detection Kit	test	12.28	2		XXX
88342	CMS	Infection Control	SM024	"soap, liquid, antibacterial"	oz	0.17	0.1		XXX
88342	CMS	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.04	2		XXX
88344	CMS	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	2		XXX
88344	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	0.2		XXX
88344	CMS	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	2.61	0.3		XXX
88344	CMS	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	4.97	1		XXX
88344	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66	0.1		XXX
88344	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	4		XXX
88344	CMS	Lab	SL020	bleach	ml	0.01	10		XXX
88344	CMS	Lab	SL030	"cover slip, glass"	item	0.114	3		XXX
88344	CMS	Lab	SL058	embedding cassette	item	0.1805	1		XXX
88344	CMS	Lab	SL060	embedding mold	item	0.1231	1		XXX
88344	CMS	Lab	SL122	"slide, microscope"	item	0.36	3		XXX
88344	CMS	Lab	SL151	xylenes solvent	ml	0.012	50		XXX
88344	CMS	Lab	SL189	"ethanol, 100%"	ml	0.0033	50		XXX
88344	CMS	Lab	SL248	"ethanol, 95%"	ml	0.0033	50		XXX
88344	CMS	Lab	SL475	E-bar labels (Ventana 1358501)	item	1.104	3		XXX
88344	CMS	Lab	SL476	E-Bar Printer Ribbon (Ventana 1632900) (prints 8100 labels)	item	141.67	0.00024691		XXX
88344	CMS	Lab	SL477	Permanent marking pen	item	2.81	0.0065		XXX
88344	CMS	Lab	SL478	Reaction buffer 10X (Ventana 950-300)	ml	0.045	9		XXX
88344	CMS	Lab	SL479	Liquid coverslip (Ventana 650-010)	ml	0.084	18		XXX
88344	CMS	Lab	SL480	SSC (10X) (Ventana 950-110)	ml	0.069	4.8		XXX
88344	CMS	Lab	SL481	EZ Prep (10X) (Ventana 950-102)	ml	0.034	3		XXX
88344	CMS	Lab	SL482	Cell Conditioning 1 (Ventana 950-124)	ml	0.937	3		XXX
88344	CMS	Lab	SL483	Hematoxylin II (Ventana 790-2208)	ml	0.78	0.2		XXX
88344	CMS	Lab	SL484	Bluing reagent (Ventana 760-2037)	ml	4.2467	0.2		XXX
88344	CMS	Lab	SL485	Cover slip glue/Mounting media	ml	0.39	0.5		XXX
88344	CMS	Lab	SL486	250 Test Prep Kit # 78 (Ventana 786-3034)	per test	0.309	1		XXX
88344	CMS	Lab	SL487	"monoclonal rabbit anti-AMACR, clone 13 H4 (Cell Marque)"	ml	40.45	0.1		XXX
88344	CMS	Lab	SL488	UltraView Universal DAB Detection Kit	test	12.28	2		XXX
88344	CMS	Lab	SL489	UtraView Universal Alkaline Phosphatase Red Detection Kit	per test	27.72	2		XXX
88344	CMS	Lab	SL496	34 Beta E12	Test	8.34	2		XXX
88344	CMS	Infection Control	SM024	"soap, liquid, antibacterial"	oz	0.17	0.1		XXX
88344	CMS	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.04	2		XXX
88346	CMS	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	4		XXX
88346	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX
88346	CMS	"Accessory, Procedure"	SD309	Immunofluorescent mounting media	ml	74.73	0.6		XXX
88346	CMS	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	2.61	1		XXX
88346	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66	1		XXX
88346	CMS	"Office Supply, Grocery"	SK120	Hydrophobic PAP Pen	item (100 uses)	2.48	0.01		XXX
88346	CMS	Lab	SL001	acetone	ml	0.06	13		XXX
88346	CMS	Lab	SL013	antibody IgG FITC	ml	299.22	0.04		XXX
88346	CMS	Lab	SL020	bleach	ml	0.01	50		XXX
88346	CMS	Lab	SL030	"cover slip, glass"	item	0.114	4.5		XXX
88346	CMS	Lab	SL078	histology freezing spray (Freeze-It)	oz	1.32	0.1		XXX
88346	CMS	Lab	SL085	label for microscope slides	item	0.14	4.5		XXX
88346	CMS	Lab	SL095	mounting media (Histomount)	ml	0.5	0.4		XXX
88346	CMS	Lab	SL097	OCT Tissue-Tek	ml	0.14	2		XXX
88346	CMS	Lab	SL107	phosphate buffered saline solution	ml	0.01	50		XXX
88346	CMS	Lab	SL110	pipette tip (blue-yellow)	item	0.13	1		XXX
88346	CMS	Lab	SL122	"slide, microscope"	item	0.36	4.5		XXX
88346	CMS	Lab	SL231	"kit, stain, H&E"	kit	277.58	0.1		XXX
88346	CMS	Lab	SL473	"Slide, charged"	item	0.39	4.5		XXX
88346	CMS	Lab	SL518	Zeus medium	ml	0.9	10		XXX
88348	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	4		XXX
88348	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX
88348	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
88348	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	2		XXX
88348	CMS	"Hypodermic, IV"	SC095	syringe filter	item	1.87	1		XXX
88348	CMS	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.06	250		XXX
88348	CMS	"Accessory, Procedure"	SD086	grids	item	0.22	4		XXX
88348	CMS	"Cutters, Closures, Cautery"	SF005	"blade, single edge"	item	0.63	2		XXX
88348	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	2		XXX
88348	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	18		XXX
88348	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	10		XXX
88348	CMS	"Office Supply, Grocery"	SK097	canned air (Dust-Off)	oz	1.66	0.05		XXX
88348	CMS	Lab	SL018	"beaker, 250 ml"	item	0.44	1		XXX
88348	CMS	Lab	SL025	chloroform	ml	0.027	0.1		XXX
88348	CMS	Lab	SL030	"cover slip, glass"	item	0.114	8		XXX
88348	CMS	Lab	SL044	DDSA	gm	0.15	3		XXX
88348	CMS	Lab	SL050	DMP 30	gm	0.21	0.4		XXX
88348	CMS	Lab	SL057	embedding capsules	item	0.07	8		XXX
88348	CMS	Lab	SL059	embedding epoxy (NMA)	ml	0.02	7		XXX
88348	CMS	Lab	SL064	"filter paper, qualitative, <15.0cm"	item	0.14	2		XXX
88348	CMS	Lab	SL074	glass strip (each)	item	3.68	0.25		XXX
88348	CMS	Lab	SL075	glutaraldehyde 25%	ml	0.13	1		XXX
88348	CMS	Lab	SL079	"hydrochloric acid 0.1%, std soln"	ml	0.017	0.03		XXX
88348	CMS	Lab	SL085	label for microscope slides	item	0.14	11		XXX
88348	CMS	Lab	SL087	lens paper	item	0.31	1		XXX
88348	CMS	Lab	SL088	lint-free cloth	item	0.26	1		XXX
88348	CMS	Lab	SL095	mounting media (Histomount)	ml	0.5	1		XXX
88348	CMS	Lab	SL098	osmium tetroxide	gm	37.44	0.06		XXX
88348	CMS	Lab	SL103	petri dish	item	0.39	1		XXX
88348	CMS	Lab	SL108	pipette	item	0.06	2		XXX
88348	CMS	Lab	SL111	Poly Bed 812	gm	0.29	10		XXX
88348	CMS	Lab	SL116	propylene oxide	ml	0.17	30		XXX
88348	CMS	Lab	SL122	"slide, microscope"	item	0.36	8		XXX
88348	CMS	Lab	SL125	sodium cacodylate	gm	0.62	0.5		XXX
88348	CMS	Lab	SL127	sodium citrate	gm	0.32	0.1		XXX
88348	CMS	Lab	SL128	sodium hydroxide	gm	0.04	1		XXX
88348	CMS	Lab	SL147	uranyl acetate	gm	3.1	0.2		XXX
88348	CMS	Lab	SL154	alcohol ethyl 100%	ml	0.028	20		XXX
88348	CMS	Lab	SL155	"applicator, wood, 6.5in"	item	0.0079	3		XXX
88348	CMS	Lab	SL158	diamond knife cleaning rod	item	1.47	0.5		XXX
88348	CMS	Lab	SL159	"gas, nitrogen"	cu ft	2.02	0.1		XXX
88348	CMS	Lab	SL160	glass knife boat	item	0.22	1		XXX
88348	CMS	Lab	SL161	grid storage box (holds 50 grids)	item	7.88	0.08		XXX
88348	CMS	Lab	SL162	lead citrate	gm	1.2	0.01		XXX
88348	CMS	Lab	SL164	osmometer sample tip and cleaner	item	0.81	1		XXX
88348	CMS	Lab	SL165	"osmometer std, 50 mOsm-kg, 2ml amp"	ml	13.23	0.05		XXX
88348	CMS	Lab	SL166	"osmometer std, 850 mOsm-kg, 2ml amp"	ml	13.23	0.05		XXX
88348	CMS	Lab	SL167	"paper, weighing (glassine)"	item	0.03	1		XXX
88348	CMS	Lab	SL168	pipette bulb	item	0.25	2		XXX
88348	CMS	Lab	SL169	"pipette, 9inch"	item	0.17	2		XXX
88348	CMS	Lab	SL171	sodium barbital	gm	1.36	0.1		XXX
88348	CMS	Lab	SL172	specimen block storage box	item	1.98	1		XXX
88348	CMS	Lab	SL173	"sucrose, reagent"	gm	0.037	0.6		XXX
88348	CMS	Lab	SL174	Toluidine Blue O (for microscopy)	gm	0.58	0.1		XXX
88348	CMS	Lab	SL175	underpad 2ft x 2ft (lab bench)	item	0.51	1		XXX
88348	CMS	Lab	SL176	"vial, specimen-sample, 4ml"	item	0.27	1		XXX
88348	CMS	Lab	SL177	wax sheet	item	0.2	1		XXX
88348	CMS	Infection Control	SM017	formaldehyde spill control	ml	0.02	5		XXX
88348	CMS	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.04	6		XXX
88350	CMS	"Accessory, Procedure"	SD309	Immunofluorescent mounting media	ml	74.73	0.4		ZZZ
88350	CMS	"Office Supply, Grocery"	SK120	Hydrophobic PAP Pen	item (100 uses)	2.48	0.01		ZZZ
88350	CMS	Lab	SL001	acetone	ml	0.06	13		ZZZ
88350	CMS	Lab	SL012	antibody IgA FITC	ml	87.5	0.5		ZZZ
88350	CMS	Lab	SL030	"cover slip, glass"	item	0.114	1.5		ZZZ
88350	CMS	Lab	SL078	histology freezing spray (Freeze-It)	oz	1.32	0.1		ZZZ
88350	CMS	Lab	SL085	label for microscope slides	item	0.14	1.5		ZZZ
88350	CMS	Lab	SL107	phosphate buffered saline solution	ml	0.01	50		ZZZ
88350	CMS	Lab	SL110	pipette tip (blue-yellow)	item	0.13	1		ZZZ
88350	CMS	Lab	SL122	"slide, microscope"	item	0.36	1.5		ZZZ
88350	CMS	Lab	SL473	"Slide, charged"	item	0.39	1.5		ZZZ
88350	CMS	Lab	SL518	Zeus medium	ml	0.9	10		ZZZ
88355	CMS	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	3		XXX
88355	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		XXX
88355	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2		XXX
88355	CMS	"Accessory, Procedure"	SD005	biopsy sponge (Histo-Prep)	item	0.2665	2		XXX
88355	CMS	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	2.61	1		XXX
88355	CMS	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	4.97	2		XXX
88355	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66	2		XXX
88355	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	2		XXX
88355	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	6		XXX
88355	CMS	"Office Supply, Grocery"	SK073	skin marking ink (tattoo)	ml	0.51	0.01		XXX
88355	CMS	"Office Supply, Grocery"	SK103	"cork sheet, 1cm x 1 cm"	item	0.05	4		XXX
88355	CMS	"Office Supply, Grocery"	SK104	"foil, aluminum, 10 cm x 10 cm"	item	0.02	1		XXX
88355	CMS	Lab	SL004	alcohol reagent solvent	ml	0.011	250		XXX
88355	CMS	Lab	SL005	"alcohol, acid"	ml	0.03	5.4		XXX
88355	CMS	Lab	SL020	bleach	ml	0.01	50		XXX
88355	CMS	Lab	SL026	clearing agent (Histo-clear)	ml	0.02	12		XXX
88355	CMS	Lab	SL030	"cover slip, glass"	item	0.114	3		XXX
88355	CMS	Lab	SL031	"cover slip, liquid (M-1)"	ml	0.08	0.1		XXX
88355	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1		XXX
88355	CMS	Lab	SL058	embedding cassette	item	0.1805	1		XXX
88355	CMS	Lab	SL060	embedding mold	item	0.1231	1		XXX
88355	CMS	Lab	SL061	embedding paraffin	kg	9.38	0.012		XXX
88355	CMS	Lab	SL068	fixative (for tissue specimen)	ml	0.013	50		XXX
88355	CMS	Lab	SL070	fixative processing (buffered formalin)	ml	0.009	16		XXX
88355	CMS	Lab	SL078	histology freezing spray (Freeze-It)	oz	1.32	0.2		XXX
88355	CMS	Lab	SL085	label for microscope slides	item	0.14	2		XXX
88355	CMS	Lab	SL090	"methanol, absolute, 99.8% min."	ml	0.02	1.5		XXX
88355	CMS	Lab	SL091	methylbutane (Isopentane)	ml	0.04	300		XXX
88355	CMS	Lab	SL093	"mold release agent, liquid"	ml	0.1	0.5		XXX
88355	CMS	Lab	SL095	mounting media (Histomount)	ml	0.5	3		XXX
88355	CMS	Lab	SL097	OCT Tissue-Tek	ml	0.14	2		XXX
88355	CMS	Lab	SL107	phosphate buffered saline solution	ml	0.01	11		XXX
88355	CMS	Lab	SL108	pipette	item	0.06	1		XXX
88355	CMS	Lab	SL122	"slide, microscope"	item	0.36	2		XXX
88355	CMS	Lab	SL134	"stain, frozen section, H&E (1ml per slide)"	ml	0.68	6		XXX
88355	CMS	Lab	SL135	"stain, hematoxylin"	ml	0.044	5.4		XXX
88355	CMS	Lab	SL149	waterbath reagent	ml	0.002	3		XXX
88355	CMS	Lab	SL151	xylenes solvent	ml	0.012	60		XXX
88355	CMS	Lab	SL188	"EM fixative, karnovsky's"	ml	0.32	15		XXX
88355	CMS	Lab	SL198	"label, vial"	item	0.02	2		XXX
88355	CMS	Lab	SL199	"lithium carbonate, saturated"	ml	0.02	5.4		XXX
88355	CMS	Lab	SL201	"stain, eosin"	ml	0.06	5.4		XXX
88355	CMS	Lab	SL203	"vial, 10 ml, plastic (-70 degree storage)"	item	1.3	1		XXX
88355	CMS	Lab	SL204	"vial, kimble sample, non sterile, glass, 20 ml"	item	0.8	1		XXX
88355	CMS	Infection Control	SM017	formaldehyde spill control	ml	0.02	5		XXX
88355	CMS	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.04	2		XXX
88356	CMS	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	6		XXX
88356	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		XXX
88356	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2		XXX
88356	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	3		XXX
88356	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	2		XXX
88356	CMS	"Hypodermic, IV"	SC095	syringe filter	item	1.87	4		XXX
88356	CMS	"Accessory, Procedure"	SD086	grids	item	0.22	4		XXX
88356	CMS	"Cutters, Closures, Cautery"	SF005	"blade, single edge"	item	0.63	2		XXX
88356	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66	2		XXX
88356	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	5		XXX
88356	CMS	Lab	SL005	"alcohol, acid"	ml	0.03	5.4		XXX
88356	CMS	Lab	SL018	"beaker, 250 ml"	item	0.44	3		XXX
88356	CMS	Lab	SL020	bleach	ml	0.01	40		XXX
88356	CMS	Lab	SL030	"cover slip, glass"	item	0.114	5		XXX
88356	CMS	Lab	SL031	"cover slip, liquid (M-1)"	ml	0.08	0.1		XXX
88356	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1		XXX
88356	CMS	Lab	SL044	DDSA	gm	0.15	3		XXX
88356	CMS	Lab	SL050	DMP 30	gm	0.21	0.4		XXX
88356	CMS	Lab	SL057	embedding capsules	item	0.07	8		XXX
88356	CMS	Lab	SL059	embedding epoxy (NMA)	ml	0.02	7		XXX
88356	CMS	Lab	SL064	"filter paper, qualitative, <15.0cm"	item	0.14	2		XXX
88356	CMS	Lab	SL074	glass strip (each)	item	3.68	0.25		XXX
88356	CMS	Lab	SL075	glutaraldehyde 25%	ml	0.13	15		XXX
88356	CMS	Lab	SL079	"hydrochloric acid 0.1%, std soln"	ml	0.017	0.03		XXX
88356	CMS	Lab	SL085	label for microscope slides	item	0.14	8		XXX
88356	CMS	Lab	SL087	lens paper	item	0.31	1		XXX
88356	CMS	Lab	SL088	lint-free cloth	item	0.26	1		XXX
88356	CMS	Lab	SL095	mounting media (Histomount)	ml	0.5	3		XXX
88356	CMS	Lab	SL098	osmium tetroxide	gm	37.44	0.06		XXX
88356	CMS	Lab	SL103	petri dish	item	0.39	1		XXX
88356	CMS	Lab	SL108	pipette	item	0.06	1		XXX
88356	CMS	Lab	SL111	Poly Bed 812	gm	0.29	10		XXX
88356	CMS	Lab	SL116	propylene oxide	ml	0.17	30		XXX
88356	CMS	Lab	SL122	"slide, microscope"	item	0.36	8		XXX
88356	CMS	Lab	SL149	waterbath reagent	ml	0.002	3		XXX
88356	CMS	Lab	SL160	glass knife boat	item	0.22	2		XXX
88356	CMS	Lab	SL167	"paper, weighing (glassine)"	item	0.03	1		XXX
88356	CMS	Lab	SL168	pipette bulb	item	0.25	4		XXX
88356	CMS	Lab	SL169	"pipette, 9inch"	item	0.17	4		XXX
88356	CMS	Lab	SL172	specimen block storage box	item	1.98	1		XXX
88356	CMS	Lab	SL174	Toluidine Blue O (for microscopy)	gm	0.58	0.1		XXX
88356	CMS	Lab	SL175	underpad 2ft x 2ft (lab bench)	item	0.51	1		XXX
88356	CMS	Lab	SL176	"vial, specimen-sample, 4ml"	item	0.27	1		XXX
88356	CMS	Lab	SL177	wax sheet	item	0.2	1		XXX
88356	CMS	Lab	SL199	"lithium carbonate, saturated"	ml	0.02	5.4		XXX
88356	CMS	Lab	SL204	"vial, kimble sample, non sterile, glass, 20 ml"	item	0.8	1		XXX
88356	CMS	Infection Control	SM017	formaldehyde spill control	ml	0.02	100		XXX
88356	CMS	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.04	6		XXX
88358	CMS	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	1		XXX
88358	CMS	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	2.61	1		XXX
88358	CMS	Lab	SL005	"alcohol, acid"	ml	0.03	0.2		XXX
88358	CMS	Lab	SL030	"cover slip, glass"	item	0.114	3		XXX
88358	CMS	Lab	SL051	DNA 0.05N HCl rinse reagent	ml	0.004	0.2		XXX
88358	CMS	Lab	SL052	DNA 0.1N HCl staining soln	ml	0.004	0.2		XXX
88358	CMS	Lab	SL053	DNA 5N HCl	ml	0.004	0.2		XXX
88358	CMS	Lab	SL054	DNA calibration slides	item	2.38	1		XXX
88358	CMS	Lab	SL055	DNA stain kit (per test)	item	144.83	0.1		XXX
88358	CMS	Lab	SL085	label for microscope slides	item	0.14	3		XXX
88358	CMS	Lab	SL112	positive control slide	item	30.97	1		XXX
88358	CMS	Lab	SL122	"slide, microscope"	item	0.36	2		XXX
88358	CMS	Lab	SL135	"stain, hematoxylin"	ml	0.044	5		XXX
88358	CMS	Infection Control	SM016	"eye shield, splash protection"	item	3.18	1		XXX
88360	CMS	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	1		XXX
88360	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	0.07		XXX
88360	CMS	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	2.61	0.3		XXX
88360	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66	0.03		XXX
88360	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	4		XXX
88360	CMS	Lab	SL020	bleach	ml	0.01	3		XXX
88360	CMS	Lab	SL030	"cover slip, glass"	item	0.114	3		XXX
88360	CMS	Lab	SL058	embedding cassette	item	0.1805	0.02		XXX
88360	CMS	Lab	SL060	embedding mold	item	0.1231	0.02		XXX
88360	CMS	Lab	SL122	"slide, microscope"	item	0.36	3		XXX
88360	CMS	Lab	SL151	xylenes solvent	ml	0.012	50		XXX
88360	CMS	Lab	SL189	"ethanol, 100%"	ml	0.0033	50		XXX
88360	CMS	Lab	SL248	"ethanol, 95%"	ml	0.0033	50		XXX
88360	CMS	Lab	SL475	E-bar labels (Ventana 1358501)	item	1.104	3		XXX
88360	CMS	Lab	SL477	Permanent marking pen	item	2.81	0.0065		XXX
88360	CMS	Lab	SL478	Reaction buffer 10X (Ventana 950-300)	ml	0.045	6		XXX
88360	CMS	Lab	SL479	Liquid coverslip (Ventana 650-010)	ml	0.084	12		XXX
88360	CMS	Lab	SL480	SSC (10X) (Ventana 950-110)	ml	0.069	4.8		XXX
88360	CMS	Lab	SL481	EZ Prep (10X) (Ventana 950-102)	ml	0.034	3		XXX
88360	CMS	Lab	SL482	Cell Conditioning 1 (Ventana 950-124)	ml	0.937	3		XXX
88360	CMS	Lab	SL483	Hematoxylin II (Ventana 790-2208)	ml	0.78	0.2		XXX
88360	CMS	Lab	SL484	Bluing reagent (Ventana 760-2037)	ml	4.2467	0.2		XXX
88360	CMS	Lab	SL485	Cover slip glue/Mounting media	ml	0.39	0.5		XXX
88360	CMS	Lab	SL486	250 Test Prep Kit # 78 (Ventana 786-3034)	per test	0.309	2		XXX
88360	CMS	Lab	SL488	UltraView Universal DAB Detection Kit	test	12.28	2		XXX
88360	CMS	Lab	SL493	Antibody Estrogen Receptor monoclonal	Test	20.91	2		XXX
88360	CMS	Infection Control	SM024	"soap, liquid, antibacterial"	oz	0.17	0.1		XXX
88360	CMS	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.04	2		XXX
88361	CMS	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	1		XXX
88361	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	0.07		XXX
88361	CMS	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	2.61	0.3		XXX
88361	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66	0.03		XXX
88361	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	4		XXX
88361	CMS	Lab	SL020	bleach	ml	0.01	3		XXX
88361	CMS	Lab	SL030	"cover slip, glass"	item	0.114	3		XXX
88361	CMS	Lab	SL058	embedding cassette	item	0.1805	0.02		XXX
88361	CMS	Lab	SL060	embedding mold	item	0.1231	0.02		XXX
88361	CMS	Lab	SL122	"slide, microscope"	item	0.36	3		XXX
88361	CMS	Lab	SL151	xylenes solvent	ml	0.012	50		XXX
88361	CMS	Lab	SL189	"ethanol, 100%"	ml	0.0033	50		XXX
88361	CMS	Lab	SL248	"ethanol, 95%"	ml	0.0033	50		XXX
88361	CMS	Lab	SL475	E-bar labels (Ventana 1358501)	item	1.104	3		XXX
88361	CMS	Lab	SL477	Permanent marking pen	item	2.81	0.0065		XXX
88361	CMS	Lab	SL478	Reaction buffer 10X (Ventana 950-300)	ml	0.045	6		XXX
88361	CMS	Lab	SL479	Liquid coverslip (Ventana 650-010)	ml	0.084	12		XXX
88361	CMS	Lab	SL480	SSC (10X) (Ventana 950-110)	ml	0.069	4.8		XXX
88361	CMS	Lab	SL481	EZ Prep (10X) (Ventana 950-102)	ml	0.034	3		XXX
88361	CMS	Lab	SL482	Cell Conditioning 1 (Ventana 950-124)	ml	0.937	3		XXX
88361	CMS	Lab	SL483	Hematoxylin II (Ventana 790-2208)	ml	0.78	0.2		XXX
88361	CMS	Lab	SL484	Bluing reagent (Ventana 760-2037)	ml	4.2467	0.2		XXX
88361	CMS	Lab	SL485	Cover slip glue/Mounting media	ml	0.39	0.5		XXX
88361	CMS	Lab	SL486	250 Test Prep Kit # 78 (Ventana 786-3034)	per test	0.309	2		XXX
88361	CMS	Lab	SL488	UltraView Universal DAB Detection Kit	test	12.28	2		XXX
88361	CMS	Lab	SL493	Antibody Estrogen Receptor monoclonal	Test	20.91	2		XXX
88361	CMS	Infection Control	SM024	"soap, liquid, antibacterial"	oz	0.17	0.1		XXX
88361	CMS	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.04	2		XXX
88362	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	3		XXX
88362	CMS	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	1		XXX
88362	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2		XXX
88362	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2		XXX
88362	CMS	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.95	2		XXX
88362	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	2		XXX
88362	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	2		XXX
88362	CMS	"Cutters, Closures, Cautery"	SF005	"blade, single edge"	item	0.63	4		XXX
88362	CMS	Lab	SL001	acetone	ml	0.06	5		XXX
88362	CMS	Lab	SL006	"alcohol, ethyl, denatured"	ml	0	120		XXX
88362	CMS	Lab	SL018	"beaker, 250 ml"	item	0.44	6		XXX
88362	CMS	Lab	SL027	color coded cap and vial (for antigen)	item	0.63	2		XXX
88362	CMS	Lab	SL044	DDSA	gm	0.15	12		XXX
88362	CMS	Lab	SL050	DMP 30	gm	0.21	1		XXX
88362	CMS	Lab	SL061	embedding paraffin	kg	9.38	0.01		XXX
88362	CMS	Lab	SL075	glutaraldehyde 25%	ml	0.13	0.5		XXX
88362	CMS	Lab	SL085	label for microscope slides	item	0.14	2		XXX
88362	CMS	Lab	SL088	lint-free cloth	item	0.26	1		XXX
88362	CMS	Lab	SL098	osmium tetroxide	gm	37.44	0.01		XXX
88362	CMS	Lab	SL099	paraformaldehyde	gm	0.05	0.005		XXX
88362	CMS	Lab	SL103	petri dish	item	0.39	2		XXX
88362	CMS	Lab	SL104	"phosphate buffer, dibasic"	gm	0.13	0.3		XXX
88362	CMS	Lab	SL105	"phosphate buffer, monobasic"	gm	0.13	0.3		XXX
88362	CMS	Lab	SL108	pipette	item	0.06	6		XXX
88362	CMS	Lab	SL111	Poly Bed 812	gm	0.29	30		XXX
88362	CMS	Lab	SL116	propylene oxide	ml	0.17	3		XXX
88362	CMS	Lab	SL122	"slide, microscope"	item	0.36	2		XXX
88362	CMS	Lab	SL125	sodium cacodylate	gm	0.62	0.016		XXX
88362	CMS	Lab	SL127	sodium citrate	gm	0.32	0.25		XXX
88362	CMS	Lab	SL128	sodium hydroxide	gm	0.04	5		XXX
88362	CMS	Lab	SL130	spatula (pathology)	item	0.99	2		XXX
88362	CMS	Lab	SL147	uranyl acetate	gm	3.1	1		XXX
88362	CMS	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.04	8		XXX
88364	CMS	"Kit, Pack, Tray"	SA117	Universal Detection Kit	kit	6.05	2		ZZZ
88364	CMS	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	0.25		ZZZ
88364	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	0.25		ZZZ
88364	CMS	"Accessory, Procedure"	SD226	"forceps, sterile, blunt tip, polystyrene"	item	1.55	0.5		ZZZ
88364	CMS	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	2.61	0.25		ZZZ
88364	CMS	"Pharmacy, NonRx"	SJ070	rubber cement	ml	0.12	0.4		ZZZ
88364	CMS	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.015	0.5		ZZZ
88364	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	175		ZZZ
88364	CMS	Lab	SL030	"cover slip, glass"	item	0.114	2		ZZZ
88364	CMS	Lab	SL080	immersion oil	ml	0.079	0.1		ZZZ
88364	CMS	Lab	SL085	label for microscope slides	item	0.14	2		ZZZ
88364	CMS	Lab	SL122	"slide, microscope"	item	0.36	2		ZZZ
88364	CMS	Lab	SL135	"stain, hematoxylin"	ml	0.044	16		ZZZ
88364	CMS	Lab	SL178	0.2N HCL	ml	0.09	12.5		ZZZ
88364	CMS	Lab	SL179	1.0N NaOH	ml	0.65	0.25		ZZZ
88364	CMS	Lab	SL180	phosphate buffered saline (PBS)	ml	0.01	12.5		ZZZ
88364	CMS	Lab	SL181	"pipette tips, sterile"	item	0.19	1		ZZZ
88364	CMS	Lab	SL182	mounting media (DAPI II counterstain)	ml	95.28	0.015		ZZZ
88364	CMS	Lab	SL189	"ethanol, 100%"	ml	0.0033	62.5		ZZZ
88364	CMS	Lab	SL194	Hemo-De	ml	0.0083	37.5		ZZZ
88364	CMS	Lab	SL195	"kit, FISH paraffin pretreatment"	kit	22	2		ZZZ
88364	CMS	Lab	SL201	"stain, eosin"	ml	0.06	4		ZZZ
88364	CMS	Lab	SL248	"ethanol, 95%"	ml	0.0033	62.5		ZZZ
88364	CMS	Lab	SL500	CMV DNA Probe Cocktail	ul	0.11	40		ZZZ
88364	CMS	Lab	SL512	positive control slide (proxy for CMV Positive Control Slide)	item	31.8	0.5		ZZZ
88364	CMS	Lab	SL513	positive control slide (proxy for CMV Negative Control Slide)	item	31.8	0.5		ZZZ
88364	CMS	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.04	0.5		ZZZ
88365	CMS	"Kit, Pack, Tray"	SA117	Universal Detection Kit	kit	6.05	2		XXX
88365	CMS	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	0.25		XXX
88365	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	0.25		XXX
88365	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	0.25		XXX
88365	CMS	"Accessory, Procedure"	SD226	"forceps, sterile, blunt tip, polystyrene"	item	1.55	0.5		XXX
88365	CMS	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	2.61	0.25		XXX
88365	CMS	"Pharmacy, NonRx"	SJ070	rubber cement	ml	0.12	0.4		XXX
88365	CMS	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.015	0.5		XXX
88365	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	175		XXX
88365	CMS	Lab	SL020	bleach	ml	0.01	10		XXX
88365	CMS	Lab	SL030	"cover slip, glass"	item	0.114	2		XXX
88365	CMS	Lab	SL080	immersion oil	ml	0.079	0.1		XXX
88365	CMS	Lab	SL085	label for microscope slides	item	0.14	2		XXX
88365	CMS	Lab	SL122	"slide, microscope"	item	0.36	2		XXX
88365	CMS	Lab	SL135	"stain, hematoxylin"	ml	0.044	16		XXX
88365	CMS	Lab	SL178	0.2N HCL	ml	0.09	12.5		XXX
88365	CMS	Lab	SL179	1.0N NaOH	ml	0.65	0.25		XXX
88365	CMS	Lab	SL180	phosphate buffered saline (PBS)	ml	0.01	12.5		XXX
88365	CMS	Lab	SL181	"pipette tips, sterile"	item	0.19	1		XXX
88365	CMS	Lab	SL182	mounting media (DAPI II counterstain)	ml	95.28	0.015		XXX
88365	CMS	Lab	SL189	"ethanol, 100%"	ml	0.0033	62.5		XXX
88365	CMS	Lab	SL190	"ethanol, 70%"	ml	0.0033	12.5		XXX
88365	CMS	Lab	SL191	"ethanol, 85%"	ml	0.0215	12.5		XXX
88365	CMS	Lab	SL194	Hemo-De	ml	0.0083	37.5		XXX
88365	CMS	Lab	SL195	"kit, FISH paraffin pretreatment"	kit	22	2		XXX
88365	CMS	Lab	SL201	"stain, eosin"	ml	0.06	4		XXX
88365	CMS	Lab	SL248	"ethanol, 95%"	ml	0.0033	62.5		XXX
88365	CMS	Lab	SL497	(EBER) DNA Probe Cocktail	Test	10.8097	1.6		XXX
88365	CMS	Lab	SL507	EBER positive control slide	item	29.41	0.5		XXX
88365	CMS	Lab	SL516	positive control slide (proxy for EBER Negative Control Slide)	item	31.8	0.5		XXX
88365	CMS	Infection Control	SM016	"eye shield, splash protection"	item	3.18	0.25		XXX
88365	CMS	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.04	0.5		XXX
88366	CMS	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	0.25		XXX
88366	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	0.25		XXX
88366	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	0.25		XXX
88366	CMS	"Accessory, Procedure"	SD178	"kit, bcr/abl DNA Probe"	kit	46.34	2		XXX
88366	CMS	"Accessory, Procedure"	SD226	"forceps, sterile, blunt tip, polystyrene"	item	1.55	0.5		XXX
88366	CMS	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	2.61	0.25		XXX
88366	CMS	"Pharmacy, NonRx"	SJ070	rubber cement	ml	0.12	0.4		XXX
88366	CMS	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.015	0.5		XXX
88366	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	175		XXX
88366	CMS	Lab	SL020	bleach	ml	0.01	10		XXX
88366	CMS	Lab	SL030	"cover slip, glass"	item	0.114	4		XXX
88366	CMS	Lab	SL080	immersion oil	ml	0.079	0.1		XXX
88366	CMS	Lab	SL085	label for microscope slides	item	0.14	2		XXX
88366	CMS	Lab	SL122	"slide, microscope"	item	0.36	2		XXX
88366	CMS	Lab	SL135	"stain, hematoxylin"	ml	0.044	16		XXX
88366	CMS	Lab	SL178	0.2N HCL	ml	0.09	12.5		XXX
88366	CMS	Lab	SL179	1.0N NaOH	ml	0.65	0.25		XXX
88366	CMS	Lab	SL180	phosphate buffered saline (PBS)	ml	0.01	12.5		XXX
88366	CMS	Lab	SL181	"pipette tips, sterile"	item	0.19	1		XXX
88366	CMS	Lab	SL182	mounting media (DAPI II counterstain)	ml	95.28	0.015		XXX
88366	CMS	Lab	SL189	"ethanol, 100%"	ml	0.0033	62.5		XXX
88366	CMS	Lab	SL190	"ethanol, 70%"	ml	0.0033	12.5		XXX
88366	CMS	Lab	SL191	"ethanol, 85%"	ml	0.0215	12.5		XXX
88366	CMS	Lab	SL194	Hemo-De	ml	0.0083	37.5		XXX
88366	CMS	Lab	SL195	"kit, FISH paraffin pretreatment"	kit	22	2		XXX
88366	CMS	Lab	SL201	"stain, eosin"	ml	0.06	4		XXX
88366	CMS	Lab	SL248	"ethanol, 95%"	ml	0.0033	62.5		XXX
88366	CMS	Lab	SL514	positive control slide (proxy for IGH@BCL2 Positive Control Slide)	item	31.8	0.5		XXX
88366	CMS	Lab	SL515	positive control slide (proxy for IGH@BCL2 Negative Control Slide )	item	31.8	0.5		XXX
88366	CMS	Infection Control	SM016	"eye shield, splash protection"	item	3.18	0.25		XXX
88366	CMS	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.04	0.5		XXX
88367	CMS	"Kit, Pack, Tray"	SA117	Universal Detection Kit	kit	6.05	1.4		XXX
88367	CMS	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	0.125		XXX
88367	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	0.125		XXX
88367	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	0.125		XXX
88367	CMS	"Accessory, Procedure"	SD226	"forceps, sterile, blunt tip, polystyrene"	item	1.55	0.2		XXX
88367	CMS	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	2.61	0.125		XXX
88367	CMS	"Pharmacy, NonRx"	SJ070	rubber cement	ml	0.12	0.3		XXX
88367	CMS	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.015	0.2		XXX
88367	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	175		XXX
88367	CMS	Lab	SL020	bleach	ml	0.01	4.5		XXX
88367	CMS	Lab	SL030	"cover slip, glass"	item	0.114	1.4		XXX
88367	CMS	Lab	SL080	immersion oil	ml	0.079	0.05		XXX
88367	CMS	Lab	SL085	label for microscope slides	item	0.14	1.4		XXX
88367	CMS	Lab	SL122	"slide, microscope"	item	0.36	1.4		XXX
88367	CMS	Lab	SL135	"stain, hematoxylin"	ml	0.044	16		XXX
88367	CMS	Lab	SL178	0.2N HCL	ml	0.09	6.25		XXX
88367	CMS	Lab	SL179	1.0N NaOH	ml	0.65	0.125		XXX
88367	CMS	Lab	SL180	phosphate buffered saline (PBS)	ml	0.01	6.25		XXX
88367	CMS	Lab	SL181	"pipette tips, sterile"	item	0.19	0.75		XXX
88367	CMS	Lab	SL182	mounting media (DAPI II counterstain)	ml	95.28	0.0075		XXX
88367	CMS	Lab	SL189	"ethanol, 100%"	ml	0.0033	18.75		XXX
88367	CMS	Lab	SL190	"ethanol, 70%"	ml	0.0033	6.25		XXX
88367	CMS	Lab	SL191	"ethanol, 85%"	ml	0.0215	6.25		XXX
88367	CMS	Lab	SL194	Hemo-De	ml	0.0083	18.8		XXX
88367	CMS	Lab	SL195	"kit, FISH paraffin pretreatment"	kit	22	0.75		XXX
88367	CMS	Lab	SL201	"stain, eosin"	ml	0.06	4		XXX
88367	CMS	Lab	SL248	"ethanol, 95%"	ml	0.0033	18.75		XXX
88367	CMS	Lab	SL498	Kappa Probe Cocktail	ul	0.91	28		XXX
88367	CMS	Lab	SL508	positive control slide (proxy for Kappa Positive Control Slide)	item	31.8	0.2		XXX
88367	CMS	Lab	SL509	positive control slide (proxy for Kappa Negative Control Slide)	item	31.8	0.2		XXX
88367	CMS	Infection Control	SM016	"eye shield, splash protection"	item	3.18	0.125		XXX
88367	CMS	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.04	0.2		XXX
88368	CMS	"Kit, Pack, Tray"	SA117	Universal Detection Kit	kit	6.05	1.4		XXX
88368	CMS	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	1.25		XXX
88368	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	0.125		XXX
88368	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	0.125		XXX
88368	CMS	"Accessory, Procedure"	SD226	"forceps, sterile, blunt tip, polystyrene"	item	1.55	0.2		XXX
88368	CMS	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	2.61	0.125		XXX
88368	CMS	"Pharmacy, NonRx"	SJ070	rubber cement	ml	0.12	0.3		XXX
88368	CMS	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.015	0.2		XXX
88368	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	175		XXX
88368	CMS	Lab	SL020	bleach	ml	0.01	4.5		XXX
88368	CMS	Lab	SL030	"cover slip, glass"	item	0.114	1.4		XXX
88368	CMS	Lab	SL080	immersion oil	ml	0.079	0.05		XXX
88368	CMS	Lab	SL085	label for microscope slides	item	0.14	1.4		XXX
88368	CMS	Lab	SL122	"slide, microscope"	item	0.36	1.4		XXX
88368	CMS	Lab	SL135	"stain, hematoxylin"	ml	0.044	16		XXX
88368	CMS	Lab	SL178	0.2N HCL	ml	0.09	6.25		XXX
88368	CMS	Lab	SL179	1.0N NaOH	ml	0.65	0.125		XXX
88368	CMS	Lab	SL180	phosphate buffered saline (PBS)	ml	0.01	6.25		XXX
88368	CMS	Lab	SL181	"pipette tips, sterile"	item	0.19	0.75		XXX
88368	CMS	Lab	SL182	mounting media (DAPI II counterstain)	ml	95.28	0.0075		XXX
88368	CMS	Lab	SL189	"ethanol, 100%"	ml	0.0033	18.75		XXX
88368	CMS	Lab	SL190	"ethanol, 70%"	ml	0.0033	6.25		XXX
88368	CMS	Lab	SL191	"ethanol, 85%"	ml	0.0215	6.25		XXX
88368	CMS	Lab	SL194	Hemo-De	ml	0.0083	18.8		XXX
88368	CMS	Lab	SL195	"kit, FISH paraffin pretreatment"	kit	22	0.75		XXX
88368	CMS	Lab	SL201	"stain, eosin"	ml	0.06	4		XXX
88368	CMS	Lab	SL248	"ethanol, 95%"	ml	0.0033	18.75		XXX
88368	CMS	Lab	SL498	Kappa Probe Cocktail	ul	0.91	28		XXX
88368	CMS	Lab	SL508	positive control slide (proxy for Kappa Positive Control Slide)	item	31.8	0.2		XXX
88368	CMS	Lab	SL509	positive control slide (proxy for Kappa Negative Control Slide)	item	31.8	0.2		XXX
88368	CMS	Infection Control	SM016	"eye shield, splash protection"	item	3.18	1.25		XXX
88368	CMS	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.04	0.2		XXX
88369	CMS	"Kit, Pack, Tray"	SA117	Universal Detection Kit	kit	6.05	2		ZZZ
88369	CMS	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	0.25		ZZZ
88369	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	0.25		ZZZ
88369	CMS	"Accessory, Procedure"	SD226	"forceps, sterile, blunt tip, polystyrene"	item	1.55	0.5		ZZZ
88369	CMS	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	2.61	0.25		ZZZ
88369	CMS	"Pharmacy, NonRx"	SJ070	rubber cement	ml	0.12	0.4		ZZZ
88369	CMS	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.015	0.5		ZZZ
88369	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	175		ZZZ
88369	CMS	Lab	SL030	"cover slip, glass"	item	0.114	2		ZZZ
88369	CMS	Lab	SL080	immersion oil	ml	0.079	0.1		ZZZ
88369	CMS	Lab	SL085	label for microscope slides	item	0.14	2		ZZZ
88369	CMS	Lab	SL122	"slide, microscope"	item	0.36	2		ZZZ
88369	CMS	Lab	SL135	"stain, hematoxylin"	ml	0.044	16		ZZZ
88369	CMS	Lab	SL178	0.2N HCL	ml	0.09	12.5		ZZZ
88369	CMS	Lab	SL179	1.0N NaOH	ml	0.65	0.25		ZZZ
88369	CMS	Lab	SL180	phosphate buffered saline (PBS)	ml	0.01	12.5		ZZZ
88369	CMS	Lab	SL181	"pipette tips, sterile"	item	0.19	1		ZZZ
88369	CMS	Lab	SL182	mounting media (DAPI II counterstain)	ml	95.28	0.015		ZZZ
88369	CMS	Lab	SL189	"ethanol, 100%"	ml	0.0033	37.5		ZZZ
88369	CMS	Lab	SL194	Hemo-De	ml	0.0083	37.5		ZZZ
88369	CMS	Lab	SL195	"kit, FISH paraffin pretreatment"	kit	22	2		ZZZ
88369	CMS	Lab	SL201	"stain, eosin"	ml	0.06	4		ZZZ
88369	CMS	Lab	SL248	"ethanol, 95%"	ml	0.0033	37.5		ZZZ
88369	CMS	Lab	SL499	Lambda Probe Cocktail	ul	0.04	40		ZZZ
88369	CMS	Lab	SL510	positive control slide (proxy for Lambda Positive Control Slide)	item	31.8	0.5		ZZZ
88369	CMS	Lab	SL511	positive control slide (proxy for Lambda Negative Control Slide)	item	31.8	0.5		ZZZ
88369	CMS	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.04	0.5		ZZZ
88373	CMS	"Kit, Pack, Tray"	SA117	Universal Detection Kit	kit	6.05	1.4		ZZZ
88373	CMS	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	0.125		ZZZ
88373	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	0.125		ZZZ
88373	CMS	"Accessory, Procedure"	SD226	"forceps, sterile, blunt tip, polystyrene"	item	1.55	0.2		ZZZ
88373	CMS	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	2.61	0.125		ZZZ
88373	CMS	"Pharmacy, NonRx"	SJ070	rubber cement	ml	0.12	0.3		ZZZ
88373	CMS	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.015	0.2		ZZZ
88373	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	175		ZZZ
88373	CMS	Lab	SL030	"cover slip, glass"	item	0.114	1.4		ZZZ
88373	CMS	Lab	SL080	immersion oil	ml	0.079	0.05		ZZZ
88373	CMS	Lab	SL085	label for microscope slides	item	0.14	1.4		ZZZ
88373	CMS	Lab	SL122	"slide, microscope"	item	0.36	1.4		ZZZ
88373	CMS	Lab	SL135	"stain, hematoxylin"	ml	0.044	16		ZZZ
88373	CMS	Lab	SL178	0.2N HCL	ml	0.09	6.25		ZZZ
88373	CMS	Lab	SL179	1.0N NaOH	ml	0.65	0.125		ZZZ
88373	CMS	Lab	SL180	phosphate buffered saline (PBS)	ml	0.01	6.25		ZZZ
88373	CMS	Lab	SL181	"pipette tips, sterile"	item	0.19	0.75		ZZZ
88373	CMS	Lab	SL182	mounting media (DAPI II counterstain)	ml	95.28	0.0075		ZZZ
88373	CMS	Lab	SL189	"ethanol, 100%"	ml	0.0033	31.25		ZZZ
88373	CMS	Lab	SL194	Hemo-De	ml	0.0083	18.8		ZZZ
88373	CMS	Lab	SL195	"kit, FISH paraffin pretreatment"	kit	22	1.4		ZZZ
88373	CMS	Lab	SL201	"stain, eosin"	ml	0.06	4		ZZZ
88373	CMS	Lab	SL248	"ethanol, 95%"	ml	0.0033	31.25		ZZZ
88373	CMS	Lab	SL499	Lambda Probe Cocktail	ul	0.04	28		ZZZ
88373	CMS	Lab	SL510	positive control slide (proxy for Lambda Positive Control Slide)	item	31.8	0.2		ZZZ
88373	CMS	Lab	SL511	positive control slide (proxy for Lambda Negative Control Slide)	item	31.8	0.2		ZZZ
88373	CMS	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.04	0.2		ZZZ
88374	CMS	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	0.125		XXX
88374	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	0.125		XXX
88374	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	0.125		XXX
88374	CMS	"Accessory, Procedure"	SD226	"forceps, sterile, blunt tip, polystyrene"	item	1.55	0.2		XXX
88374	CMS	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	2.61	0.125		XXX
88374	CMS	"Pharmacy, NonRx"	SJ070	rubber cement	ml	0.12	0.3		XXX
88374	CMS	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.015	0.2		XXX
88374	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	175		XXX
88374	CMS	Lab	SL020	bleach	ml	0.01	4.5		XXX
88374	CMS	Lab	SL030	"cover slip, glass"	item	0.114	2.8		XXX
88374	CMS	Lab	SL070	fixative processing (buffered formalin)	ml	0.009	0.25		XXX
88374	CMS	Lab	SL080	immersion oil	ml	0.079	0.05		XXX
88374	CMS	Lab	SL085	label for microscope slides	item	0.14	1.4		XXX
88374	CMS	Lab	SL122	"slide, microscope"	item	0.36	1.4		XXX
88374	CMS	Lab	SL135	"stain, hematoxylin"	ml	0.044	16		XXX
88374	CMS	Lab	SL178	0.2N HCL	ml	0.09	6.25		XXX
88374	CMS	Lab	SL179	1.0N NaOH	ml	0.65	0.125		XXX
88374	CMS	Lab	SL180	phosphate buffered saline (PBS)	ml	0.01	6.25		XXX
88374	CMS	Lab	SL181	"pipette tips, sterile"	item	0.19	0.75		XXX
88374	CMS	Lab	SL182	mounting media (DAPI II counterstain)	ml	95.28	0.0075		XXX
88374	CMS	Lab	SL184	"slide, negative control, Her-2"	item	27.5	0.2		XXX
88374	CMS	Lab	SL185	"slide, positive control, Her-2"	item	26.2	0.2		XXX
88374	CMS	Lab	SL189	"ethanol, 100%"	ml	0.0033	31.25		XXX
88374	CMS	Lab	SL190	"ethanol, 70%"	ml	0.0033	6.25		XXX
88374	CMS	Lab	SL191	"ethanol, 85%"	ml	0.0215	6.25		XXX
88374	CMS	Lab	SL192	formamide	ml	0.2	6.25		XXX
88374	CMS	Lab	SL194	Hemo-De	ml	0.0083	18.8		XXX
88374	CMS	Lab	SL195	"kit, FISH paraffin pretreatment"	kit	22	1.4		XXX
88374	CMS	Lab	SL196	"kit, HER-2/neu DNA Probe"	kit assay	119.74	2.4		XXX
88374	CMS	Lab	SL201	"stain, eosin"	ml	0.06	4		XXX
88374	CMS	Lab	SL248	"ethanol, 95%"	ml	0.0033	31.25		XXX
88374	CMS	Infection Control	SM016	"eye shield, splash protection"	item	3.18	0.125		XXX
88374	CMS	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.04	0.2		XXX
88377	CMS	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	0.25		XXX
88377	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	0.25		XXX
88377	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	0.25		XXX
88377	CMS	"Accessory, Procedure"	SD226	"forceps, sterile, blunt tip, polystyrene"	item	1.55	0.5		XXX
88377	CMS	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	2.61	0.25		XXX
88377	CMS	"Pharmacy, NonRx"	SJ070	rubber cement	ml	0.12	0.4		XXX
88377	CMS	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.015	0.5		XXX
88377	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	175		XXX
88377	CMS	Lab	SL020	bleach	ml	0.01	10		XXX
88377	CMS	Lab	SL030	"cover slip, glass"	item	0.114	4		XXX
88377	CMS	Lab	SL070	fixative processing (buffered formalin)	ml	0.009	0.5		XXX
88377	CMS	Lab	SL080	immersion oil	ml	0.079	0.1		XXX
88377	CMS	Lab	SL085	label for microscope slides	item	0.14	2		XXX
88377	CMS	Lab	SL122	"slide, microscope"	item	0.36	2		XXX
88377	CMS	Lab	SL135	"stain, hematoxylin"	ml	0.044	16		XXX
88377	CMS	Lab	SL178	0.2N HCL	ml	0.09	12.5		XXX
88377	CMS	Lab	SL179	1.0N NaOH	ml	0.65	0.25		XXX
88377	CMS	Lab	SL180	phosphate buffered saline (PBS)	ml	0.01	12.5		XXX
88377	CMS	Lab	SL181	"pipette tips, sterile"	item	0.19	1		XXX
88377	CMS	Lab	SL182	mounting media (DAPI II counterstain)	ml	95.28	0.015		XXX
88377	CMS	Lab	SL184	"slide, negative control, Her-2"	item	27.5	0.5		XXX
88377	CMS	Lab	SL185	"slide, positive control, Her-2"	item	26.2	0.5		XXX
88377	CMS	Lab	SL189	"ethanol, 100%"	ml	0.0033	37.5		XXX
88377	CMS	Lab	SL190	"ethanol, 70%"	ml	0.0033	12.5		XXX
88377	CMS	Lab	SL191	"ethanol, 85%"	ml	0.0215	12.5		XXX
88377	CMS	Lab	SL192	formamide	ml	0.2	12.5		XXX
88377	CMS	Lab	SL194	Hemo-De	ml	0.0083	37.5		XXX
88377	CMS	Lab	SL195	"kit, FISH paraffin pretreatment"	kit	22	2		XXX
88377	CMS	Lab	SL196	"kit, HER-2/neu DNA Probe"	kit assay	119.74	3		XXX
88377	CMS	Lab	SL201	"stain, eosin"	ml	0.06	4		XXX
88377	CMS	Lab	SL248	"ethanol, 95%"	ml	0.0033	37.5		XXX
88377	CMS	Infection Control	SM016	"eye shield, splash protection"	item	3.18	0.25		XXX
88377	CMS	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.04	0.5		XXX
88380	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	4		XXX
88380	CMS	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	2.61	1		XXX
88380	CMS	"Cutters, Closures, Cautery"	SF053	"blade, sharp pointed surgical"	item	1.2	2		XXX
88380	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66	1		XXX
88380	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	4		XXX
88380	CMS	Lab	SL030	"cover slip, glass"	item	0.114	1		XXX
88380	CMS	Lab	SL085	label for microscope slides	item	0.14	11		XXX
88380	CMS	Lab	SL095	mounting media (Histomount)	ml	0.5	2		XXX
88380	CMS	Lab	SL122	"slide, microscope"	item	0.36	11		XXX
88380	CMS	Lab	SL135	"stain, hematoxylin"	ml	0.044	1		XXX
88380	CMS	Lab	SL151	xylenes solvent	ml	0.012	100		XXX
88380	CMS	Lab	SL189	"ethanol, 100%"	ml	0.0033	100		XXX
88380	CMS	Lab	SL190	"ethanol, 70%"	ml	0.0033	100		XXX
88380	CMS	Lab	SL201	"stain, eosin"	ml	0.06	1		XXX
88380	CMS	Lab	SL240	"tube, centrifuge, micro, 1.5 ml, DNase free snap lock"	item	0.09	2		XXX
88380	CMS	Lab	SL246	"buffer, lysis"	ml	0.58	0.05		XXX
88380	CMS	Lab	SL247	"caps, Capsure Macro LCM"	ml	5.27	2		XXX
88380	CMS	Lab	SL248	"ethanol, 95%"	ml	0.0033	100		XXX
88380	CMS	Lab	SL250	methylene blue stain	ml	0.24	11		XXX
88380	CMS	Lab	SL494	Surface Decontaminant (DNA Away)	ml	0.06	2		XXX
88380	CMS	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.04	1		XXX
88381	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	4		XXX
88381	CMS	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	2.61	1		XXX
88381	CMS	"Cutters, Closures, Cautery"	SF053	"blade, sharp pointed surgical"	item	1.2	2		XXX
88381	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66	1		XXX
88381	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	4		XXX
88381	CMS	Lab	SL030	"cover slip, glass"	item	0.114	1		XXX
88381	CMS	Lab	SL085	label for microscope slides	item	0.14	9		XXX
88381	CMS	Lab	SL095	mounting media (Histomount)	ml	0.5	2		XXX
88381	CMS	Lab	SL122	"slide, microscope"	item	0.36	9		XXX
88381	CMS	Lab	SL135	"stain, hematoxylin"	ml	0.044	1		XXX
88381	CMS	Lab	SL151	xylenes solvent	ml	0.012	100		XXX
88381	CMS	Lab	SL189	"ethanol, 100%"	ml	0.0033	100		XXX
88381	CMS	Lab	SL190	"ethanol, 70%"	ml	0.0033	100		XXX
88381	CMS	Lab	SL201	"stain, eosin"	ml	0.06	1		XXX
88381	CMS	Lab	SL240	"tube, centrifuge, micro, 1.5 ml, DNase free snap lock"	item	0.09	2		XXX
88381	CMS	Lab	SL246	"buffer, lysis"	ml	0.58	0.05		XXX
88381	CMS	Lab	SL248	"ethanol, 95%"	ml	0.0033	100		XXX
88381	CMS	Lab	SL250	methylene blue stain	ml	0.24	8		XXX
88381	CMS	Lab	SL251	Rnase-free water	ml	3.71	50		XXX
88381	CMS	Lab	SL494	Surface Decontaminant (DNA Away)	ml	0.06	2		XXX
88381	CMS	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.04	1		XXX
88387	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2		XXX
88387	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX
88387	CMS	"Accessory, Procedure"	SD226	"forceps, sterile, blunt tip, polystyrene"	item	1.55	1		XXX
88387	CMS	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	4.97	1		XXX
88387	CMS	Lab	SL020	bleach	ml	0.01	50		XXX
88387	CMS	Lab	SL103	petri dish	item	0.39	1		XXX
88387	CMS	Lab	SL167	"paper, weighing (glassine)"	item	0.03	1		XXX
88387	CMS	Lab	SL245	"weighing dishes, pour boats"	item	0.19	1		XXX
88387	CMS	Lab	SL263	"Plastic storage container, 11oz"	item		1		XXX
89049	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1	0	XXX
89049	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	XXX
89049	CMS	"Gown, Drape"	SB030	"lab coat, staff"	item	9.27	1	0	XXX
89049	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	8	0	XXX
89049	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	1	0	XXX
89049	CMS	"Cutters, Closures, Cautery"	SF050	"suture, plain, gut, 2-0 to 6-0"	item	6.05	4	0	XXX
89049	CMS	"Office Supply, Grocery"	SK060	"paper, recording, roll (per foot)"	foot	0.14	30	0	XXX
89049	CMS	Lab	SL104	"phosphate buffer, dibasic"	gm	0.13	0.6	0	XXX
89049	CMS	Lab	SL110	pipette tip (blue-yellow)	item	0.13	24	0	XXX
89049	CMS	Lab	SL143	test tube	item	0.2	8	0	XXX
89049	CMS	Lab	SL211	caffeine	gm	0.214	2	0	XXX
89049	CMS	Lab	SL212	"CHCT buffer (NaCl, NaHCO3, KCl, KH2PO4, MgSO4,CaCl12-2H20)"	liter	1.61	1	0	XXX
89049	CMS	Lab	SL222	"gas, halothane"	ml	0.66	24	0	XXX
89049	CMS	Lab	SL223	"gas, mixture, tank G, 5% CO2 and 95% O2"	item	19.48	0.333	0	XXX
89049	CMS	Lab	SL224	"gas, mixture, tank H"	item	24.59	0.333	0	XXX
89049	CMS	Lab	SL229	"HCl, 1% hydrochloric acid"	cc	0.14	1	0	XXX
89049	CMS	Lab	SL232	KOH	gm	0.084	2	0	XXX
89049	CMS	Lab	SL245	"weighing dishes, pour boats"	item	0.19	4	0	XXX
89049	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	8	0	XXX
89049	CMS	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.04	50	0	XXX
89220	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	4		XXX
89220	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1		XXX
90460	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1		XXX
90460	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
90460	CMS	"Office Supply, Grocery"	SK012	CDC information sheet	item	0.03	1		XXX
90471	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1		XXX
90471	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
90471	CMS	"Office Supply, Grocery"	SK012	CDC information sheet	item	0.03	1		XXX
90472	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1		ZZZ
90472	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		ZZZ
90472	CMS	"Office Supply, Grocery"	SK012	CDC information sheet	item	0.03	1		ZZZ
90473	CMS	"Office Supply, Grocery"	SK012	CDC information sheet	item	0.03	1		XXX
90474	CMS	"Office Supply, Grocery"	SK012	CDC information sheet	item	0.03	1		ZZZ
90480	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1	0	XXX
90480	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	XXX
90480	RUC	"Office Supply, Grocery"	SK012	CDC information sheet	item	0.03	1	0	XXX
90482	RUC	"Office Supply, Grocery"	SK012	CDC information sheet	item	0.03	2	0	XXX
90483	RUC	"Office Supply, Grocery"	SK012	CDC information sheet	item	0.03	2	0	XXX
90484	RUC	"Office Supply, Grocery"	SK012	CDC information sheet	item	0.03	6	0	XXX
90791	CMS	"Office Supply, Grocery"	SK005	assessment monitoring instruments	item	0.34	1	0	XXX
90791	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1	0	XXX
90791	CMS	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.87	0.05	0	XXX
90792	CMS	"Office Supply, Grocery"	SK005	assessment monitoring instruments	item	0.34	1	0	XXX
90792	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1	0	XXX
90792	CMS	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.87	0.05	0	XXX
90832	CMS	"Office Supply, Grocery"	SK005	assessment monitoring instruments	item	0.34	0.25	0	XXX
90832	CMS	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.87	0.05	0	XXX
90832	CMS	"Office Supply, Grocery"	SK115	Reproduced patient worksheet	item		0.5	0	XXX
90833	CMS	"Office Supply, Grocery"	SK005	assessment monitoring instruments	item	0.34	0.25	0	ZZZ
90833	CMS	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.87	0.05	0	ZZZ
90833	CMS	"Office Supply, Grocery"	SK115	Reproduced patient worksheet	item		0.5	0	ZZZ
90834	CMS	"Office Supply, Grocery"	SK005	assessment monitoring instruments	item	0.34	0.25	0	XXX
90834	CMS	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.87	0.05	0	XXX
90834	CMS	"Office Supply, Grocery"	SK115	Reproduced patient worksheet	item		0.5	0	XXX
90836	CMS	"Office Supply, Grocery"	SK005	assessment monitoring instruments	item	0.34	0.25	0	ZZZ
90836	CMS	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.87	0.05	0	ZZZ
90836	CMS	"Office Supply, Grocery"	SK115	Reproduced patient worksheet	item		0.5	0	ZZZ
90837	CMS	"Office Supply, Grocery"	SK005	assessment monitoring instruments	item	0.34	0.25	0	XXX
90837	CMS	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.87	0.05	0	XXX
90837	CMS	"Office Supply, Grocery"	SK115	Reproduced patient worksheet	item		0.5	0	XXX
90838	CMS	"Office Supply, Grocery"	SK005	assessment monitoring instruments	item	0.34	0.25	0	ZZZ
90838	CMS	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.87	0.05	0	ZZZ
90838	CMS	"Office Supply, Grocery"	SK115	Reproduced patient worksheet	item		0.5	0	ZZZ
90839	CMS	"Office Supply, Grocery"	SK005	assessment monitoring instruments	item	0.34	0.25	0	XXX
90839	CMS	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.87	0.1	0	XXX
90839	CMS	"Office Supply, Grocery"	SK115	Reproduced patient worksheet	item		0.5	0	XXX
90840	CMS	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.87	0.05	0	ZZZ
90845	CMS	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.87	0.05	0	XXX
90846	CMS	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.87	0.05	0	XXX
90847	CMS	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.87	0.05	0	XXX
90853	CMS	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.87	0.05	0	XXX
90865	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	XXX
90865	CMS	"Hypodermic, IV"	SC018	iv infusion set	item	1.27	1	0	XXX
90865	CMS	"Accessory, Procedure"	SD084	"gas, oxygen"	liter	0.01	198	0	XXX
90870	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
90870	CMS	"Hypodermic, IV"	SC018	iv infusion set	item	1.27	1	0	000
90870	CMS	"Accessory, Procedure"	SD006	bite block	item	2.6	1	0	000
90870	CMS	"Accessory, Procedure"	SD055	"electrode, electrical stimulation"	item	0.41	2	0	000
90870	CMS	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.05	2	0	000
90870	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
90870	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	8	0	000
90875	CMS	"Kit, Pack, Tray"	SA001	"kit, activity-crafts"	kit	13.49	0.04	0	XXX
90875	CMS	"Kit, Pack, Tray"	SA033	"kit, therapeutic toys-games"	kit	0.2	0.2	0	XXX
90876	CMS	"Accessory, Procedure"	SD055	"electrode, electrical stimulation"	item	0.41	1	0	XXX
90876	CMS	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.05	1	0	XXX
90876	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	XXX
90876	CMS	"Office Supply, Grocery"	SK005	assessment monitoring instruments	item	0.34	1	0	XXX
90901	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
90901	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
90901	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	000
90901	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1	0	000
90901	CMS	"Accessory, Procedure"	SD063	"electrode, TENS-EMS, 2in x 2in (4 pack uou)"	item	2.92	0.5	0	000
90901	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	1	0	000
90901	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	000
90901	CMS	"Pharmacy, NonRx"	SJ024	electrolyte coupling gel	ml	0.04	1	0	000
90901	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
90901	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	2	0	000
90901	CMS	"Office Supply, Grocery"	SK068	razor	item	0.51	1	0	000
90912	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
90912	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	000
90912	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
90912	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	000
90912	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1	0	000
90912	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
90912	CMS	"Accessory, Procedure"	SD057	"electrode, external pelvic muscle"	item	2.6	3	0	000
90912	CMS	"Accessory, Procedure"	SD113	"sensor, EMG, vaginal-rectal"	item	53.35	0.2	0	000
90912	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	1	0	000
90912	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	000
90912	CMS	"Pharmacy, NonRx"	SJ024	electrolyte coupling gel	ml	0.04	1	0	000
90912	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	2	0	000
90912	CMS	"Office Supply, Grocery"	SK068	razor	item	0.51	0.2	0	000
90913	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	ZZZ
91010	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		000
91010	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2		000
91010	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2		000
91010	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000
91010	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2		000
91010	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1		000
91010	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1		000
91010	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	5		000
91010	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12		000
91010	CMS	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	1.04	20		000
91010	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1		000
91010	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	2		000
91010	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1		000
91010	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1		000
91010	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4		000
91010	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	1		000
91010	CMS	"Office Supply, Grocery"	SK020	drinking straw	item	0.02	1		000
91010	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	3		000
91010	CMS	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	5		000
91010	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	1		000
91010	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	6		000
91013	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		ZZZ
91013	CMS	"Accessory, Procedure"	SD029	"catheter, red rubber"	item	0.87	1		ZZZ
91013	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1		ZZZ
91013	CMS	Lab	SL229	"HCl, 1% hydrochloric acid"	cc	0.14	10		ZZZ
91020	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		000
91020	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2		000
91020	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2		000
91020	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000
91020	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2		000
91020	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1		000
91020	CMS	"Accessory, Procedure"	SD125	transducer dome (pressure)	item	3.58	1		000
91020	CMS	"Accessory, Procedure"	SD127	"tube, suction NG (Salem sump)"	item	3.13	1		000
91020	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1		000
91020	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1		000
91020	CMS	"Accessory, Procedure"	SD203	"sensor, manometry"	item	57.44	1		000
91020	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	5		000
91020	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12		000
91020	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20		000
91020	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1		000
91020	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1		000
91020	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1		000
91020	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4		000
91020	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	1		000
91020	CMS	"Office Supply, Grocery"	SK020	drinking straw	item	0.02	1		000
91020	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	1		000
91022	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		000
91022	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2		000
91022	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2		000
91022	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000
91022	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2		000
91022	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1		000
91022	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1		000
91022	CMS	"Accessory, Procedure"	SD127	"tube, suction NG (Salem sump)"	item	3.13	1		000
91022	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1		000
91022	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1		000
91022	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	5		000
91022	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12		000
91022	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	5		000
91022	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	1		000
91022	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1		000
91022	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1		000
91022	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4		000
91022	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	1		000
91022	CMS	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	1		000
91030	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		000
91030	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2		000
91030	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2		000
91030	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000
91030	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2		000
91030	CMS	"Hypodermic, IV"	SC018	iv infusion set	item	1.27	1		000
91030	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		000
91030	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	8		000
91030	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1		000
91030	CMS	"Accessory, Procedure"	SD127	"tube, suction NG (Salem sump)"	item	3.13	1		000
91030	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1		000
91030	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1		000
91030	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	5		000
91030	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12		000
91030	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	20		000
91030	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1		000
91030	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1		000
91030	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1		000
91030	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4		000
91030	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	1		000
91030	CMS	Lab	SL079	"hydrochloric acid 0.1%, std soln"	ml	0.017	1		000
91034	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		000
91034	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1		000
91034	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		000
91034	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000
91034	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1		000
91034	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1		000
91034	CMS	"Accessory, Procedure"	SD060	"electrode, internal for pH"	item	48.79	1		000
91034	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1		000
91034	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1		000
91034	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	5		000
91034	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12		000
91034	CMS	"Wound Care, Dressings"	SG089	"tape, phix strips (for nasal catheter)"	item	1.5	5		000
91034	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	20		000
91034	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1		000
91034	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1		000
91034	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4		000
91034	CMS	"Pharmacy, NonRx"	SJ039	pH buffer solution	ml	0.044	60		000
91034	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	1		000
91035	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		000
91035	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2		000
91035	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		000
91035	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		000
91035	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2		000
91035	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1		000
91035	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1		000
91035	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1		000
91035	CMS	"Accessory, Procedure"	SD204	"sensor, pH capsule (Bravo)"	item	251.42	1		000
91035	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	5		000
91035	CMS	"Wound Care, Dressings"	SG089	"tape, phix strips (for nasal catheter)"	item	1.5	5		000
91035	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	20		000
91035	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1		000
91035	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1		000
91035	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4		000
91035	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	1		000
91037	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		000
91037	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1		000
91037	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		000
91037	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000
91037	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1		000
91037	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1		000
91037	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1		000
91037	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1		000
91037	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	5		000
91037	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12		000
91037	CMS	"Wound Care, Dressings"	SG089	"tape, phix strips (for nasal catheter)"	item	1.5	5		000
91037	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	20		000
91037	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1		000
91037	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1		000
91037	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4		000
91037	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	1		000
91037	CMS	"Pharmacy, NonRx"	SJ068	"saline, viscous (swallow challenge medium)"	ml	0.36	80		000
91037	CMS	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	4		000
91038	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		000
91038	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1		000
91038	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		000
91038	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000
91038	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1		000
91038	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1		000
91038	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1		000
91038	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1		000
91038	CMS	"Accessory, Procedure"	SD230	"impedance catheter, infusion"	item	107.41	1		000
91038	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	5		000
91038	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12		000
91038	CMS	"Wound Care, Dressings"	SG089	"tape, phix strips (for nasal catheter)"	item	1.5	5		000
91038	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	20		000
91038	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1		000
91038	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1		000
91038	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4		000
91038	CMS	"Pharmacy, NonRx"	SJ039	pH buffer solution	ml	0.044	60		000
91038	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	1		000
91038	CMS	"Pharmacy, NonRx"	SJ068	"saline, viscous (swallow challenge medium)"	ml	0.36	1		000
91038	CMS	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	1		000
91038	CMS	"Office Supply, Grocery"	SK020	drinking straw	item	0.02	1		000
91038	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	2		000
91038	CMS	"Office Supply, Grocery"	SK095	"battery, AA"	item	0.83	2		000
91040	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		000
91040	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1		000
91040	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		000
91040	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000
91040	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1		000
91040	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1		000
91040	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1		000
91040	CMS	"Accessory, Procedure"	SD216	"catheter, balloon, esophageal or rectal (graded distention test)"	item	355.47	1		000
91040	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	5		000
91040	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		000
91040	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.18	20		000
91040	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1		000
91040	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1		000
91040	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1		000
91040	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4		000
91040	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	1		000
91065	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		000
91065	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	1		000
91065	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		000
91065	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		000
91065	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1		000
91065	CMS	"Hypodermic, IV"	SC050	"stop cock, 4-way"	item	0.66	1		000
91065	CMS	"Hypodermic, IV"	SC094	"Syringe, 35 ml, Monoject, Plastic"	item	2.94	1		000
91065	CMS	"Accessory, Procedure"	SD006	bite block	item	2.6	1		000
91065	CMS	"Accessory, Procedure"	SD224	"Filter, Foam Plug (10/Pk)"	item	0.38	1		000
91065	CMS	"Accessory, Procedure"	SD225	Flutter Valve for Tee-Connector	item	1.46	1		000
91065	CMS	"Accessory, Procedure"	SD234	"QuinGas-3, 150 H2, 75 CH4, 6% CO2, BreathTracker SC Calibration Gas"	cc	1.218	1		000
91065	CMS	"Accessory, Procedure"	SD236	"Single Patient Discard Bag, 400 ml"	item	1.04	1		000
91065	CMS	"Accessory, Procedure"	SD237	Sivrite-4	g	0.11	7.5		000
91065	CMS	"Accessory, Procedure"	SD241	"Substrate, D-Xylose, 25 gm Packet"	item	15.39	1		000
91065	CMS	"Accessory, Procedure"	SD242	"Tee-Connector, Plastic"	item	1.9	1		000
91065	CMS	"Accessory, Procedure"	SD244	Water Barriers/Dust Traps (5/Pk)	item	7.79	1		000
91065	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1		000
91065	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4		000
91065	CMS	Lab	SL048	desiccant-absorber	item	0.15	1		000
91065	CMS	Infection Control	SM008	biohazard specimen transport bag	item	0.087	1		000
91110	CMS	"Kit, Pack, Tray"	SA005	"kit, capsule endoscopy w-application supplies (M2A)"	kit	496.58	1		XXX
91110	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
91110	CMS	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	1		XXX
91110	CMS	"Office Supply, Grocery"	SK020	drinking straw	item	0.02	1		XXX
91111	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
91111	CMS	"Kit, Pack, Tray"	SA094	"kit, capsule, ESO,  endoscopy w-application supplies (ESO)"	kit	704.65	1		XXX
91111	CMS	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	1		XXX
91111	CMS	"Office Supply, Grocery"	SK020	drinking straw	item	0.02	1		XXX
91112	CMS	"Accessory, Procedure"	SD272	SmartPill capsule	item	1258.39	1		XXX
91113	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
91113	CMS	"Accessory, Procedure"	SD346	PillCam COLON capsule	kit	625	1		XXX
91113	CMS	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	1		XXX
91113	CMS	"Office Supply, Grocery"	SK020	drinking straw	item	0.02	1		XXX
91124	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
91124	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
91124	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
91124	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		XXX
91124	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2		XXX
91124	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
91124	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
91124	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	2		XXX
91124	RUC	"Accessory, Procedure"	SD216	"catheter, balloon, esophageal or rectal (graded distention test)"	item	355.47	1		XXX
91124	RUC	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	1		XXX
91124	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	5		XXX
91124	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1		XXX
91124	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4		XXX
91124	RUC	Infection Control	SM008	biohazard specimen transport bag	item	0.087	1		XXX
91124	RUC	Infection Control	SM011	"cleaning brush, instruments"	item	5.6	1		XXX
91124	RUC	Infection Control	SM015	enzymatic detergent	oz	0.22	8		XXX
91124	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
91125	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
91125	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
91125	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
91125	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		XXX
91125	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2		XXX
91125	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
91125	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
91125	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	2		XXX
91125	RUC	"Accessory, Procedure"	SD377	Anorectal expulsion balloon	item	35.25	1		XXX
91125	RUC	"Accessory, Procedure"	SD378	"Sheath, catheter"	item	39	1		XXX
91125	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	5		XXX
91125	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1		XXX
91125	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4		XXX
91125	RUC	Infection Control	SM008	biohazard specimen transport bag	item	0.087	1		XXX
91125	RUC	Infection Control	SM011	"cleaning brush, instruments"	item	5.6	1		XXX
91125	RUC	Infection Control	SM015	enzymatic detergent	oz	0.22	8		XXX
91125	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
91132	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
91132	CMS	"Accessory, Procedure"	SD062	"electrode, surface"	item	1.58	11		XXX
91132	CMS	"Accessory, Procedure"	SD106	"pad, cardioversion R2 (2 pack)"	item	30.56	1		XXX
91132	CMS	"Accessory, Procedure"	SD111	respiratory monitoring belt	item	286.67	1		XXX
91132	CMS	"Accessory, Procedure"	SD166	"electrode, EGG (single)"	item	2.07	1		XXX
91132	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12		XXX
91132	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1		XXX
91132	CMS	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.05	5		XXX
91132	CMS	"Office Supply, Grocery"	SK068	razor	item	0.51	1		XXX
91133	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
91133	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1		XXX
91133	CMS	"Accessory, Procedure"	SD062	"electrode, surface"	item	1.58	11		XXX
91133	CMS	"Accessory, Procedure"	SD106	"pad, cardioversion R2 (2 pack)"	item	30.56	1		XXX
91133	CMS	"Accessory, Procedure"	SD111	respiratory monitoring belt	item	286.67	1		XXX
91133	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1		XXX
91133	CMS	"Accessory, Procedure"	SD166	"electrode, EGG (single)"	item	2.07	1		XXX
91133	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12		XXX
91133	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1		XXX
91133	CMS	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.05	5		XXX
91133	CMS	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	1		XXX
91133	CMS	"Office Supply, Grocery"	SK020	drinking straw	item	0.02	1		XXX
91133	CMS	"Office Supply, Grocery"	SK042	"juice, apple"	oz	0.09	4		XXX
91133	CMS	"Office Supply, Grocery"	SK068	razor	item	0.51	1		XXX
91200	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	1		XXX
91200	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	1		XXX
91200	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
91200	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
92002	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12	1	0	XXX
92002	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	3	0	XXX
92002	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1	0	XXX
92004	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12	1	0	XXX
92004	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	3	0	XXX
92004	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1	0	XXX
92012	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12	1	0	XXX
92012	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	3	0	XXX
92012	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1	0	XXX
92014	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12	1	0	XXX
92014	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	3	0	XXX
92014	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1	0	XXX
92020	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	1	0	XXX
92020	CMS	"Pharmacy, Rx"	SH037	Goniosol 2.5% ophth	ml	0.64	2	0	XXX
92065	CMS	"Wound Care, Dressings"	SG043	"dressing, eye pad (Opticlude)"	item	0.34	1	0	XXX
92065	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	XXX
92065	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	1	0	XXX
92066	CMS	"Wound Care, Dressings"	SG043	"dressing, eye pad (Opticlude)"	item	0.34	1		XXX
92066	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
92066	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	1		XXX
92072	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	1	0	XXX
92081	CMS	"Accessory, Procedure"	SD103	"occluder, clip-on"	item	1.66	1		XXX
92082	CMS	"Accessory, Procedure"	SD103	"occluder, clip-on"	item	1.66	1		XXX
92083	CMS	"Accessory, Procedure"	SD103	"occluder, clip-on"	item	1.66	1		XXX
92100	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	4	0	XXX
92132	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	1		XXX
92132	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
92133	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	1		XXX
92133	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
92134	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	1		XXX
92134	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
92137	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	1		XXX
92137	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
92201	CMS	"Pharmacy, Rx"	SH058	"proparacaine 0.5% ophth (Ophthaine, Alcaine)"	ml	2.3533	0.1	0	XXX
92230	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12	1	0	XXX
92230	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	XXX
92230	CMS	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.54	1	0	XXX
92230	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	XXX
92230	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	XXX
92230	CMS	"Pharmacy, Rx"	SH033	fluorescein inj (5ml uou)	item	72	1	0	XXX
92230	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	XXX
92235	CMS	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	1		XXX
92235	CMS	"Hypodermic, IV"	SC018	iv infusion set	item	1.27	1		XXX
92235	CMS	"Hypodermic, IV"	SC027	"needle, 18-19g, filter"	item	0.21	1		XXX
92235	CMS	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.54	1		XXX
92235	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1		XXX
92235	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2		XXX
92235	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
92235	CMS	"Pharmacy, Rx"	SH033	fluorescein inj (5ml uou)	item	72	1		XXX
92235	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10		XXX
92240	CMS	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	1		XXX
92240	CMS	"Hypodermic, IV"	SC018	iv infusion set	item	1.27	1		XXX
92240	CMS	"Hypodermic, IV"	SC027	"needle, 18-19g, filter"	item	0.21	1		XXX
92240	CMS	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.54	1		XXX
92240	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1		XXX
92240	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2		XXX
92240	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
92240	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10		XXX
92240	CMS	Lab	SL083	indocyanine green (25ml uou)	item	125.11	1		XXX
92242	CMS	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	1		XXX
92242	CMS	"Hypodermic, IV"	SC018	iv infusion set	item	1.27	1		XXX
92242	CMS	"Hypodermic, IV"	SC027	"needle, 18-19g, filter"	item	0.21	2		XXX
92242	CMS	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.54	1		XXX
92242	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	2		XXX
92242	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2		XXX
92242	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
92242	CMS	"Pharmacy, Rx"	SH033	fluorescein inj (5ml uou)	item	72	1		XXX
92242	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10		XXX
92242	CMS	Lab	SL083	indocyanine green (25ml uou)	item	125.11	1		XXX
92260	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	1	0	XXX
92260	CMS	"Pharmacy, Rx"	SH030	Emla cream	gm	2.19	1	0	XXX
92265	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	1		XXX
92265	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2		XXX
92265	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1		XXX
92265	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1		XXX
92265	CMS	"Accessory, Procedure"	SD051	"electrode needle, monopolar EMG w-lead"	item	2.95	1		XXX
92265	CMS	Lab	SL187	"balance salt solution (BSS), sterile, 15cc"	ml		15		XXX
92270	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	1		XXX
92270	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	4		XXX
92270	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2		XXX
92270	CMS	"Pharmacy, NonRx"	SJ021	electrode conductive paste	oz	1.81	0.1		XXX
92270	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	3		XXX
92273	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2		XXX
92273	CMS	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	5		XXX
92273	CMS	"Pharmacy, Rx"	SH037	Goniosol 2.5% ophth	ml	0.64	2		XXX
92273	CMS	"Pharmacy, Rx"	SH058	"proparacaine 0.5% ophth (Ophthaine, Alcaine)"	ml	2.3533	0.2		XXX
92273	CMS	"Pharmacy, NonRx"	SJ021	electrode conductive paste	oz	1.81	0.1014		XXX
92273	CMS	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.15	1		XXX
92273	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	3		XXX
92273	CMS	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.87	0.05		XXX
92273	CMS	"Office Supply, Grocery"	SK133	Sleep mask	item	9.95	1		XXX
92273	CMS	Lab	SL020	bleach	ml	0.01	2		XXX
92274	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2		XXX
92274	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2		XXX
92274	CMS	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	5		XXX
92274	CMS	"Pharmacy, Rx"	SH037	Goniosol 2.5% ophth	ml	0.64	2		XXX
92274	CMS	"Pharmacy, Rx"	SH058	"proparacaine 0.5% ophth (Ophthaine, Alcaine)"	ml	2.3533	0.2		XXX
92274	CMS	"Pharmacy, NonRx"	SJ021	electrode conductive paste	oz	1.81	0.1014		XXX
92274	CMS	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.15	1		XXX
92274	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	3		XXX
92274	CMS	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.87	0.05		XXX
92274	CMS	Lab	SL020	bleach	ml	0.01	2		XXX
92283	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
92283	CMS	"Accessory, Procedure"	SD103	"occluder, clip-on"	item	1.66	1		XXX
92283	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	2		XXX
92284	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
92284	RUC	"Wound Care, Dressings"	SG043	"dressing, eye pad (Opticlude)"	item	0.34	1		XXX
92284	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
92284	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	1		XXX
92285	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	4		XXX
92287	CMS	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	1		XXX
92287	CMS	"Hypodermic, IV"	SC027	"needle, 18-19g, filter"	item	0.21	1		XXX
92287	CMS	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.54	1		XXX
92287	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1		XXX
92287	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2		XXX
92287	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
92287	CMS	"Pharmacy, Rx"	SH033	fluorescein inj (5ml uou)	item	72	1		XXX
92287	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10		XXX
92288	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
92288	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
92310	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	1	0	XXX
92310	CMS	"Kit, Pack, Tray"	SA089	"kit, boston original system"	kit	4.5	1	0	XXX
92310	CMS	"Pharmacy, NonRx"	SJ073	DMV remover	item	2.99	1	0	XXX
92311	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	1	0	XXX
92311	CMS	"Kit, Pack, Tray"	SA089	"kit, boston original system"	kit	4.5	1	0	XXX
92311	CMS	"Pharmacy, NonRx"	SJ073	DMV remover	item	2.99	1	0	XXX
92312	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	1	0	XXX
92312	CMS	"Kit, Pack, Tray"	SA089	"kit, boston original system"	kit	4.5	1	0	XXX
92312	CMS	"Pharmacy, NonRx"	SJ073	DMV remover	item	2.99	1	0	XXX
92313	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	1	0	XXX
92313	CMS	"Kit, Pack, Tray"	SA089	"kit, boston original system"	kit	4.5	1	0	XXX
92313	CMS	"Pharmacy, NonRx"	SJ073	DMV remover	item	2.99	1	0	XXX
92313	CMS	"Pharmacy, NonRx"	SJ080	"lens cleaner, daily (Allergan)"	ounce	0.62	1	0	XXX
92314	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	1	0	XXX
92314	CMS	"Kit, Pack, Tray"	SA089	"kit, boston original system"	kit	4.5	1	0	XXX
92314	CMS	"Pharmacy, NonRx"	SJ073	DMV remover	item	2.99	1	0	XXX
92315	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	1	0	XXX
92315	CMS	"Kit, Pack, Tray"	SA089	"kit, boston original system"	kit	4.5	1	0	XXX
92315	CMS	"Pharmacy, NonRx"	SJ073	DMV remover	item	2.99	1	0	XXX
92316	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	1	0	XXX
92316	CMS	"Kit, Pack, Tray"	SA089	"kit, boston original system"	kit	4.5	1	0	XXX
92316	CMS	"Pharmacy, NonRx"	SJ073	DMV remover	item	2.99	1	0	XXX
92317	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	1	0	XXX
92317	CMS	"Kit, Pack, Tray"	SA089	"kit, boston original system"	kit	4.5	1	0	XXX
92317	CMS	"Pharmacy, NonRx"	SJ073	DMV remover	item	2.99	1	0	XXX
92325	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	1		XXX
92325	CMS	"Pharmacy, NonRx"	SJ065	contact lens (hard) care kit	item	9.26	1		XXX
92325	CMS	"Pharmacy, NonRx"	SJ066	contact lens (hard) extra strength cleaning solution	ml	0.34	1		XXX
92325	CMS	"Pharmacy, NonRx"	SJ067	contact lens (RGP) polishing soln (Silo2 Care)	ml	0.16	15		XXX
92326	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	2.26	1		XXX
92326	CMS	"Pharmacy, NonRx"	SJ065	contact lens (hard) care kit	item	9.26	1		XXX
92326	CMS	"Pharmacy, NonRx"	SJ066	contact lens (hard) extra strength cleaning solution	ml	0.34	1		XXX
92340	CMS	"Pharmacy, NonRx"	SJ074	lens cleaner	ounce	0.69	1	0	XXX
92341	CMS	"Pharmacy, NonRx"	SJ074	lens cleaner	ounce	0.69	1	0	XXX
92342	CMS	"Pharmacy, NonRx"	SJ074	lens cleaner	ounce	0.69	1	0	XXX
92352	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	XXX
92352	CMS	"Gown, Drape"	SB035	"paper, chinrest"	item	0.008	1	0	XXX
92352	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2	0	XXX
92352	CMS	"Pharmacy, Rx"	SH034	fluorescein strips	item	0.282	1	0	XXX
92352	CMS	"Pharmacy, Rx"	SH056	phenylephrine 2.5% ophth (Mydfrin)	ml	5.46	0.1	0	XXX
92352	CMS	"Pharmacy, Rx"	SH058	"proparacaine 0.5% ophth (Ophthaine, Alcaine)"	ml	2.3533	0.1	0	XXX
92352	CMS	"Pharmacy, Rx"	SH073	tropicamide 1% ophth (Mydriacyl)	ml	0.83	0.1	0	XXX
92352	CMS	"Pharmacy, NonRx"	SJ015	contact lens soln (12oz uou)	item	4.19	1	0	XXX
92352	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	3	0	XXX
92352	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	XXX
92352	CMS	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.015	2	0	XXX
92352	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	1	0	XXX
92353	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	XXX
92353	CMS	"Gown, Drape"	SB035	"paper, chinrest"	item	0.008	1	0	XXX
92353	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2	0	XXX
92353	CMS	"Pharmacy, Rx"	SH034	fluorescein strips	item	0.282	1	0	XXX
92353	CMS	"Pharmacy, Rx"	SH056	phenylephrine 2.5% ophth (Mydfrin)	ml	5.46	0.1	0	XXX
92353	CMS	"Pharmacy, Rx"	SH058	"proparacaine 0.5% ophth (Ophthaine, Alcaine)"	ml	2.3533	0.1	0	XXX
92353	CMS	"Pharmacy, Rx"	SH073	tropicamide 1% ophth (Mydriacyl)	ml	0.83	0.1	0	XXX
92353	CMS	"Pharmacy, NonRx"	SJ015	contact lens soln (12oz uou)	item	4.19	1	0	XXX
92353	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	3	0	XXX
92353	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	XXX
92353	CMS	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.015	2	0	XXX
92353	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	1	0	XXX
92370	CMS	"Pharmacy, NonRx"	SJ076	nose pads	item	0.79	1	0	XXX
92370	CMS	"Pharmacy, NonRx"	SJ077	"screws, spectacles"	item	0.14	1	0	XXX
92370	CMS	"Pharmacy, NonRx"	SJ078	temple tips	pair	1	1	0	XXX
92504	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	XXX
92504	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	XXX
92504	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	XXX
92504	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	XXX
92504	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2	0	XXX
92504	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	2	0	XXX
92504	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	4	0	XXX
92504	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1	0	XXX
92504	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	XXX
92504	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	XXX
92507	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
92507	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1		XXX
92507	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	2		XXX
92507	CMS	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	2		XXX
92507	CMS	"Office Supply, Grocery"	SK020	drinking straw	item	0.02	2		XXX
92507	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
92507	CMS	"Office Supply, Grocery"	SK077	"spoon, plastic"	item	0.04	2		XXX
92508	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
92508	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1		XXX
92508	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	2		XXX
92508	CMS	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	2		XXX
92508	CMS	"Office Supply, Grocery"	SK020	drinking straw	item	0.02	2		XXX
92508	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
92508	CMS	"Office Supply, Grocery"	SK077	"spoon, plastic"	item	0.04	2		XXX
92511	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
92511	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
92511	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
92511	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
92511	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
92511	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
92511	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	2	0	000
92511	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.8	3	0	000
92511	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	000
92511	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
92511	CMS	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	1.13	1	0	000
92511	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	1	0	000
92511	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
92511	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	1	0	000
92511	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	1.02	1	0	000
92511	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	2	0	000
92511	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	000
92511	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	4	0	000
92511	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	4	0	000
92511	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	000
92512	CMS	"Accessory, Procedure"	SD130	"tubing, latex"	foot	0.55	2	0	XXX
92512	CMS	"Accessory, Procedure"	SD183	"nasal tip, olive"	item	1.81	1	0	XXX
92512	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	4	0	XXX
92516	CMS	"Accessory, Procedure"	SD051	"electrode needle, monopolar EMG w-lead"	item	2.95	2	0	XXX
92516	CMS	"Accessory, Procedure"	SD055	"electrode, electrical stimulation"	item	0.41	1	0	XXX
92516	CMS	"Accessory, Procedure"	SD062	"electrode, surface"	item	1.58	1	0	XXX
92516	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	2	0	XXX
92516	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	4	0	XXX
92516	CMS	"Pharmacy, NonRx"	SJ001	alcohol isopropyl 70%	ml	0.03	2	0	XXX
92516	CMS	"Pharmacy, NonRx"	SJ021	electrode conductive paste	oz	1.81	0.5	0	XXX
92516	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	2	0	XXX
92517	CMS	"Accessory, Procedure"	SD044	"ear tip, earphone"	item	0.62	2	0	XXX
92517	CMS	"Accessory, Procedure"	SD062	"electrode, surface"	item	1.58	6	0	XXX
92517	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	6	0	XXX
92517	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	XXX
92517	CMS	"Pharmacy, NonRx"	SJ021	electrode conductive paste	oz	1.81	3	0	XXX
92517	CMS	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.15	3	0	XXX
92517	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	3	0	XXX
92517	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	2	0	XXX
92517	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1	0	XXX
92517	CMS	Infection Control	SM025	"specula tips, otoscope"	item	0.45	1	0	XXX
92518	CMS	"Accessory, Procedure"	SD044	"ear tip, earphone"	item	0.62	2	0	XXX
92518	CMS	"Accessory, Procedure"	SD062	"electrode, surface"	item	1.58	5	0	XXX
92518	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	5	0	XXX
92518	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	10	0	XXX
92518	CMS	"Pharmacy, NonRx"	SJ021	electrode conductive paste	oz	1.81	2.5	0	XXX
92518	CMS	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.15	2.5	0	XXX
92518	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	XXX
92518	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	2	0	XXX
92518	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1	0	XXX
92518	CMS	Infection Control	SM025	"specula tips, otoscope"	item	0.45	1	0	XXX
92519	CMS	"Accessory, Procedure"	SD044	"ear tip, earphone"	item	0.62	2	0	XXX
92519	CMS	"Accessory, Procedure"	SD062	"electrode, surface"	item	1.58	10	0	XXX
92519	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	10	0	XXX
92519	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	20	0	XXX
92519	CMS	"Pharmacy, NonRx"	SJ021	electrode conductive paste	oz	1.81	5	0	XXX
92519	CMS	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.15	5	0	XXX
92519	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	5	0	XXX
92519	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	3	0	XXX
92519	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1	0	XXX
92519	CMS	Infection Control	SM025	"specula tips, otoscope"	item	0.45	1	0	XXX
92520	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	XXX
92520	CMS	"Accessory, Procedure"	SD099	"mouthpiece, respiratory"	item	0.24	1	0	XXX
92520	CMS	"Accessory, Procedure"	SD130	"tubing, latex"	foot	0.55	1	0	XXX
92520	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1	0	XXX
92520	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	XXX
92520	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	8	0	XXX
92520	CMS	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	30	0	XXX
92521	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
92521	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	1		XXX
92521	CMS	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	1		XXX
92521	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	2		XXX
92521	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
92521	CMS	"Office Supply, Grocery"	SK116	"fluency assessment form, average"	item	0.85	2		XXX
92522	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
92522	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	1		XXX
92522	CMS	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	1		XXX
92522	CMS	"Office Supply, Grocery"	SK020	drinking straw	item	0.02	1		XXX
92522	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	2		XXX
92522	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
92522	CMS	"Office Supply, Grocery"	SK117	"speech assessment form, average"	item	1.13	2		XXX
92523	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
92523	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	1		XXX
92523	CMS	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	1		XXX
92523	CMS	"Office Supply, Grocery"	SK020	drinking straw	item	0.02	1		XXX
92523	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	4		XXX
92523	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
92523	CMS	"Office Supply, Grocery"	SK117	"speech assessment form, average"	item	1.13	2		XXX
92523	CMS	"Office Supply, Grocery"	SK118	"language assessment form, average"	item	1.49	2		XXX
92524	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
92524	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	1		XXX
92524	CMS	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	1		XXX
92524	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
92526	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
92526	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	3		XXX
92526	CMS	"Pharmacy, NonRx"	SJ051	"swab, lemon-glycerine (3 pak uou)"	item	0.2	3		XXX
92526	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
92526	CMS	"Pharmacy, NonRx"	SJ058	thick-it pack	item	0.65	3		XXX
92526	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	2		XXX
92526	CMS	"Office Supply, Grocery"	SK004	apple sauce	oz	0.08	1		XXX
92526	CMS	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	2		XXX
92526	CMS	"Office Supply, Grocery"	SK020	drinking straw	item	0.02	2		XXX
92526	CMS	"Office Supply, Grocery"	SK040	graham crackers (one packet)	item	1.11	3		XXX
92526	CMS	"Office Supply, Grocery"	SK042	"juice, apple"	oz	0.09	1		XXX
92526	CMS	"Office Supply, Grocery"	SK077	"spoon, plastic"	item	0.04	2		XXX
92537	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
92537	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	1		XXX
92537	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1		XXX
92537	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
92537	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	1		XXX
92537	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	1		XXX
92537	CMS	Infection Control	SM025	"specula tips, otoscope"	item	0.45	1		XXX
92538	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
92538	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	1		XXX
92538	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1		XXX
92538	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
92538	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	1		XXX
92538	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	1		XXX
92538	CMS	Infection Control	SM025	"specula tips, otoscope"	item	0.45	1		XXX
92540	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
92540	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
92540	CMS	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.45	2		XXX
92540	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	5		XXX
92540	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1		XXX
92540	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2		XXX
92540	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12		XXX
92540	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1		XXX
92540	CMS	"Pharmacy, NonRx"	SJ021	electrode conductive paste	oz	1.81	1		XXX
92540	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
92540	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	12		XXX
92540	CMS	Infection Control	SM025	"specula tips, otoscope"	item	0.45	1		XXX
92541	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
92541	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1		XXX
92541	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
92541	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	3		XXX
92541	CMS	Infection Control	SM025	"specula tips, otoscope"	item	0.45	1		XXX
92542	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
92542	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1		XXX
92542	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
92542	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	3		XXX
92542	CMS	Infection Control	SM025	"specula tips, otoscope"	item	0.45	1		XXX
92544	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
92544	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1		XXX
92544	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
92544	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	3		XXX
92544	CMS	Infection Control	SM025	"specula tips, otoscope"	item	0.45	1		XXX
92545	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
92545	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1		XXX
92545	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
92545	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	3		XXX
92545	CMS	Infection Control	SM025	"specula tips, otoscope"	item	0.45	1		XXX
92546	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
92546	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	4		XXX
92546	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1		XXX
92546	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2		XXX
92546	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12		XXX
92546	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1		XXX
92546	CMS	"Pharmacy, NonRx"	SJ021	electrode conductive paste	oz	1.81	1		XXX
92546	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
92546	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	3		XXX
92546	CMS	Infection Control	SM025	"specula tips, otoscope"	item	0.45	1		XXX
92547	CMS	"Accessory, Procedure"	SD062	"electrode, surface"	item	1.58	2		ZZZ
92547	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		ZZZ
92547	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	2		ZZZ
92547	CMS	"Pharmacy, NonRx"	SJ001	alcohol isopropyl 70%	ml	0.03	2		ZZZ
92547	CMS	"Pharmacy, NonRx"	SJ021	electrode conductive paste	oz	1.81	1		ZZZ
92547	CMS	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.15	2		ZZZ
92547	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	4		ZZZ
92548	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	6		XXX
92548	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1		XXX
92549	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	8		XXX
92549	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1		XXX
92550	CMS	"Accessory, Procedure"	SD046	"ear tip, tympanometry probe"	item	1.41	1		XXX
92550	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
92550	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	2		XXX
92550	CMS	Infection Control	SM025	"specula tips, otoscope"	item	0.45	1		XXX
92551	CMS	"Accessory, Procedure"	SD047	eartip insert with sound tube	item	0.33	2		XXX
92551	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
92552	CMS	"Accessory, Procedure"	SD047	eartip insert with sound tube	item	0.33	2		XXX
92552	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
92552	CMS	Infection Control	SM025	"specula tips, otoscope"	item	0.45	1		XXX
92553	CMS	"Accessory, Procedure"	SD047	eartip insert with sound tube	item	0.33	2		XXX
92553	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
92553	CMS	Infection Control	SM025	"specula tips, otoscope"	item	0.45	1		XXX
92555	CMS	"Accessory, Procedure"	SD047	eartip insert with sound tube	item	0.33	2		XXX
92555	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
92555	CMS	Infection Control	SM025	"specula tips, otoscope"	item	0.45	1		XXX
92556	CMS	"Accessory, Procedure"	SD047	eartip insert with sound tube	item	0.33	2		XXX
92556	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
92556	CMS	Infection Control	SM025	"specula tips, otoscope"	item	0.45	1		XXX
92557	CMS	"Accessory, Procedure"	SD047	eartip insert with sound tube	item	0.33	2	0	XXX
92557	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	XXX
92557	CMS	Infection Control	SM025	"specula tips, otoscope"	item	0.45	1	0	XXX
92558	CMS	"Accessory, Procedure"	SD045	"ear tip, immittance"	item	0.24	1	0	XXX
92558	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	XXX
92558	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	2	0	XXX
92562	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
92562	CMS	Infection Control	SM025	"specula tips, otoscope"	item	0.45	1		XXX
92563	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
92563	CMS	Infection Control	SM025	"specula tips, otoscope"	item	0.45	1		XXX
92565	CMS	"Office Supply, Grocery"	SK008	audiology scoring forms	item	0.12	1		XXX
92567	CMS	"Accessory, Procedure"	SD046	"ear tip, tympanometry probe"	item	1.41	2	0	XXX
92567	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	XXX
92567	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	1	0	XXX
92567	CMS	Infection Control	SM025	"specula tips, otoscope"	item	0.45	1	0	XXX
92568	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	1	0	XXX
92570	CMS	"Accessory, Procedure"	SD046	"ear tip, tympanometry probe"	item	1.41	1	0	XXX
92570	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	XXX
92570	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	3	0	XXX
92570	CMS	Infection Control	SM025	"specula tips, otoscope"	item	0.45	1	0	XXX
92571	CMS	"Office Supply, Grocery"	SK008	audiology scoring forms	item	0.12	1		XXX
92572	CMS	"Office Supply, Grocery"	SK008	audiology scoring forms	item	0.12	1		XXX
92575	CMS	"Office Supply, Grocery"	SK008	audiology scoring forms	item	0.12	1		XXX
92575	CMS	"Office Supply, Grocery"	SK085	"Velcro, strong (Poly-Lock)"	foot	3.85	2		XXX
92576	CMS	"Office Supply, Grocery"	SK008	audiology scoring forms	item	0.12	1		XXX
92577	CMS	"Office Supply, Grocery"	SK008	audiology scoring forms	item	0.12	1		XXX
92579	CMS	"Accessory, Procedure"	SD044	"ear tip, earphone"	item	0.62	2	0	XXX
92579	CMS	"Office Supply, Grocery"	SK008	audiology scoring forms	item	0.12	1	0	XXX
92579	CMS	Infection Control	SM025	"specula tips, otoscope"	item	0.45	1	0	XXX
92582	CMS	"Accessory, Procedure"	SD044	"ear tip, earphone"	item	0.62	2		XXX
92582	CMS	"Office Supply, Grocery"	SK008	audiology scoring forms	item	0.12	1		XXX
92582	CMS	Infection Control	SM025	"specula tips, otoscope"	item	0.45	1		XXX
92583	CMS	"Accessory, Procedure"	SD044	"ear tip, earphone"	item	0.62	2		XXX
92583	CMS	"Office Supply, Grocery"	SK008	audiology scoring forms	item	0.12	1		XXX
92583	CMS	Infection Control	SM025	"specula tips, otoscope"	item	0.45	1		XXX
92584	CMS	"Accessory, Procedure"	SD044	"ear tip, earphone"	item	0.62	2		XXX
92584	CMS	"Accessory, Procedure"	SD062	"electrode, surface"	item	1.58	3		XXX
92584	CMS	"Accessory, Procedure"	SD335	ECochG electrode	item	24.21	1		XXX
92584	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	3		XXX
92584	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		XXX
92584	CMS	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.05	1		XXX
92584	CMS	"Pharmacy, NonRx"	SJ021	electrode conductive paste	oz	1.81	1.5		XXX
92584	CMS	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.15	1.5		XXX
92584	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
92584	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	2		XXX
92584	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1		XXX
92584	CMS	Infection Control	SM025	"specula tips, otoscope"	item	0.45	1		XXX
92587	CMS	"Accessory, Procedure"	SD045	"ear tip, immittance"	item	0.24	1		XXX
92587	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
92587	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	2		XXX
92587	CMS	Infection Control	SM025	"specula tips, otoscope"	item	0.45	1		XXX
92588	CMS	"Accessory, Procedure"	SD045	"ear tip, immittance"	item	0.24	1		XXX
92588	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
92588	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	2		XXX
92588	CMS	Infection Control	SM025	"specula tips, otoscope"	item	0.45	1		XXX
92596	CMS	"Office Supply, Grocery"	SK008	audiology scoring forms	item	0.12	1		XXX
92597	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
92597	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
92597	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	8		XXX
92597	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	1		XXX
92597	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	2		XXX
92597	CMS	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	1		XXX
92597	CMS	"Office Supply, Grocery"	SK020	drinking straw	item	0.02	1		XXX
92601	CMS	"Kit, Pack, Tray"	SA032	"kit, tangible reinforcement-reward for children"	kit	1.5	1	0	XXX
92601	CMS	"Accessory, Procedure"	SD045	"ear tip, immittance"	item	0.24	1	0	XXX
92601	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	10	0	XXX
92601	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	5	0	XXX
92601	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1	0	XXX
92601	CMS	"Office Supply, Grocery"	SK068	razor	item	0.51	1	0	XXX
92601	CMS	"Office Supply, Grocery"	SK079	"tape, toupee"	inch	0.06	105	0	XXX
92602	CMS	"Kit, Pack, Tray"	SA032	"kit, tangible reinforcement-reward for children"	kit	1.5	1	0	XXX
92602	CMS	"Accessory, Procedure"	SD045	"ear tip, immittance"	item	0.24	1	0	XXX
92602	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	10	0	XXX
92602	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	5	0	XXX
92602	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1	0	XXX
92602	CMS	"Office Supply, Grocery"	SK068	razor	item	0.51	1	0	XXX
92602	CMS	"Office Supply, Grocery"	SK079	"tape, toupee"	inch	0.06	105	0	XXX
92603	CMS	"Accessory, Procedure"	SD045	"ear tip, immittance"	item	0.24	1	0	XXX
92603	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	10	0	XXX
92603	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	5	0	XXX
92603	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1	0	XXX
92603	CMS	"Office Supply, Grocery"	SK068	razor	item	0.51	1	0	XXX
92603	CMS	"Office Supply, Grocery"	SK079	"tape, toupee"	inch	0.06	105	0	XXX
92604	CMS	"Accessory, Procedure"	SD045	"ear tip, immittance"	item	0.24	1	0	XXX
92604	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	10	0	XXX
92604	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	5	0	XXX
92604	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1	0	XXX
92604	CMS	"Office Supply, Grocery"	SK068	razor	item	0.51	1	0	XXX
92604	CMS	"Office Supply, Grocery"	SK079	"tape, toupee"	inch	0.06	105	0	XXX
92605	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	XXX
92605	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	10	0	XXX
92605	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	1	0	XXX
92605	CMS	"Office Supply, Grocery"	SK044	lamination sheet (letter size)	item	0.58	1	0	XXX
92605	CMS	"Office Supply, Grocery"	SK055	"paper, card stock (8.5 x 11)"	item	0.08	10	0	XXX
92605	CMS	"Office Supply, Grocery"	SK084	"Velcro, standard"	foot	0.97	3	0	XXX
92606	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	XXX
92606	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	10	0	XXX
92606	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	1	0	XXX
92606	CMS	"Office Supply, Grocery"	SK044	lamination sheet (letter size)	item	0.58	1	0	XXX
92606	CMS	"Office Supply, Grocery"	SK055	"paper, card stock (8.5 x 11)"	item	0.08	10	0	XXX
92606	CMS	"Office Supply, Grocery"	SK068	razor	item	0.51	1	0	XXX
92606	CMS	"Office Supply, Grocery"	SK070	"Rep-band, light (6yd uou)"	item	5.24	1	0	XXX
92606	CMS	"Office Supply, Grocery"	SK084	"Velcro, standard"	foot	0.97	3	0	XXX
92607	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
92607	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	10		XXX
92607	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	1		XXX
92607	CMS	"Office Supply, Grocery"	SK044	lamination sheet (letter size)	item	0.58	1		XXX
92607	CMS	"Office Supply, Grocery"	SK055	"paper, card stock (8.5 x 11)"	item	0.08	10		XXX
92607	CMS	"Office Supply, Grocery"	SK068	razor	item	0.51	1		XXX
92607	CMS	"Office Supply, Grocery"	SK070	"Rep-band, light (6yd uou)"	item	5.24	1		XXX
92607	CMS	"Office Supply, Grocery"	SK084	"Velcro, standard"	foot	0.97	3		XXX
92608	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	0.33		ZZZ
92608	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	3.3		ZZZ
92608	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	0.33		ZZZ
92608	CMS	"Office Supply, Grocery"	SK044	lamination sheet (letter size)	item	0.58	0.33		ZZZ
92608	CMS	"Office Supply, Grocery"	SK055	"paper, card stock (8.5 x 11)"	item	0.08	3.3		ZZZ
92608	CMS	"Office Supply, Grocery"	SK068	razor	item	0.51	0.33		ZZZ
92608	CMS	"Office Supply, Grocery"	SK070	"Rep-band, light (6yd uou)"	item	5.24	0.33		ZZZ
92608	CMS	"Office Supply, Grocery"	SK084	"Velcro, standard"	foot	0.97	1		ZZZ
92609	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
92609	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	10		XXX
92609	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	1		XXX
92609	CMS	"Office Supply, Grocery"	SK044	lamination sheet (letter size)	item	0.58	1		XXX
92609	CMS	"Office Supply, Grocery"	SK055	"paper, card stock (8.5 x 11)"	item	0.08	10		XXX
92609	CMS	"Office Supply, Grocery"	SK068	razor	item	0.51	1		XXX
92609	CMS	"Office Supply, Grocery"	SK070	"Rep-band, light (6yd uou)"	item	5.24	1		XXX
92609	CMS	"Office Supply, Grocery"	SK084	"Velcro, standard"	foot	0.97	3		XXX
92610	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	XXX
92610	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	XXX
92610	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	8	0	XXX
92610	CMS	"Pharmacy, Rx"	SH017	"barium, honey (Varibar)"	ml	0.09	8	0	XXX
92610	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	XXX
92610	CMS	"Pharmacy, NonRx"	SJ044	pre-thickened juice (4oz uou)	item	1.71	2	0	XXX
92610	CMS	"Pharmacy, NonRx"	SJ058	thick-it pack	item	0.65	3	0	XXX
92610	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	2	0	XXX
92610	CMS	"Office Supply, Grocery"	SK017	cookie (each)	item	0.11	1	0	XXX
92610	CMS	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	6	0	XXX
92610	CMS	"Office Supply, Grocery"	SK020	drinking straw	item	0.02	2	0	XXX
92611	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
92611	CMS	"Pharmacy, Rx"	SH017	"barium, honey (Varibar)"	ml	0.09	8		XXX
92611	CMS	"Pharmacy, Rx"	SH018	"barium, nectar (Varibar)"	ml	0.05	240		XXX
92611	CMS	"Pharmacy, Rx"	SH019	"barium, pudding (Varibar)"	ml	0.23	8		XXX
92611	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	1		XXX
92611	CMS	"Office Supply, Grocery"	SK017	cookie (each)	item	0.11	1		XXX
92611	CMS	"Office Supply, Grocery"	SK020	drinking straw	item	0.02	1		XXX
92611	CMS	"Office Supply, Grocery"	SK077	"spoon, plastic"	item	0.04	2		XXX
92612	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	XXX
92612	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	XXX
92612	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	XXX
92612	CMS	"Accessory, Procedure"	SD070	endosheath	item	15.28	1	0	XXX
92612	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	XXX
92612	CMS	"Accessory, Procedure"	SD133	"tubing, suction, non-latex (6ft) with Poole tip (1)"	item	1.98	1	0	XXX
92612	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	XXX
92612	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2	0	XXX
92612	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	3	0	XXX
92612	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	5	0	XXX
92612	CMS	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	1.04	5	0	XXX
92612	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	XXX
92612	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	1	0	XXX
92612	CMS	"Pharmacy, NonRx"	SJ058	thick-it pack	item	0.65	3	0	XXX
92612	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	1	0	XXX
92612	CMS	"Office Supply, Grocery"	SK004	apple sauce	oz	0.08	3	0	XXX
92612	CMS	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	6	0	XXX
92612	CMS	"Office Supply, Grocery"	SK020	drinking straw	item	0.02	3	0	XXX
92612	CMS	"Office Supply, Grocery"	SK032	"film, type 667 Polaroid (per exposure)"	item	1.61	3	0	XXX
92612	CMS	"Office Supply, Grocery"	SK040	graham crackers (one packet)	item	1.11	1	0	XXX
92612	CMS	"Office Supply, Grocery"	SK042	"juice, apple"	oz	0.09	21	0	XXX
92612	CMS	"Office Supply, Grocery"	SK077	"spoon, plastic"	item	0.04	2	0	XXX
92612	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	XXX
92614	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	XXX
92614	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	XXX
92614	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	XXX
92614	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	XXX
92614	CMS	"Accessory, Procedure"	SD133	"tubing, suction, non-latex (6ft) with Poole tip (1)"	item	1.98	1	0	XXX
92614	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	XXX
92614	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	3	0	XXX
92614	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	XXX
92614	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	1	0	XXX
92614	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	1	0	XXX
92614	CMS	"Office Supply, Grocery"	SK032	"film, type 667 Polaroid (per exposure)"	item	1.61	3	0	XXX
92614	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	XXX
92616	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	XXX
92616	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	XXX
92616	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	XXX
92616	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	0.63	1	0	XXX
92616	CMS	"Accessory, Procedure"	SD133	"tubing, suction, non-latex (6ft) with Poole tip (1)"	item	1.98	1	0	XXX
92616	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	XXX
92616	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	3	0	XXX
92616	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	XXX
92616	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.66	1	0	XXX
92616	CMS	"Pharmacy, NonRx"	SJ058	thick-it pack	item	0.65	3	0	XXX
92616	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	1	0	XXX
92616	CMS	"Office Supply, Grocery"	SK004	apple sauce	oz	0.08	3	0	XXX
92616	CMS	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	6	0	XXX
92616	CMS	"Office Supply, Grocery"	SK020	drinking straw	item	0.02	3	0	XXX
92616	CMS	"Office Supply, Grocery"	SK032	"film, type 667 Polaroid (per exposure)"	item	1.61	3	0	XXX
92616	CMS	"Office Supply, Grocery"	SK040	graham crackers (one packet)	item	1.11	1	0	XXX
92616	CMS	"Office Supply, Grocery"	SK042	"juice, apple"	oz	0.09	21	0	XXX
92616	CMS	"Office Supply, Grocery"	SK077	"spoon, plastic"	item	0.04	2	0	XXX
92616	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.76	1	0	XXX
92620	CMS	"Office Supply, Grocery"	SK008	audiology scoring forms	item	0.12	4	0	XXX
92621	CMS	"Office Supply, Grocery"	SK008	audiology scoring forms	item	0.12	2	0	ZZZ
92622	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	XXX
92622	CMS	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.38	1	0	XXX
92622	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	2	0	XXX
92622	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2	0	XXX
92622	CMS	Infection Control	SM025	"specula tips, otoscope"	item	0.45	1	0	XXX
92625	CMS	"Office Supply, Grocery"	SK008	audiology scoring forms	item	0.12	3	0	XXX
92626	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	XXX
92626	CMS	"Office Supply, Grocery"	SK008	audiology scoring forms	item	0.12	4	0	XXX
92626	CMS	Infection Control	SM025	"specula tips, otoscope"	item	0.45	1	0	XXX
92627	CMS	"Office Supply, Grocery"	SK008	audiology scoring forms	item	0.12	1	0	ZZZ
92640	CMS	"Office Supply, Grocery"	SK008	audiology scoring forms	item	0.12	1	0	XXX
92640	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	0.1	0	XXX
92640	CMS	"Office Supply, Grocery"	SK068	razor	item	0.51	0.25	0	XXX
92650	CMS	"Accessory, Procedure"	SD044	"ear tip, earphone"	item	0.62	2		XXX
92650	CMS	"Accessory, Procedure"	SD062	"electrode, surface"	item	1.58	4		XXX
92650	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	4		XXX
92650	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	8		XXX
92650	CMS	"Pharmacy, NonRx"	SJ021	electrode conductive paste	oz	1.81	2		XXX
92650	CMS	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.15	2		XXX
92650	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
92650	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	1		XXX
92650	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1		XXX
92651	CMS	"Accessory, Procedure"	SD044	"ear tip, earphone"	item	0.62	2		XXX
92651	CMS	"Accessory, Procedure"	SD062	"electrode, surface"	item	1.58	4		XXX
92651	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	4		XXX
92651	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	8		XXX
92651	CMS	"Pharmacy, NonRx"	SJ021	electrode conductive paste	oz	1.81	2		XXX
92651	CMS	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.15	2		XXX
92651	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
92651	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	2		XXX
92651	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1		XXX
92651	CMS	Infection Control	SM025	"specula tips, otoscope"	item	0.45	1		XXX
92652	CMS	"Accessory, Procedure"	SD044	"ear tip, earphone"	item	0.62	2		XXX
92652	CMS	"Accessory, Procedure"	SD062	"electrode, surface"	item	1.58	4		XXX
92652	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	4		XXX
92652	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	8		XXX
92652	CMS	"Pharmacy, NonRx"	SJ021	electrode conductive paste	oz	1.81	2		XXX
92652	CMS	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.15	2		XXX
92652	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
92652	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	2		XXX
92652	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1		XXX
92652	CMS	Infection Control	SM025	"specula tips, otoscope"	item	0.45	1		XXX
92653	CMS	"Accessory, Procedure"	SD044	"ear tip, earphone"	item	0.62	2		XXX
92653	CMS	"Accessory, Procedure"	SD062	"electrode, surface"	item	1.58	4		XXX
92653	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	4		XXX
92653	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	8		XXX
92653	CMS	"Pharmacy, NonRx"	SJ021	electrode conductive paste	oz	1.81	2		XXX
92653	CMS	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.15	2		XXX
92653	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
92653	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	2		XXX
92653	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1		XXX
92653	CMS	Infection Control	SM025	"specula tips, otoscope"	item	0.45	1		XXX
92950	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	000
92950	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1	0	000
92950	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	000
92950	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	3	0	000
92950	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	10	0	000
92950	CMS	"Accessory, Procedure"	SD084	"gas, oxygen"	liter	0.01	375	0	000
92950	CMS	"Accessory, Procedure"	SD106	"pad, cardioversion R2 (2 pack)"	item	30.56	1	0	000
92950	CMS	"Accessory, Procedure"	SD182	"mask, CPR (RespAide)"	item	46.32	1	0	000
92950	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	000
92950	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	8	0	000
92950	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	10	0	000
92950	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.33	0	000
92950	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	000
92960	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
92960	CMS	"Accessory, Procedure"	SD106	"pad, cardioversion R2 (2 pack)"	item	30.56	1	0	000
92960	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	4	0	000
92986	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
92987	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
92990	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
93000	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	10		XXX
93000	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
93000	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	4		XXX
93005	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	10		XXX
93005	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
93005	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	4		XXX
93015	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
93015	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	10		XXX
93015	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
93015	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	15		XXX
93015	CMS	"Office Supply, Grocery"	SK072	sandpaper (per sheet)	item	0.81	1		XXX
93017	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	10		XXX
93017	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
93017	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
93017	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	15		XXX
93017	CMS	"Office Supply, Grocery"	SK072	sandpaper (per sheet)	item	0.81	1		XXX
93024	CMS	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1		XXX
93024	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
93024	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
93024	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1		XXX
93024	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
93024	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX
93024	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
93024	CMS	"Hypodermic, IV"	SC018	iv infusion set	item	1.27	1		XXX
93024	CMS	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.54	1		XXX
93024	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1		XXX
93024	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
93024	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
93025	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
93025	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
93025	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
93025	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	7		XXX
93025	CMS	"Accessory, Procedure"	SD115	"sensor, microvolt (Micro-V)"	item	4.8	7		XXX
93025	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2		XXX
93025	CMS	"Pharmacy, NonRx"	SJ023	electrode skin prep tape (One-Step)	inch	0.16	1		XXX
93025	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	10		XXX
93025	CMS	"Office Supply, Grocery"	SK068	razor	item	0.51	1		XXX
93025	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	1		XXX
93040	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	5		XXX
93040	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
93040	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	4		XXX
93041	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	5		XXX
93041	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
93041	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	4		XXX
93050	CMS	"Pharmacy, NonRx"	SJ001	alcohol isopropyl 70%	ml	0.03	2		XXX
93050	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	4		XXX
93145	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	XXX
93145	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	5	0	XXX
93145	RUC	"Pharmacy, NonRx"	SJ019	electrode adhesive disk	item	0.21	5	0	XXX
93145	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4	0	XXX
93146	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	XXX
93146	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	5	0	XXX
93146	RUC	"Pharmacy, NonRx"	SJ019	electrode adhesive disk	item	0.21	5	0	XXX
93146	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4	0	XXX
93150	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	XXX
93151	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	XXX
93153	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	XXX
93224	CMS	"Kit, Pack, Tray"	SA002	"kit, ambulatory Holter"	kit	4.7	1		XXX
93224	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
93224	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	20		XXX
93224	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
93225	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
93225	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
93226	CMS	"Kit, Pack, Tray"	SA002	"kit, ambulatory Holter"	kit	4.7	1		XXX
93226	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	10		XXX
93227	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	10	0	XXX
93229	CMS	"Accessory, Procedure"	SD345	MCT Electrode Patch Kit	item	4.85	5		XXX
93229	CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035	2		XXX
93229	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
93229	CMS	Infection Control	SM029	skin prep barrier wipes	item	0.2	2		XXX
93241	CMS	"Kit, Pack, Tray"	SA002	"kit, ambulatory Holter"	kit	4.7	1		XXX
93241	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
93241	CMS	"Accessory, Procedure"	SD339	"extended external ECG patch, medical magnetic tape recorder"	item	315	1		XXX
93241	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	32		XXX
93241	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
93242	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
93243	CMS	"Kit, Pack, Tray"	SA002	"kit, ambulatory Holter"	kit	4.7	1		XXX
93243	CMS	"Accessory, Procedure"	SD339	"extended external ECG patch, medical magnetic tape recorder"	item	315	1		XXX
93243	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	16		XXX
93243	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
93244	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	16	0	XXX
93245	CMS	"Kit, Pack, Tray"	SA002	"kit, ambulatory Holter"	kit	4.7	1		XXX
93245	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
93245	CMS	"Accessory, Procedure"	SD339	"extended external ECG patch, medical magnetic tape recorder"	item	315	1		XXX
93245	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	32		XXX
93245	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
93246	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
93247	CMS	"Kit, Pack, Tray"	SA002	"kit, ambulatory Holter"	kit	4.7	1		XXX
93247	CMS	"Accessory, Procedure"	SD339	"extended external ECG patch, medical magnetic tape recorder"	item	315	1		XXX
93247	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	16		XXX
93247	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
93248	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	16	0	XXX
93260	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
93260	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	4		XXX
93260	CMS	"Pharmacy, NonRx"	SJ019	electrode adhesive disk	item	0.21	4		XXX
93260	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
93260	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	15		XXX
93261	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
93261	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	4		XXX
93261	CMS	"Pharmacy, NonRx"	SJ019	electrode adhesive disk	item	0.21	4		XXX
93261	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
93261	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	15		XXX
93268	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
93268	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	60		XXX
93268	CMS	"Office Supply, Grocery"	SK095	"battery, AA"	item	0.83	12		XXX
93268	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
93268	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	6		XXX
93271	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
93271	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	60		XXX
93271	CMS	"Office Supply, Grocery"	SK095	"battery, AA"	item	0.83	12		XXX
93271	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
93271	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	6		XXX
93278	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	10		XXX
93278	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
93278	CMS	"Office Supply, Grocery"	SK072	sandpaper (per sheet)	item	0.81	1		XXX
93279	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
93279	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	5		XXX
93279	CMS	"Pharmacy, NonRx"	SJ019	electrode adhesive disk	item	0.21	5		XXX
93279	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
93279	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	10		XXX
93280	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
93280	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	5		XXX
93280	CMS	"Pharmacy, NonRx"	SJ019	electrode adhesive disk	item	0.21	5		XXX
93280	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
93280	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	15		XXX
93281	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
93281	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	5		XXX
93281	CMS	"Pharmacy, NonRx"	SJ019	electrode adhesive disk	item	0.21	5		XXX
93281	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
93281	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	15		XXX
93282	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
93282	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	5		XXX
93282	CMS	"Pharmacy, NonRx"	SJ019	electrode adhesive disk	item	0.21	5		XXX
93282	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
93282	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	15		XXX
93283	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
93283	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	5		XXX
93283	CMS	"Pharmacy, NonRx"	SJ019	electrode adhesive disk	item	0.21	5		XXX
93283	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
93283	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	20		XXX
93284	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
93284	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	5		XXX
93284	CMS	"Pharmacy, NonRx"	SJ019	electrode adhesive disk	item	0.21	5		XXX
93284	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
93284	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	20		XXX
93285	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
93285	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	5		XXX
93285	CMS	"Pharmacy, NonRx"	SJ019	electrode adhesive disk	item	0.21	5		XXX
93285	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
93285	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	20		XXX
93286	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
93286	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
93286	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	5		XXX
93286	CMS	"Pharmacy, NonRx"	SJ019	electrode adhesive disk	item	0.21	5		XXX
93286	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
93286	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	10		XXX
93287	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
93287	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
93287	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	5		XXX
93287	CMS	"Pharmacy, NonRx"	SJ019	electrode adhesive disk	item	0.21	5		XXX
93287	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
93287	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	10		XXX
93288	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
93288	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	5		XXX
93288	CMS	"Pharmacy, NonRx"	SJ019	electrode adhesive disk	item	0.21	5		XXX
93288	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
93288	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	10		XXX
93289	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
93289	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	5		XXX
93289	CMS	"Pharmacy, NonRx"	SJ019	electrode adhesive disk	item	0.21	5		XXX
93289	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
93289	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	15		XXX
93290	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
93290	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	5		XXX
93290	CMS	"Pharmacy, NonRx"	SJ019	electrode adhesive disk	item	0.21	5		XXX
93290	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
93290	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	10		XXX
93291	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
93291	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	5		XXX
93291	CMS	"Pharmacy, NonRx"	SJ019	electrode adhesive disk	item	0.21	5		XXX
93291	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
93291	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	15		XXX
93292	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	5		XXX
93292	CMS	"Pharmacy, NonRx"	SJ019	electrode adhesive disk	item	0.21	5		XXX
93292	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
93292	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	10		XXX
93293	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	10		XXX
93296	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	10		XXX
93297	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	10		XXX
93298	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	10		XXX
93303	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
93303	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	3		XXX
93303	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	180		XXX
93303	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
93303	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.034		XXX
93303	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3		XXX
93304	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
93304	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
93304	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	3		XXX
93304	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	180		XXX
93304	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
93304	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.034		XXX
93304	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3		XXX
93306	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
93306	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
93306	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	3		XXX
93306	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	25		XXX
93306	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3		XXX
93307	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
93307	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
93307	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	3		XXX
93307	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	25		XXX
93307	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3		XXX
93308	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
93308	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
93308	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	3		XXX
93308	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	25		XXX
93308	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3		XXX
93312	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
93312	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2		XXX
93312	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	3		XXX
93312	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
93312	CMS	"Hypodermic, IV"	SC003	arm board	item	0.96	1		XXX
93312	CMS	"Hypodermic, IV"	SC014	Interlink adaptor	item	1.03	1		XXX
93312	CMS	"Hypodermic, IV"	SC015	Interlink vial access	item	2.47	1		XXX
93312	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3		XXX
93312	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2		XXX
93312	CMS	"Accessory, Procedure"	SD006	bite block	item	2.6	1		XXX
93312	CMS	"Accessory, Procedure"	SD127	"tube, suction NG (Salem sump)"	item	3.13	1		XXX
93312	CMS	"Pharmacy, Rx"	SH030	Emla cream	gm	2.19	1		XXX
93312	CMS	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
93312	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10		XXX
93312	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
93312	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1		XXX
93312	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	1		XXX
93312	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	20		XXX
93312	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	1		XXX
93312	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
93312	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.2		XXX
93314	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
93314	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2		XXX
93314	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	3		XXX
93314	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
93314	CMS	"Hypodermic, IV"	SC003	arm board	item	0.96	1		XXX
93314	CMS	"Hypodermic, IV"	SC014	Interlink adaptor	item	1.03	1		XXX
93314	CMS	"Hypodermic, IV"	SC015	Interlink vial access	item	2.47	1		XXX
93314	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3		XXX
93314	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2		XXX
93314	CMS	"Accessory, Procedure"	SD006	bite block	item	2.6	1		XXX
93314	CMS	"Accessory, Procedure"	SD127	"tube, suction NG (Salem sump)"	item	3.13	1		XXX
93314	CMS	"Pharmacy, Rx"	SH030	Emla cream	gm	2.19	1		XXX
93314	CMS	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.75	1		XXX
93314	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10		XXX
93314	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
93314	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1		XXX
93314	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	1		XXX
93314	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	20		XXX
93314	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	1		XXX
93314	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
93314	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.2		XXX
93350	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
93350	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
93350	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	3		XXX
93350	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	20		XXX
93350	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
93350	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	1		XXX
93350	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3		XXX
93351	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
93351	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
93351	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	13		XXX
93351	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
93351	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
93351	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	20		XXX
93351	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	15		XXX
93351	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
93351	CMS	"Office Supply, Grocery"	SK072	sandpaper (per sheet)	item	0.81	1		XXX
93351	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	1		XXX
93351	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3		XXX
93352	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		ZZZ
93352	CMS	"Hypodermic, IV"	SC015	Interlink vial access	item	2.47	1		ZZZ
93352	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		ZZZ
93352	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2		ZZZ
93352	CMS	"Accessory, Procedure"	SD124	"tourniquet, non-latex 1in x 18in"	item	0.1	1		ZZZ
93352	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		ZZZ
93352	CMS	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	1		ZZZ
93352	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		ZZZ
93352	CMS	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	1		ZZZ
93352	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		ZZZ
93352	CMS	"Pharmacy, NonRx"	SJ001	alcohol isopropyl 70%	ml	0.03	1		ZZZ
93352	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		ZZZ
93352	CMS	"Pharmacy, NonRx"	SJ081	"swab, patient prep, 1.5 ml  (chloraprep)"	item	1.09	1		ZZZ
93451	CMS	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1		000
93451	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		000
93451	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1		000
93451	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2		000
93451	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	2		000
93451	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1		000
93451	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4		000
93451	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2		000
93451	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	3		000
93451	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2		000
93451	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1		000
93451	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2		000
93451	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3		000
93451	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1		000
93451	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		000
93451	CMS	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.18	1		000
93451	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		000
93451	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	4		000
93451	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2		000
93451	CMS	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	11.51	1		000
93451	CMS	"Hypodermic, IV"	SC076	"needle, arterial, percutaneous"	item	18.09	1		000
93451	CMS	"Hypodermic, IV"	SC082	"syringe 12ml, coronary control"	item	8.79	1		000
93451	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1		000
93451	CMS	"Accessory, Procedure"	SD131	"tubing, pressure"	item	2.9	1		000
93451	CMS	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1		000
93451	CMS	"Accessory, Procedure"	SD140	"bag system, 1000ml (for angiography waste fluids)"	item	20.1	2		000
93451	CMS	"Accessory, Procedure"	SD156	"catheter, Swan Ganz"	item	101.45	1		000
93451	CMS	"Accessory, Procedure"	SD169	"forceps, Kelly"	item	1.51	1		000
93451	CMS	"Accessory, Procedure"	SD180	manifold (for angiography)	item	20.44	1		000
93451	CMS	"Accessory, Procedure"	SD208	"towel clamp, plastic"	item	0.76	2		000
93451	CMS	"Accessory, Procedure"	SD210	"transducer, pressure monitoring (for angiography)"	item	4.52	1		000
93451	CMS	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.26	1		000
93451	CMS	"Accessory, Procedure"	SD212	"tubing, sterile, connecting (fluid administration)"	item	1.13	1		000
93451	CMS	"Accessory, Procedure"	SD213	"tubing, sterile, non-vented (fluid administration)"	item	1.62	1		000
93451	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1		000
93451	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	2		000
93451	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2		000
93451	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2		000
93451	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1		000
93451	CMS	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	6		000
93451	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		000
93451	CMS	"Pharmacy, Rx"	SH026	Conray Inj (iothalamate 43%)	ml	0.27	60		000
93451	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5		000
93451	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30		000
93451	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2		000
93451	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	2		000
93451	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60		000
93451	CMS	"Office Supply, Grocery"	SK043	label for files-folders	item	0.07	1		000
93451	CMS	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	1		000
93451	CMS	Lab	SL156	"cup, sterile, 12-16 oz"	item	0.75	1		000
93451	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		000
93451	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1		000
93452	CMS	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1		000
93452	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		000
93452	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1		000
93452	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2		000
93452	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	2		000
93452	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1		000
93452	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4		000
93452	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2		000
93452	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	3		000
93452	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2		000
93452	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1		000
93452	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2		000
93452	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3		000
93452	CMS	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1		000
93452	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1		000
93452	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		000
93452	CMS	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.18	1		000
93452	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		000
93452	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	4		000
93452	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2		000
93452	CMS	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	11.51	1		000
93452	CMS	"Hypodermic, IV"	SC076	"needle, arterial, percutaneous"	item	18.09	1		000
93452	CMS	"Hypodermic, IV"	SC082	"syringe 12ml, coronary control"	item	8.79	1		000
93452	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1		000
93452	CMS	"Accessory, Procedure"	SD131	"tubing, pressure"	item	2.9	1		000
93452	CMS	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1		000
93452	CMS	"Accessory, Procedure"	SD140	"bag system, 1000ml (for angiography waste fluids)"	item	20.1	2		000
93452	CMS	"Accessory, Procedure"	SD169	"forceps, Kelly"	item	1.51	1		000
93452	CMS	"Accessory, Procedure"	SD180	manifold (for angiography)	item	20.44	1		000
93452	CMS	"Accessory, Procedure"	SD208	"towel clamp, plastic"	item	0.76	2		000
93452	CMS	"Accessory, Procedure"	SD210	"transducer, pressure monitoring (for angiography)"	item	4.52	1		000
93452	CMS	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.26	1		000
93452	CMS	"Accessory, Procedure"	SD212	"tubing, sterile, connecting (fluid administration)"	item	1.13	1		000
93452	CMS	"Accessory, Procedure"	SD213	"tubing, sterile, non-vented (fluid administration)"	item	1.62	1		000
93452	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1		000
93452	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	2		000
93452	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2		000
93452	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2		000
93452	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1		000
93452	CMS	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	6		000
93452	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		000
93452	CMS	"Pharmacy, Rx"	SH026	Conray Inj (iothalamate 43%)	ml	0.27	60		000
93452	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5		000
93452	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30		000
93452	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2		000
93452	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	2		000
93452	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60		000
93452	CMS	"Office Supply, Grocery"	SK043	label for files-folders	item	0.07	1		000
93452	CMS	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	1		000
93452	CMS	Lab	SL156	"cup, sterile, 12-16 oz"	item	0.75	1		000
93452	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		000
93452	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1		000
93453	CMS	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1		000
93453	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		000
93453	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1		000
93453	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2		000
93453	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	2		000
93453	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1		000
93453	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4		000
93453	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2		000
93453	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	3		000
93453	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2		000
93453	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1		000
93453	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2		000
93453	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3		000
93453	CMS	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1		000
93453	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1		000
93453	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		000
93453	CMS	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.18	1		000
93453	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		000
93453	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	4		000
93453	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2		000
93453	CMS	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	11.51	1		000
93453	CMS	"Hypodermic, IV"	SC076	"needle, arterial, percutaneous"	item	18.09	1		000
93453	CMS	"Hypodermic, IV"	SC082	"syringe 12ml, coronary control"	item	8.79	1		000
93453	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1		000
93453	CMS	"Accessory, Procedure"	SD131	"tubing, pressure"	item	2.9	1		000
93453	CMS	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	2		000
93453	CMS	"Accessory, Procedure"	SD140	"bag system, 1000ml (for angiography waste fluids)"	item	20.1	2		000
93453	CMS	"Accessory, Procedure"	SD156	"catheter, Swan Ganz"	item	101.45	1		000
93453	CMS	"Accessory, Procedure"	SD169	"forceps, Kelly"	item	1.51	1		000
93453	CMS	"Accessory, Procedure"	SD180	manifold (for angiography)	item	20.44	1		000
93453	CMS	"Accessory, Procedure"	SD208	"towel clamp, plastic"	item	0.76	2		000
93453	CMS	"Accessory, Procedure"	SD210	"transducer, pressure monitoring (for angiography)"	item	4.52	1		000
93453	CMS	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.26	1		000
93453	CMS	"Accessory, Procedure"	SD212	"tubing, sterile, connecting (fluid administration)"	item	1.13	1		000
93453	CMS	"Accessory, Procedure"	SD213	"tubing, sterile, non-vented (fluid administration)"	item	1.62	1		000
93453	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1		000
93453	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	2		000
93453	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2		000
93453	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2		000
93453	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1		000
93453	CMS	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	6		000
93453	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		000
93453	CMS	"Pharmacy, Rx"	SH026	Conray Inj (iothalamate 43%)	ml	0.27	60		000
93453	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5		000
93453	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30		000
93453	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2		000
93453	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	2		000
93453	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60		000
93453	CMS	"Office Supply, Grocery"	SK043	label for files-folders	item	0.07	1		000
93453	CMS	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	1		000
93453	CMS	Lab	SL156	"cup, sterile, 12-16 oz"	item	0.75	1		000
93453	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		000
93453	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1		000
93454	CMS	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1		000
93454	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		000
93454	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1		000
93454	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2		000
93454	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	2		000
93454	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1		000
93454	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4		000
93454	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2		000
93454	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	3		000
93454	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2		000
93454	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1		000
93454	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2		000
93454	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3		000
93454	CMS	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	2.3		000
93454	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1		000
93454	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		000
93454	CMS	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.18	1		000
93454	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		000
93454	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	4		000
93454	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2		000
93454	CMS	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	11.51	1		000
93454	CMS	"Hypodermic, IV"	SC076	"needle, arterial, percutaneous"	item	18.09	1		000
93454	CMS	"Hypodermic, IV"	SC082	"syringe 12ml, coronary control"	item	8.79	1		000
93454	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1		000
93454	CMS	"Accessory, Procedure"	SD131	"tubing, pressure"	item	2.9	1		000
93454	CMS	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1		000
93454	CMS	"Accessory, Procedure"	SD140	"bag system, 1000ml (for angiography waste fluids)"	item	20.1	2		000
93454	CMS	"Accessory, Procedure"	SD169	"forceps, Kelly"	item	1.51	1		000
93454	CMS	"Accessory, Procedure"	SD180	manifold (for angiography)	item	20.44	1		000
93454	CMS	"Accessory, Procedure"	SD208	"towel clamp, plastic"	item	0.76	2		000
93454	CMS	"Accessory, Procedure"	SD210	"transducer, pressure monitoring (for angiography)"	item	4.52	1		000
93454	CMS	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.26	1		000
93454	CMS	"Accessory, Procedure"	SD212	"tubing, sterile, connecting (fluid administration)"	item	1.13	1		000
93454	CMS	"Accessory, Procedure"	SD213	"tubing, sterile, non-vented (fluid administration)"	item	1.62	1		000
93454	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1		000
93454	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	2		000
93454	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2		000
93454	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2		000
93454	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1		000
93454	CMS	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	6		000
93454	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		000
93454	CMS	"Pharmacy, Rx"	SH026	Conray Inj (iothalamate 43%)	ml	0.27	60		000
93454	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5		000
93454	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30		000
93454	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2		000
93454	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	2		000
93454	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60		000
93454	CMS	"Office Supply, Grocery"	SK043	label for files-folders	item	0.07	1		000
93454	CMS	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	1		000
93454	CMS	Lab	SL156	"cup, sterile, 12-16 oz"	item	0.75	1		000
93454	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		000
93454	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1		000
93455	CMS	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1		000
93455	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		000
93455	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1		000
93455	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2		000
93455	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	2		000
93455	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1		000
93455	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4		000
93455	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2		000
93455	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	3		000
93455	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2		000
93455	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1		000
93455	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2		000
93455	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3		000
93455	CMS	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	4.3		000
93455	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1		000
93455	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		000
93455	CMS	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.18	1		000
93455	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		000
93455	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	4		000
93455	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2		000
93455	CMS	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	11.51	1		000
93455	CMS	"Hypodermic, IV"	SC076	"needle, arterial, percutaneous"	item	18.09	1		000
93455	CMS	"Hypodermic, IV"	SC082	"syringe 12ml, coronary control"	item	8.79	1		000
93455	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1		000
93455	CMS	"Accessory, Procedure"	SD131	"tubing, pressure"	item	2.9	1		000
93455	CMS	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1		000
93455	CMS	"Accessory, Procedure"	SD140	"bag system, 1000ml (for angiography waste fluids)"	item	20.1	2		000
93455	CMS	"Accessory, Procedure"	SD169	"forceps, Kelly"	item	1.51	1		000
93455	CMS	"Accessory, Procedure"	SD180	manifold (for angiography)	item	20.44	1		000
93455	CMS	"Accessory, Procedure"	SD208	"towel clamp, plastic"	item	0.76	2		000
93455	CMS	"Accessory, Procedure"	SD210	"transducer, pressure monitoring (for angiography)"	item	4.52	1		000
93455	CMS	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.26	1		000
93455	CMS	"Accessory, Procedure"	SD212	"tubing, sterile, connecting (fluid administration)"	item	1.13	1		000
93455	CMS	"Accessory, Procedure"	SD213	"tubing, sterile, non-vented (fluid administration)"	item	1.62	1		000
93455	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1		000
93455	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	2		000
93455	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2		000
93455	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2		000
93455	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1		000
93455	CMS	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	6		000
93455	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		000
93455	CMS	"Pharmacy, Rx"	SH026	Conray Inj (iothalamate 43%)	ml	0.27	60		000
93455	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5		000
93455	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30		000
93455	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2		000
93455	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	2		000
93455	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60		000
93455	CMS	"Office Supply, Grocery"	SK043	label for files-folders	item	0.07	1		000
93455	CMS	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	1		000
93455	CMS	Lab	SL156	"cup, sterile, 12-16 oz"	item	0.75	1		000
93455	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		000
93455	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1		000
93456	CMS	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1		000
93456	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		000
93456	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1		000
93456	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2		000
93456	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	2		000
93456	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1		000
93456	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4		000
93456	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2		000
93456	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	3		000
93456	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2		000
93456	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1		000
93456	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2		000
93456	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3		000
93456	CMS	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	2.3		000
93456	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1		000
93456	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		000
93456	CMS	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.18	1		000
93456	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		000
93456	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	4		000
93456	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2		000
93456	CMS	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	11.51	1		000
93456	CMS	"Hypodermic, IV"	SC076	"needle, arterial, percutaneous"	item	18.09	1		000
93456	CMS	"Hypodermic, IV"	SC082	"syringe 12ml, coronary control"	item	8.79	1		000
93456	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1		000
93456	CMS	"Accessory, Procedure"	SD131	"tubing, pressure"	item	2.9	1		000
93456	CMS	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	2		000
93456	CMS	"Accessory, Procedure"	SD140	"bag system, 1000ml (for angiography waste fluids)"	item	20.1	2		000
93456	CMS	"Accessory, Procedure"	SD156	"catheter, Swan Ganz"	item	101.45	1		000
93456	CMS	"Accessory, Procedure"	SD169	"forceps, Kelly"	item	1.51	1		000
93456	CMS	"Accessory, Procedure"	SD180	manifold (for angiography)	item	20.44	1		000
93456	CMS	"Accessory, Procedure"	SD208	"towel clamp, plastic"	item	0.76	2		000
93456	CMS	"Accessory, Procedure"	SD210	"transducer, pressure monitoring (for angiography)"	item	4.52	1		000
93456	CMS	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.26	1		000
93456	CMS	"Accessory, Procedure"	SD212	"tubing, sterile, connecting (fluid administration)"	item	1.13	1		000
93456	CMS	"Accessory, Procedure"	SD213	"tubing, sterile, non-vented (fluid administration)"	item	1.62	1		000
93456	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1		000
93456	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	2		000
93456	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2		000
93456	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2		000
93456	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1		000
93456	CMS	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	6		000
93456	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		000
93456	CMS	"Pharmacy, Rx"	SH026	Conray Inj (iothalamate 43%)	ml	0.27	60		000
93456	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5		000
93456	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30		000
93456	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2		000
93456	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	2		000
93456	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60		000
93456	CMS	"Office Supply, Grocery"	SK043	label for files-folders	item	0.07	1		000
93456	CMS	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	1		000
93456	CMS	Lab	SL156	"cup, sterile, 12-16 oz"	item	0.75	1		000
93456	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		000
93456	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1		000
93457	CMS	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1		000
93457	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		000
93457	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1		000
93457	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2		000
93457	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	2		000
93457	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1		000
93457	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4		000
93457	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2		000
93457	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	3		000
93457	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2		000
93457	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1		000
93457	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2		000
93457	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3		000
93457	CMS	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	4.3		000
93457	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1		000
93457	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		000
93457	CMS	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.18	1		000
93457	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		000
93457	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	4		000
93457	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2		000
93457	CMS	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	11.51	1		000
93457	CMS	"Hypodermic, IV"	SC076	"needle, arterial, percutaneous"	item	18.09	1		000
93457	CMS	"Hypodermic, IV"	SC082	"syringe 12ml, coronary control"	item	8.79	1		000
93457	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1		000
93457	CMS	"Accessory, Procedure"	SD131	"tubing, pressure"	item	2.9	1		000
93457	CMS	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	2		000
93457	CMS	"Accessory, Procedure"	SD140	"bag system, 1000ml (for angiography waste fluids)"	item	20.1	2		000
93457	CMS	"Accessory, Procedure"	SD156	"catheter, Swan Ganz"	item	101.45	1		000
93457	CMS	"Accessory, Procedure"	SD169	"forceps, Kelly"	item	1.51	1		000
93457	CMS	"Accessory, Procedure"	SD180	manifold (for angiography)	item	20.44	1		000
93457	CMS	"Accessory, Procedure"	SD208	"towel clamp, plastic"	item	0.76	2		000
93457	CMS	"Accessory, Procedure"	SD210	"transducer, pressure monitoring (for angiography)"	item	4.52	1		000
93457	CMS	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.26	1		000
93457	CMS	"Accessory, Procedure"	SD212	"tubing, sterile, connecting (fluid administration)"	item	1.13	1		000
93457	CMS	"Accessory, Procedure"	SD213	"tubing, sterile, non-vented (fluid administration)"	item	1.62	1		000
93457	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1		000
93457	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	2		000
93457	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2		000
93457	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2		000
93457	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1		000
93457	CMS	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	6		000
93457	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		000
93457	CMS	"Pharmacy, Rx"	SH026	Conray Inj (iothalamate 43%)	ml	0.27	60		000
93457	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5		000
93457	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30		000
93457	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2		000
93457	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	2		000
93457	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60		000
93457	CMS	"Office Supply, Grocery"	SK043	label for files-folders	item	0.07	1		000
93457	CMS	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	1		000
93457	CMS	Lab	SL156	"cup, sterile, 12-16 oz"	item	0.75	1		000
93457	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		000
93457	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1		000
93458	CMS	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1		000
93458	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		000
93458	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1		000
93458	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2		000
93458	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	2		000
93458	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1		000
93458	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4		000
93458	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2		000
93458	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	3		000
93458	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2		000
93458	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1		000
93458	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2		000
93458	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3		000
93458	CMS	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	3.3		000
93458	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1		000
93458	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		000
93458	CMS	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.18	1		000
93458	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		000
93458	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	4		000
93458	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2		000
93458	CMS	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	11.51	1		000
93458	CMS	"Hypodermic, IV"	SC076	"needle, arterial, percutaneous"	item	18.09	1		000
93458	CMS	"Hypodermic, IV"	SC082	"syringe 12ml, coronary control"	item	8.79	1		000
93458	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1		000
93458	CMS	"Accessory, Procedure"	SD131	"tubing, pressure"	item	2.9	1		000
93458	CMS	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1		000
93458	CMS	"Accessory, Procedure"	SD140	"bag system, 1000ml (for angiography waste fluids)"	item	20.1	2		000
93458	CMS	"Accessory, Procedure"	SD169	"forceps, Kelly"	item	1.51	1		000
93458	CMS	"Accessory, Procedure"	SD180	manifold (for angiography)	item	20.44	1		000
93458	CMS	"Accessory, Procedure"	SD208	"towel clamp, plastic"	item	0.76	2		000
93458	CMS	"Accessory, Procedure"	SD210	"transducer, pressure monitoring (for angiography)"	item	4.52	1		000
93458	CMS	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.26	1		000
93458	CMS	"Accessory, Procedure"	SD212	"tubing, sterile, connecting (fluid administration)"	item	1.13	1		000
93458	CMS	"Accessory, Procedure"	SD213	"tubing, sterile, non-vented (fluid administration)"	item	1.62	1		000
93458	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1		000
93458	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	2		000
93458	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2		000
93458	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2		000
93458	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1		000
93458	CMS	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	6		000
93458	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		000
93458	CMS	"Pharmacy, Rx"	SH026	Conray Inj (iothalamate 43%)	ml	0.27	60		000
93458	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5		000
93458	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30		000
93458	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2		000
93458	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	2		000
93458	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60		000
93458	CMS	"Office Supply, Grocery"	SK043	label for files-folders	item	0.07	1		000
93458	CMS	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	1		000
93458	CMS	Lab	SL156	"cup, sterile, 12-16 oz"	item	0.75	1		000
93458	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		000
93458	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1		000
93459	CMS	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1		000
93459	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		000
93459	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1		000
93459	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2		000
93459	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	2		000
93459	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1		000
93459	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4		000
93459	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2		000
93459	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	3		000
93459	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2		000
93459	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1		000
93459	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2		000
93459	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3		000
93459	CMS	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	5.3		000
93459	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1		000
93459	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		000
93459	CMS	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.18	1		000
93459	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		000
93459	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	4		000
93459	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2		000
93459	CMS	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	11.51	1		000
93459	CMS	"Hypodermic, IV"	SC076	"needle, arterial, percutaneous"	item	18.09	1		000
93459	CMS	"Hypodermic, IV"	SC082	"syringe 12ml, coronary control"	item	8.79	1		000
93459	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1		000
93459	CMS	"Accessory, Procedure"	SD131	"tubing, pressure"	item	2.9	1		000
93459	CMS	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1		000
93459	CMS	"Accessory, Procedure"	SD140	"bag system, 1000ml (for angiography waste fluids)"	item	20.1	2		000
93459	CMS	"Accessory, Procedure"	SD169	"forceps, Kelly"	item	1.51	1		000
93459	CMS	"Accessory, Procedure"	SD180	manifold (for angiography)	item	20.44	1		000
93459	CMS	"Accessory, Procedure"	SD208	"towel clamp, plastic"	item	0.76	2		000
93459	CMS	"Accessory, Procedure"	SD210	"transducer, pressure monitoring (for angiography)"	item	4.52	1		000
93459	CMS	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.26	1		000
93459	CMS	"Accessory, Procedure"	SD212	"tubing, sterile, connecting (fluid administration)"	item	1.13	1		000
93459	CMS	"Accessory, Procedure"	SD213	"tubing, sterile, non-vented (fluid administration)"	item	1.62	1		000
93459	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1		000
93459	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	2		000
93459	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2		000
93459	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2		000
93459	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1		000
93459	CMS	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	6		000
93459	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		000
93459	CMS	"Pharmacy, Rx"	SH026	Conray Inj (iothalamate 43%)	ml	0.27	60		000
93459	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5		000
93459	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30		000
93459	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2		000
93459	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	2		000
93459	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60		000
93459	CMS	"Office Supply, Grocery"	SK043	label for files-folders	item	0.07	1		000
93459	CMS	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	1		000
93459	CMS	Lab	SL156	"cup, sterile, 12-16 oz"	item	0.75	1		000
93459	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		000
93459	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1		000
93460	CMS	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1		000
93460	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		000
93460	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1		000
93460	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2		000
93460	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	2		000
93460	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1		000
93460	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4		000
93460	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2		000
93460	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	3		000
93460	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2		000
93460	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1		000
93460	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2		000
93460	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3		000
93460	CMS	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	3.3		000
93460	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1		000
93460	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		000
93460	CMS	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.18	1		000
93460	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		000
93460	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	4		000
93460	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2		000
93460	CMS	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	11.51	1		000
93460	CMS	"Hypodermic, IV"	SC076	"needle, arterial, percutaneous"	item	18.09	1		000
93460	CMS	"Hypodermic, IV"	SC082	"syringe 12ml, coronary control"	item	8.79	1		000
93460	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1		000
93460	CMS	"Accessory, Procedure"	SD131	"tubing, pressure"	item	2.9	1		000
93460	CMS	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	2		000
93460	CMS	"Accessory, Procedure"	SD140	"bag system, 1000ml (for angiography waste fluids)"	item	20.1	2		000
93460	CMS	"Accessory, Procedure"	SD156	"catheter, Swan Ganz"	item	101.45	1		000
93460	CMS	"Accessory, Procedure"	SD169	"forceps, Kelly"	item	1.51	1		000
93460	CMS	"Accessory, Procedure"	SD180	manifold (for angiography)	item	20.44	1		000
93460	CMS	"Accessory, Procedure"	SD208	"towel clamp, plastic"	item	0.76	2		000
93460	CMS	"Accessory, Procedure"	SD210	"transducer, pressure monitoring (for angiography)"	item	4.52	1		000
93460	CMS	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.26	1		000
93460	CMS	"Accessory, Procedure"	SD212	"tubing, sterile, connecting (fluid administration)"	item	1.13	1		000
93460	CMS	"Accessory, Procedure"	SD213	"tubing, sterile, non-vented (fluid administration)"	item	1.62	1		000
93460	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1		000
93460	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	2		000
93460	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2		000
93460	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2		000
93460	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1		000
93460	CMS	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	6		000
93460	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		000
93460	CMS	"Pharmacy, Rx"	SH026	Conray Inj (iothalamate 43%)	ml	0.27	60		000
93460	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5		000
93460	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30		000
93460	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2		000
93460	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	2		000
93460	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60		000
93460	CMS	"Office Supply, Grocery"	SK043	label for files-folders	item	0.07	1		000
93460	CMS	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	1		000
93460	CMS	Lab	SL156	"cup, sterile, 12-16 oz"	item	0.75	1		000
93460	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		000
93460	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1		000
93461	CMS	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1		000
93461	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		000
93461	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1		000
93461	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2		000
93461	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	2		000
93461	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1		000
93461	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4		000
93461	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	2		000
93461	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	3		000
93461	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2		000
93461	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1		000
93461	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2		000
93461	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3		000
93461	CMS	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	5.3		000
93461	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1		000
93461	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		000
93461	CMS	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.18	1		000
93461	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		000
93461	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	4		000
93461	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2		000
93461	CMS	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	11.51	1		000
93461	CMS	"Hypodermic, IV"	SC076	"needle, arterial, percutaneous"	item	18.09	1		000
93461	CMS	"Hypodermic, IV"	SC082	"syringe 12ml, coronary control"	item	8.79	1		000
93461	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	45.29	1		000
93461	CMS	"Accessory, Procedure"	SD131	"tubing, pressure"	item	2.9	1		000
93461	CMS	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	2		000
93461	CMS	"Accessory, Procedure"	SD140	"bag system, 1000ml (for angiography waste fluids)"	item	20.1	2		000
93461	CMS	"Accessory, Procedure"	SD156	"catheter, Swan Ganz"	item	101.45	1		000
93461	CMS	"Accessory, Procedure"	SD169	"forceps, Kelly"	item	1.51	1		000
93461	CMS	"Accessory, Procedure"	SD180	manifold (for angiography)	item	20.44	1		000
93461	CMS	"Accessory, Procedure"	SD208	"towel clamp, plastic"	item	0.76	2		000
93461	CMS	"Accessory, Procedure"	SD210	"transducer, pressure monitoring (for angiography)"	item	4.52	1		000
93461	CMS	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.26	1		000
93461	CMS	"Accessory, Procedure"	SD212	"tubing, sterile, connecting (fluid administration)"	item	1.13	1		000
93461	CMS	"Accessory, Procedure"	SD213	"tubing, sterile, non-vented (fluid administration)"	item	1.62	1		000
93461	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1		000
93461	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	2		000
93461	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2		000
93461	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2		000
93461	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1		000
93461	CMS	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	6		000
93461	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		000
93461	CMS	"Pharmacy, Rx"	SH026	Conray Inj (iothalamate 43%)	ml	0.27	60		000
93461	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5		000
93461	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30		000
93461	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2		000
93461	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	2		000
93461	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60		000
93461	CMS	"Office Supply, Grocery"	SK043	label for files-folders	item	0.07	1		000
93461	CMS	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	1		000
93461	CMS	Lab	SL156	"cup, sterile, 12-16 oz"	item	0.75	1		000
93461	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		000
93461	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	1		000
93505	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		000
93505	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	3		000
93505	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	1		000
93505	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	0.83	4		000
93505	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1		000
93505	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3		000
93505	CMS	"Gown, Drape"	SB040	"slippers, paper"	pair	0.201	1		000
93505	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		000
93505	CMS	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.18	1		000
93505	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		000
93505	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	4		000
93505	CMS	"Hypodermic, IV"	SC076	"needle, arterial, percutaneous"	item	18.09	1		000
93505	CMS	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1		000
93505	CMS	"Accessory, Procedure"	SD169	"forceps, Kelly"	item	1.51	1		000
93505	CMS	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	1		000
93505	CMS	"Accessory, Procedure"	SD208	"towel clamp, plastic"	item	0.76	4		000
93505	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1		000
93505	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2		000
93505	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	30		000
93505	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		000
93505	CMS	"Pharmacy, NonRx"	SJ079	"basin, sterile 500cc"	item	3.51	1		000
93505	CMS	"Office Supply, Grocery"	SK043	label for files-folders	item	0.07	1		000
93505	CMS	"Office Supply, Grocery"	SK068	razor	item	0.51	1		000
93505	CMS	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	1		000
93505	CMS	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	10		000
93505	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		000
93505	CMS	Infection Control	SM016	"eye shield, splash protection"	item	3.18	2		000
93505	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	2		000
93642	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		000
93642	CMS	"Accessory, Procedure"	SD106	"pad, cardioversion R2 (2 pack)"	item	30.56	1		000
93642	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	4		000
93644	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		000
93644	CMS	"Accessory, Procedure"	SD106	"pad, cardioversion R2 (2 pack)"	item	30.56	1		000
93644	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	4		000
93660	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1		000
93660	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		000
93660	CMS	"Hypodermic, IV"	SC018	iv infusion set	item	1.27	1		000
93660	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		000
93660	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.05	1		000
93660	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	12		000
93668	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	3		XXX
93668	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
93701	CMS	"Accessory, Procedure"	SD116	"sensors, bioimpendance (4 pack uou)"	item	15.65	1		XXX
93701	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
93702	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
93702	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
93702	CMS	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.45	2		XXX
93702	CMS	"Accessory, Procedure"	SD290	"electrode, BIS (bioimpedance spectroscopy)"	item	33.62	3		XXX
93702	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	3		XXX
93702	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	2		XXX
93702	CMS	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	1		XXX
93702	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
93724	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		000
93724	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	5		000
93724	CMS	"Pharmacy, NonRx"	SJ019	electrode adhesive disk	item	0.21	5		000
93724	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		000
93724	CMS	"Office Supply, Grocery"	SK060	"paper, recording, roll (per foot)"	foot	0.14	4		000
93750	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2	0	XXX
93792	CMS	"Hypodermic, IV"	SC021	lancet	item	0.21	6		XXX
93792	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	6		XXX
93792	CMS	"Pharmacy, NonRx"	SJ055	"test strip, INR"	item	4.71	6		XXX
93792	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
93798	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	10	0	000
93798	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	2	0	000
93798	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	4	0	000
93880	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
93880	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
93880	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	40		XXX
93880	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
93880	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.34		XXX
93880	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
93882	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
93882	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
93882	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	25		XXX
93882	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
93882	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.34		XXX
93882	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
93886	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
93886	RUC	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1		XXX
93886	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
93886	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60		XXX
93886	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
93886	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.34		XXX
93886	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
93888	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
93888	RUC	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1		XXX
93888	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
93888	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	40		XXX
93888	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
93888	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.34		XXX
93888	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
93892	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
93892	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
93892	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
93892	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	40		XXX
93892	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
93892	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.34		XXX
93892	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
93893	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
93893	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
93893	RUC	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.54	1		XXX
93893	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
93893	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	6		XXX
93893	RUC	"Accessory, Procedure"	SD124	"tourniquet, non-latex 1in x 18in"	item	0.1	1		XXX
93893	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
93893	RUC	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	6		XXX
93893	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	6		XXX
93893	RUC	"Pharmacy, Rx"	SH004	albumin saline	ml	0.15	30		XXX
93893	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	1		XXX
93893	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
93893	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	40		XXX
93893	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
93893	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.34		XXX
93893	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
93896	RUC	"Accessory, Procedure"	SD099	"mouthpiece, respiratory"	item	0.24	1		ZZZ
93896	RUC	"Accessory, Procedure"	SD102	noseclips	item	0.47	1		ZZZ
93896	RUC	"Accessory, Procedure"	SD170	"gas, 5% CO2 - balance air"	liter	0.02	55		ZZZ
93896	RUC	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	8		ZZZ
93896	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		ZZZ
93896	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60		ZZZ
93897	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		ZZZ
93897	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	40		ZZZ
93898	RUC	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.54	1		ZZZ
93898	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		ZZZ
93898	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	6		ZZZ
93898	RUC	"Accessory, Procedure"	SD124	"tourniquet, non-latex 1in x 18in"	item	0.1	1		ZZZ
93898	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		ZZZ
93898	RUC	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	6		ZZZ
93898	RUC	"Pharmacy, Rx"	SH004	albumin saline	ml	0.15	30		ZZZ
93898	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	1		ZZZ
93898	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		ZZZ
93898	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	40		ZZZ
93922	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
93922	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	20		XXX
93922	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	3		XXX
93922	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.34		XXX
93922	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
93923	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
93923	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	30		XXX
93923	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	4		XXX
93923	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.34		XXX
93923	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
93924	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
93924	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	40		XXX
93924	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	4		XXX
93924	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.34		XXX
93924	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
93925	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
93925	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
93925	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60		XXX
93925	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
93925	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.34		XXX
93925	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
93926	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
93926	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
93926	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	40		XXX
93926	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
93926	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.34		XXX
93926	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
93930	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
93930	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
93930	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	50		XXX
93930	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
93930	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.34		XXX
93930	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
93931	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
93931	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
93931	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	30		XXX
93931	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
93931	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.34		XXX
93931	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
93970	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
93970	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1		XXX
93970	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
93970	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60		XXX
93970	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
93970	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.34		XXX
93970	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
93971	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
93971	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1		XXX
93971	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
93971	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	40		XXX
93971	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
93971	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.34		XXX
93971	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
93975	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
93975	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
93975	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60		XXX
93975	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
93975	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.34		XXX
93975	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
93976	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
93976	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
93976	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	40		XXX
93976	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
93976	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.34		XXX
93976	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
93978	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
93978	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
93978	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60		XXX
93978	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
93978	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.34		XXX
93978	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
93979	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
93979	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
93979	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	40		XXX
93979	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
93979	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.34		XXX
93979	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
93980	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1		XXX
93980	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2		XXX
93980	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
93980	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
93980	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
93980	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1		XXX
93980	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
93980	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60		XXX
93980	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
93981	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	4.46	1		XXX
93981	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2		XXX
93981	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
93981	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
93981	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
93981	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1		XXX
93981	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
93981	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60		XXX
93981	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
93985	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
93985	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
93985	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	60		XXX
93985	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
93985	CMS	"Office Supply, Grocery"	SK074	"skin marking pen, fluorescent (Spotlighter)"	item	1.08	1		XXX
93985	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.34		XXX
93985	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	4		XXX
93985	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
93986	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
93986	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
93986	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	30		XXX
93986	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
93986	CMS	"Office Supply, Grocery"	SK074	"skin marking pen, fluorescent (Spotlighter)"	item	1.08	1		XXX
93986	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.34		XXX
93986	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
93986	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
93990	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
93990	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
93990	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	30		XXX
93990	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
93990	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.34		XXX
93990	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
94010	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
94010	CMS	"Accessory, Procedure"	SD075	"filter, pulmonary function filter"	item	1.81	1		XXX
94010	CMS	"Accessory, Procedure"	SD099	"mouthpiece, respiratory"	item	0.24	1		XXX
94010	CMS	"Accessory, Procedure"	SD102	noseclips	item	0.47	1		XXX
94010	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	2		XXX
94014	CMS	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1		XXX
94014	CMS	"Accessory, Procedure"	SD075	"filter, pulmonary function filter"	item	1.81	1		XXX
94014	CMS	"Accessory, Procedure"	SD102	noseclips	item	0.47	1		XXX
94014	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	4		XXX
94014	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
94015	CMS	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1		XXX
94015	CMS	"Accessory, Procedure"	SD075	"filter, pulmonary function filter"	item	1.81	1		XXX
94015	CMS	"Accessory, Procedure"	SD102	noseclips	item	0.47	1		XXX
94015	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	4		XXX
94015	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
94060	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
94060	CMS	"Accessory, Procedure"	SD075	"filter, pulmonary function filter"	item	1.81	1		XXX
94060	CMS	"Accessory, Procedure"	SD099	"mouthpiece, respiratory"	item	0.24	1		XXX
94060	CMS	"Accessory, Procedure"	SD101	nebulizer mouthpiece with tubing	item	1.18	1		XXX
94060	CMS	"Accessory, Procedure"	SD102	noseclips	item	0.47	1		XXX
94060	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	2		XXX
94070	CMS	"Accessory, Procedure"	SD099	"mouthpiece, respiratory"	item	0.24	1		XXX
94070	CMS	"Accessory, Procedure"	SD102	noseclips	item	0.47	1		XXX
94150	CMS	"Accessory, Procedure"	SD075	"filter, pulmonary function filter"	item	1.81	1		XXX
94150	CMS	"Accessory, Procedure"	SD099	"mouthpiece, respiratory"	item	0.24	1		XXX
94150	CMS	"Accessory, Procedure"	SD102	noseclips	item	0.47	1		XXX
94150	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	4		XXX
94200	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	2		XXX
94375	CMS	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1		XXX
94375	CMS	"Accessory, Procedure"	SD075	"filter, pulmonary function filter"	item	1.81	1		XXX
94375	CMS	"Accessory, Procedure"	SD099	"mouthpiece, respiratory"	item	0.24	1		XXX
94375	CMS	"Accessory, Procedure"	SD102	noseclips	item	0.47	1		XXX
94375	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	4		XXX
94375	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
94450	CMS	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1		XXX
94450	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
94450	CMS	"Accessory, Procedure"	SD085	"gas, test mixture"	liter	0.04	1		XXX
94450	CMS	"Accessory, Procedure"	SD102	noseclips	item	0.47	1		XXX
94450	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
94450	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	3		XXX
94450	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1		XXX
94452	CMS	"Accessory, Procedure"	SD085	"gas, test mixture"	liter	0.04	225		XXX
94452	CMS	"Accessory, Procedure"	SD100	nasal cannula	item	1.66	1		XXX
94452	CMS	"Accessory, Procedure"	SD105	oxygen mask (1) and tubing (7ft)	item	0.9	1		XXX
94453	CMS	"Accessory, Procedure"	SD084	"gas, oxygen"	liter	0.01	150		XXX
94453	CMS	"Accessory, Procedure"	SD085	"gas, test mixture"	liter	0.04	375		XXX
94453	CMS	"Accessory, Procedure"	SD100	nasal cannula	item	1.66	1		XXX
94453	CMS	"Accessory, Procedure"	SD105	oxygen mask (1) and tubing (7ft)	item	0.9	1		XXX
94617	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
94617	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	10		XXX
94617	CMS	"Accessory, Procedure"	SD075	"filter, pulmonary function filter"	item	1.81	1		XXX
94617	CMS	"Accessory, Procedure"	SD102	noseclips	item	0.47	1		XXX
94617	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	5		XXX
94617	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	4		XXX
94617	CMS	"Office Supply, Grocery"	SK068	razor	item	0.51	1		XXX
94618	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	2		XXX
94619	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
94619	CMS	"Accessory, Procedure"	SD075	"filter, pulmonary function filter"	item	1.81	1		XXX
94619	CMS	"Accessory, Procedure"	SD102	noseclips	item	0.47	1		XXX
94619	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	3		XXX
94621	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
94621	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	10		XXX
94621	CMS	"Accessory, Procedure"	SD075	"filter, pulmonary function filter"	item	1.81	1		XXX
94621	CMS	"Accessory, Procedure"	SD085	"gas, test mixture"	liter	0.04	150		XXX
94621	CMS	"Accessory, Procedure"	SD099	"mouthpiece, respiratory"	item	0.24	1		XXX
94621	CMS	"Accessory, Procedure"	SD102	noseclips	item	0.47	1		XXX
94621	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		XXX
94621	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	5		XXX
94621	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	40		XXX
94621	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	1		XXX
94621	CMS	"Office Supply, Grocery"	SK068	razor	item	0.51	1		XXX
94621	CMS	Lab	SL048	desiccant-absorber	item	0.15	1		XXX
94625	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	2	0	XXX
94625	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5	0	XXX
94626	CMS	"Accessory, Procedure"	SD084	"gas, oxygen"	liter	0.01	195	0	XXX
94626	CMS	"Accessory, Procedure"	SD100	nasal cannula	item	1.66	1	0	XXX
94626	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	4	0	XXX
94626	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	6	0	XXX
94640	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
94640	CMS	"Accessory, Procedure"	SD101	nebulizer mouthpiece with tubing	item	1.18	1		XXX
94640	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
94644	CMS	"Kit, Pack, Tray"	SA098	"kit, nebulizer, w-tubing and aerosole mask (Hope)"	kit	37.77	1		XXX
94644	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
94644	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
94644	CMS	"Accessory, Procedure"	SD077	"gas, air"	cu ft	0.025	19		XXX
94644	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
94644	CMS	Lab	SL107	phosphate buffered saline solution	ml	0.01	2		XXX
94645	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
94645	CMS	"Accessory, Procedure"	SD077	"gas, air"	cu ft	0.025	19		XXX
94645	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
94645	CMS	Lab	SL107	phosphate buffered saline solution	ml	0.01	2		XXX
94660	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	XXX
94660	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	XXX
94664	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
94664	CMS	"Accessory, Procedure"	SD101	nebulizer mouthpiece with tubing	item	1.18	1		XXX
94664	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
94664	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1		XXX
94668	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
94680	CMS	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1		XXX
94680	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1		XXX
94680	CMS	"Accessory, Procedure"	SD085	"gas, test mixture"	liter	0.04	150		XXX
94680	CMS	"Accessory, Procedure"	SD102	noseclips	item	0.47	1		XXX
94680	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
94680	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
94680	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	4		XXX
94681	CMS	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1		XXX
94681	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1		XXX
94681	CMS	"Accessory, Procedure"	SD085	"gas, test mixture"	liter	0.04	150		XXX
94681	CMS	"Accessory, Procedure"	SD102	noseclips	item	0.47	1		XXX
94681	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
94681	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
94681	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	4		XXX
94690	CMS	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1		XXX
94690	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2		XXX
94690	CMS	"Accessory, Procedure"	SD085	"gas, test mixture"	liter	0.04	150		XXX
94690	CMS	"Accessory, Procedure"	SD102	noseclips	item	0.47	1		XXX
94690	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	5		XXX
94690	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		XXX
94690	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	5		XXX
94690	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	4		XXX
94726	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
94726	CMS	"Accessory, Procedure"	SD075	"filter, pulmonary function filter"	item	1.81	1		XXX
94726	CMS	"Accessory, Procedure"	SD084	"gas, oxygen"	liter	0.01	50		XXX
94726	CMS	"Accessory, Procedure"	SD099	"mouthpiece, respiratory"	item	0.24	1		XXX
94726	CMS	"Accessory, Procedure"	SD102	noseclips	item	0.47	1		XXX
94726	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	4		XXX
94726	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
94727	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
94727	CMS	"Accessory, Procedure"	SD075	"filter, pulmonary function filter"	item	1.81	1		XXX
94727	CMS	"Accessory, Procedure"	SD084	"gas, oxygen"	liter	0.01	50		XXX
94727	CMS	"Accessory, Procedure"	SD099	"mouthpiece, respiratory"	item	0.24	1		XXX
94727	CMS	"Accessory, Procedure"	SD102	noseclips	item	0.47	1		XXX
94727	CMS	"Pharmacy, Rx"	SH042	inhalant	gm	0.97	0.25		XXX
94727	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	4		XXX
94727	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
94728	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
94728	CMS	"Accessory, Procedure"	SD075	"filter, pulmonary function filter"	item	1.81	1		XXX
94728	CMS	"Accessory, Procedure"	SD099	"mouthpiece, respiratory"	item	0.24	1		XXX
94728	CMS	"Accessory, Procedure"	SD101	nebulizer mouthpiece with tubing	item	1.18	1		XXX
94728	CMS	"Accessory, Procedure"	SD102	noseclips	item	0.47	1		XXX
94728	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	4		XXX
94728	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
94729	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		ZZZ
94729	CMS	"Accessory, Procedure"	SD075	"filter, pulmonary function filter"	item	1.81	1		ZZZ
94729	CMS	"Accessory, Procedure"	SD099	"mouthpiece, respiratory"	item	0.24	1		ZZZ
94729	CMS	"Accessory, Procedure"	SD102	noseclips	item	0.47	1		ZZZ
94729	CMS	"Pharmacy, Rx"	SH042	inhalant	gm	0.97	25		ZZZ
94729	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	4		ZZZ
94729	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		ZZZ
94760	CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035	1		XXX
94760	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
94761	CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035	1		XXX
94761	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
94762	CMS	"Accessory, Procedure"	SD278	Disposable oximeter cable	item	10.84	1		XXX
94762	CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035	1		XXX
94762	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
94762	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	2		XXX
94762	CMS	"Office Supply, Grocery"	SK095	"battery, AA"	item	0.83	6		XXX
94780	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	1	0	XXX
94780	CMS	"Accessory, Procedure"	SD104	oximetry sensor wrap	item	0.4	1	0	XXX
95004	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	0.02		XXX
95004	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	0.04		XXX
95004	CMS	"Pharmacy, Rx"	SH072	triamcinolone acetonide 0.1% cream	gm	0.06	0.1		XXX
95004	CMS	"Pharmacy, Rx"	SH101	"negative control, allergy test"	ml	7.62	0.005		XXX
95004	CMS	"Pharmacy, Rx"	SH102	"positive control, allergy test"	ml	22.64	0.005		XXX
95004	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	0.48		XXX
95004	CMS	"Pharmacy, NonRx"	SJ092	"allergen, diagnostic, multi (eg, pollen, mold, environmental)"	ml	8.44	0.25		XXX
95004	CMS	"Pharmacy, NonRx"	SJ093	allergy single-test device	ml	0.19	1		XXX
95004	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	0.02		XXX
95012	CMS	"Accessory, Procedure"	SD336	"sensor, filter, mouthpiece, nitric oxide"	kit	10.33	1		XXX
95012	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	1		XXX
95012	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
95017	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	0.222	0	XXX
95017	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	0.037	0	XXX
95017	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	0.259	0	XXX
95017	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1.222	0	XXX
95017	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	0.926	0	XXX
95017	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	0.296	0	XXX
95017	CMS	"Hypodermic, IV"	SC100	bifurcated needle or stylet	item	0.81	0.259	0	XXX
95017	CMS	"Pharmacy, Rx"	SH004	albumin saline	ml	0.15	1.296	0	XXX
95017	CMS	"Pharmacy, Rx"	SH072	triamcinolone acetonide 0.1% cream	gm	0.06	0.074	0	XXX
95017	CMS	"Pharmacy, Rx"	SH101	"negative control, allergy test"	ml	7.62	0.002	0	XXX
95017	CMS	"Pharmacy, Rx"	SH102	"positive control, allergy test"	ml	22.64	0.002	0	XXX
95017	CMS	"Pharmacy, Rx"	SH104	"kit, antigen, venom (5 insects)"	ml	47.53	0.037	0	XXX
95017	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1.37	0	XXX
95017	CMS	Lab	SL027	color coded cap and vial (for antigen)	item	0.63	0.741	0	XXX
95017	CMS	Lab	SL198	"label, vial"	item	0.02	0.741	0	XXX
95018	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	0.333	0	XXX
95018	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	0.111	0	XXX
95018	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	0.778	0	XXX
95018	CMS	"Hypodermic, IV"	SC027	"needle, 18-19g, filter"	item	0.21	0.111	0	XXX
95018	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	0.556	0	XXX
95018	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	0.556	0	XXX
95018	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	0.111	0	XXX
95018	CMS	"Hypodermic, IV"	SC100	bifurcated needle or stylet	item	0.81	0.444	0	XXX
95018	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	0.111	0	XXX
95018	CMS	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.47	0.111	0	XXX
95018	CMS	"Pharmacy, Rx"	SH072	triamcinolone acetonide 0.1% cream	gm	0.06	0.111	0	XXX
95018	CMS	"Pharmacy, Rx"	SH101	"negative control, allergy test"	ml	7.62	0.006	0	XXX
95018	CMS	"Pharmacy, Rx"	SH102	"positive control, allergy test"	ml	22.64	0.006	0	XXX
95018	CMS	"Pharmacy, Rx"	SH103	"benzylpenicilloyl polylysine (eg, PrePen) 0.25ml uou"	each	89.33	0.111	0	XXX
95018	CMS	"Pharmacy, Rx"	SH105	"negative control, allergy intradermal test"	ml	39.46	0.022	0	XXX
95018	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	XXX
95018	CMS	Lab	SL027	color coded cap and vial (for antigen)	item	0.63	0.333	0	XXX
95018	CMS	Lab	SL198	"label, vial"	item	0.02	0.333	0	XXX
95024	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	0.063	0	XXX
95024	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	0.125	0	XXX
95024	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	XXX
95024	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	3	0	XXX
95024	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	0.125	0	XXX
95024	CMS	"Pharmacy, Rx"	SH004	albumin saline	ml	0.15	1	0	XXX
95024	CMS	"Pharmacy, Rx"	SH006	"antigen, mite"	ml	4.48	1	0	XXX
95024	CMS	"Pharmacy, Rx"	SH072	triamcinolone acetonide 0.1% cream	gm	0.06	0.063	0	XXX
95024	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	3	0	XXX
95024	CMS	Lab	SL027	color coded cap and vial (for antigen)	item	0.63	1	0	XXX
95024	CMS	Lab	SL085	label for microscope slides	item	0.14	1	0	XXX
95027	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	0.022		XXX
95027	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	0.022		XXX
95027	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	0.17		XXX
95027	CMS	"Pharmacy, Rx"	SH004	albumin saline	ml	0.15	0.5		XXX
95027	CMS	"Pharmacy, Rx"	SH006	"antigen, mite"	ml	4.48	0.33		XXX
95027	CMS	"Pharmacy, Rx"	SH072	triamcinolone acetonide 0.1% cream	gm	0.06	0.125		XXX
95027	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	0.17		XXX
95027	CMS	Lab	SL027	color coded cap and vial (for antigen)	item	0.63	1		XXX
95027	CMS	Lab	SL085	label for microscope slides	item	0.14	1		XXX
95028	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1		XXX
95028	CMS	"Pharmacy, Rx"	SH006	"antigen, mite"	ml	4.48	1		XXX
95044	CMS	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	0.028		XXX
95044	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	0.278		XXX
95044	CMS	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.4	0.028		XXX
95044	CMS	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.4	0.028		XXX
95044	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	0.028		XXX
95044	CMS	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	0.83		XXX
95044	CMS	"Pharmacy, Rx"	SH008	"antigen, single"	ml	7.02	0.056		XXX
95044	CMS	"Pharmacy, NonRx"	SJ002	"allergen patch test card, T.R.U.E. (24 test card)"	item	59.41	0.028		XXX
95044	CMS	"Pharmacy, NonRx"	SJ003	"allergen patch test cell, Finn Chambers (10 cell card)"	item	13.51	0.028		XXX
95044	CMS	"Pharmacy, NonRx"	SJ004	"allergen patch test cell, Finn Chambers (5 cell card)"	item	9.55	0.028		XXX
95044	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	0.278		XXX
95044	CMS	"Office Supply, Grocery"	SK019	"diluent, olive oil"	ml	0.05	0.033		XXX
95044	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	0.028		XXX
95044	CMS	"Office Supply, Grocery"	SK074	"skin marking pen, fluorescent (Spotlighter)"	item	1.08	0.028		XXX
95044	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	0.028		XXX
95044	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	0.000833333		XXX
95044	CMS	Lab	SL001	acetone	ml	0.06	0.028		XXX
95044	CMS	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	0.83		XXX
95044	CMS	Lab	SL109	"pipette, transfer 23ml"	item	0.16	0.278		XXX
95052	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	0.056		XXX
95052	CMS	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	0.028		XXX
95052	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	0.278		XXX
95052	CMS	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.4	0.028		XXX
95052	CMS	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.4	0.028		XXX
95052	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	0.028		XXX
95052	CMS	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	0.83		XXX
95052	CMS	"Pharmacy, Rx"	SH008	"antigen, single"	ml	7.02	0.056		XXX
95052	CMS	"Pharmacy, NonRx"	SJ002	"allergen patch test card, T.R.U.E. (24 test card)"	item	59.41	0.028		XXX
95052	CMS	"Pharmacy, NonRx"	SJ003	"allergen patch test cell, Finn Chambers (10 cell card)"	item	13.51	0.028		XXX
95052	CMS	"Pharmacy, NonRx"	SJ004	"allergen patch test cell, Finn Chambers (5 cell card)"	item	9.55	0.028		XXX
95052	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	0.278		XXX
95052	CMS	"Office Supply, Grocery"	SK019	"diluent, olive oil"	ml	0.05	0.033		XXX
95052	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	0.028		XXX
95052	CMS	"Office Supply, Grocery"	SK074	"skin marking pen, fluorescent (Spotlighter)"	item	1.08	0.028		XXX
95052	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	0.028		XXX
95052	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	0.000833333		XXX
95052	CMS	Lab	SL001	acetone	ml	0.06	0.028		XXX
95052	CMS	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	0.83		XXX
95052	CMS	Lab	SL109	"pipette, transfer 23ml"	item	0.16	0.278		XXX
95056	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
95056	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
95056	CMS	"Office Supply, Grocery"	SK074	"skin marking pen, fluorescent (Spotlighter)"	item	1.08	1		XXX
95056	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1		XXX
95060	CMS	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1		XXX
95060	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
95060	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
95060	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
95060	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
95060	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1		XXX
95060	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
95060	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1		XXX
95060	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		XXX
95060	CMS	"Pharmacy, Rx"	SH006	"antigen, mite"	ml	4.48	1		XXX
95060	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
95065	CMS	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1		XXX
95065	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
95065	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
95065	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
95065	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
95065	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1		XXX
95065	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
95065	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1		XXX
95065	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		XXX
95065	CMS	"Pharmacy, Rx"	SH006	"antigen, mite"	ml	4.48	1		XXX
95065	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
95070	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
95070	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2		XXX
95070	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2		XXX
95070	CMS	"Accessory, Procedure"	SD077	"gas, air"	cu ft	0.025	32		XXX
95070	CMS	"Accessory, Procedure"	SD101	nebulizer mouthpiece with tubing	item	1.18	1		XXX
95070	CMS	"Accessory, Procedure"	SD184	nebulizer medication cup	item	0.81	1		XXX
95070	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	8		XXX
95070	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	2		XXX
95070	CMS	"Pharmacy, Rx"	SH077	albuterol inhal soln (3ml vial)	item	0.6	1		XXX
95070	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	2		XXX
95070	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	8		XXX
95070	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	2		XXX
95076	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	XXX
95076	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	XXX
95076	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.13	1	0	XXX
95076	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	XXX
95076	CMS	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	1	0	XXX
95076	CMS	"Office Supply, Grocery"	SK077	"spoon, plastic"	item	0.04	7	0	XXX
95115	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
95115	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
95115	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1		XXX
95115	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
95115	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
95117	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
95117	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
95117	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2		XXX
95117	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	2		XXX
95117	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
95144	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	0.01	0	XXX
95144	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	0.1	0	XXX
95144	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	0.01	0	XXX
95144	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	0.1	0	XXX
95144	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1	0	XXX
95144	CMS	"Pharmacy, Rx"	SH007	"antigen, multi (pollen, mite, mold, cat)"	ml	13	1	0	XXX
95144	CMS	"Pharmacy, NonRx"	SJ001	alcohol isopropyl 70%	ml	0.03	6	0	XXX
95144	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	XXX
95144	CMS	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.015	0.4	0	XXX
95144	CMS	"Office Supply, Grocery"	SK127	antigen vial transport envelopt	item	1.63	0.1	0	XXX
95144	CMS	Lab	SL027	color coded cap and vial (for antigen)	item	0.63	1	0	XXX
95144	CMS	Lab	SL198	"label, vial"	item	0.02	1	0	XXX
95144	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	0.1	0	XXX
95145	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	XXX
95145	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1	0	XXX
95145	CMS	"Pharmacy, Rx"	SH009	"antigen, venom"	ml	35.58	1	0	XXX
95145	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	XXX
95146	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	XXX
95146	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	2	0	XXX
95146	CMS	"Pharmacy, Rx"	SH009	"antigen, venom"	ml	35.58	2	0	XXX
95146	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4	0	XXX
95147	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	XXX
95147	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1	0	XXX
95147	CMS	"Pharmacy, Rx"	SH010	"antigen, venom, tri-vespid"	ml	69.21	1	0	XXX
95147	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	XXX
95148	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	XXX
95148	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	2	0	XXX
95148	CMS	"Pharmacy, Rx"	SH009	"antigen, venom"	ml	35.58	1	0	XXX
95148	CMS	"Pharmacy, Rx"	SH010	"antigen, venom, tri-vespid"	ml	69.21	1	0	XXX
95148	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	XXX
95149	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	XXX
95149	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	3	0	XXX
95149	CMS	"Pharmacy, Rx"	SH009	"antigen, venom"	ml	35.58	2	0	XXX
95149	CMS	"Pharmacy, Rx"	SH010	"antigen, venom, tri-vespid"	ml	69.21	1	0	XXX
95149	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	XXX
95165	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	0.01	0	XXX
95165	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	0.1	0	XXX
95165	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	0.01	0	XXX
95165	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	0.1	0	XXX
95165	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1	0	XXX
95165	CMS	"Pharmacy, Rx"	SH007	"antigen, multi (pollen, mite, mold, cat)"	ml	13	1	0	XXX
95165	CMS	"Pharmacy, NonRx"	SJ001	alcohol isopropyl 70%	ml	0.03	3	0	XXX
95165	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	XXX
95165	CMS	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.015	0.2	0	XXX
95165	CMS	"Office Supply, Grocery"	SK127	antigen vial transport envelopt	item	1.63	0.1	0	XXX
95165	CMS	Lab	SL027	color coded cap and vial (for antigen)	item	0.63	0.1	0	XXX
95165	CMS	Lab	SL198	"label, vial"	item	0.02	0.1	0	XXX
95165	CMS	Infection Control	SM023	scrub brush (impregnated)	item	6.29	0.1	0	XXX
95170	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	XXX
95170	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1	0	XXX
95170	CMS	"Pharmacy, Rx"	SH008	"antigen, single"	ml	7.02	1	0	XXX
95170	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	XXX
95180	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	XXX
95180	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	XXX
95180	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	10	0	XXX
95180	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	4	0	XXX
95180	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	2	0	XXX
95180	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	3	0	XXX
95180	CMS	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	20	0	XXX
95180	CMS	"Office Supply, Grocery"	SK043	label for files-folders	item	0.07	15	0	XXX
95249	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
95249	CMS	"Wound Care, Dressings"	SG036	"dressing, 4in x 4.75in (Polyskin)"	item	1.45	1		XXX
95249	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
95249	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	9		XXX
95250	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
95250	CMS	"Accessory, Procedure"	SD114	"sensor, glucose monitoring (interstitial)"	item	59.31	1		XXX
95250	CMS	"Wound Care, Dressings"	SG036	"dressing, 4in x 4.75in (Polyskin)"	item	1.45	1		XXX
95250	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
95250	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	9		XXX
95782	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	4		XXX
95782	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1		XXX
95782	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
95782	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	2		XXX
95782	CMS	"Accessory, Procedure"	SD104	oximetry sensor wrap	item	0.4	1		XXX
95782	CMS	"Accessory, Procedure"	SD273	Pediatric cannula	item	136.11	1		XXX
95782	CMS	"Accessory, Procedure"	SD274	Self-adherent velcro wraps	item	5.29	1		XXX
95782	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2		XXX
95782	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	11		XXX
95782	CMS	"Pharmacy, NonRx"	SJ021	electrode conductive paste	oz	1.81	4		XXX
95782	CMS	"Pharmacy, NonRx"	SJ023	electrode skin prep tape (One-Step)	inch	0.16	40		XXX
95782	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	20		XXX
95782	CMS	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.09	1		XXX
95782	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	4		XXX
95782	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1		XXX
95782	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
95782	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1		XXX
95783	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	4		XXX
95783	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1		XXX
95783	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
95783	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	2		XXX
95783	CMS	"Accessory, Procedure"	SD104	oximetry sensor wrap	item	0.4	1		XXX
95783	CMS	"Accessory, Procedure"	SD273	Pediatric cannula	item	136.11	1		XXX
95783	CMS	"Accessory, Procedure"	SD274	Self-adherent velcro wraps	item	5.29	1		XXX
95783	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2		XXX
95783	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	11		XXX
95783	CMS	"Pharmacy, NonRx"	SJ021	electrode conductive paste	oz	1.81	4		XXX
95783	CMS	"Pharmacy, NonRx"	SJ023	electrode skin prep tape (One-Step)	inch	0.16	40		XXX
95783	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	20		XXX
95783	CMS	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.09	1		XXX
95783	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	4		XXX
95783	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1		XXX
95783	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
95783	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1		XXX
95800	CMS	"Accessory, Procedure"	SD362	WatchPAT One device	item	98.2	1		XXX
95800	CMS	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.4	1		XXX
95800	CMS	"Wound Care, Dressings"	SG078	"tape, surgical occlusive 1in (Blenderm)"	inch	0.007	8		XXX
95800	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	5		XXX
95800	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	2		XXX
95800	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
95800	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
95801	CMS	"Accessory, Procedure"	SD112	"sensor, airflow cannula (adult)"	item	3.17	1		XXX
95801	CMS	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.4	1		XXX
95801	CMS	"Wound Care, Dressings"	SG078	"tape, surgical occlusive 1in (Blenderm)"	inch	0.007	8		XXX
95801	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	5		XXX
95801	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	2		XXX
95801	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
95801	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
95803	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	3		XXX
95803	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
95805	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	4		XXX
95805	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1		XXX
95805	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
95805	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	2		XXX
95805	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2		XXX
95805	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	6		XXX
95805	CMS	"Pharmacy, NonRx"	SJ021	electrode conductive paste	oz	1.81	4		XXX
95805	CMS	"Pharmacy, NonRx"	SJ023	electrode skin prep tape (One-Step)	inch	0.16	24		XXX
95805	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	12		XXX
95805	CMS	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.09	1		XXX
95805	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	2		XXX
95805	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1		XXX
95805	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
95805	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1		XXX
95806	CMS	"Accessory, Procedure"	SD112	"sensor, airflow cannula (adult)"	item	3.17	1		XXX
95806	CMS	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.4	1		XXX
95806	CMS	"Wound Care, Dressings"	SG078	"tape, surgical occlusive 1in (Blenderm)"	inch	0.007	8		XXX
95806	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	5		XXX
95806	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	2		XXX
95806	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
95806	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
95807	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
95807	CMS	"Accessory, Procedure"	SD112	"sensor, airflow cannula (adult)"	item	3.17	1		XXX
95807	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	2		XXX
95807	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1		XXX
95808	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	4		XXX
95808	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1		XXX
95808	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
95808	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	2		XXX
95808	CMS	"Accessory, Procedure"	SD104	oximetry sensor wrap	item	0.4	1		XXX
95808	CMS	"Accessory, Procedure"	SD112	"sensor, airflow cannula (adult)"	item	3.17	1		XXX
95808	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2		XXX
95808	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	6		XXX
95808	CMS	"Pharmacy, NonRx"	SJ021	electrode conductive paste	oz	1.81	4		XXX
95808	CMS	"Pharmacy, NonRx"	SJ023	electrode skin prep tape (One-Step)	inch	0.16	24		XXX
95808	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	12		XXX
95808	CMS	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.09	1		XXX
95808	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	3		XXX
95808	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1		XXX
95808	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
95808	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1		XXX
95810	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	4		XXX
95810	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1		XXX
95810	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
95810	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	2		XXX
95810	CMS	"Accessory, Procedure"	SD104	oximetry sensor wrap	item	0.4	1		XXX
95810	CMS	"Accessory, Procedure"	SD112	"sensor, airflow cannula (adult)"	item	3.17	1		XXX
95810	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2		XXX
95810	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	9		XXX
95810	CMS	"Pharmacy, NonRx"	SJ021	electrode conductive paste	oz	1.81	4		XXX
95810	CMS	"Pharmacy, NonRx"	SJ023	electrode skin prep tape (One-Step)	inch	0.16	36		XXX
95810	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	18		XXX
95810	CMS	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.09	1		XXX
95810	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	4		XXX
95810	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1		XXX
95810	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
95810	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1		XXX
95811	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	4		XXX
95811	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1		XXX
95811	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
95811	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	2		XXX
95811	CMS	"Accessory, Procedure"	SD104	oximetry sensor wrap	item	0.4	1		XXX
95811	CMS	"Accessory, Procedure"	SD112	"sensor, airflow cannula (adult)"	item	3.17	1		XXX
95811	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2		XXX
95811	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	9		XXX
95811	CMS	"Pharmacy, NonRx"	SJ021	electrode conductive paste	oz	1.81	4		XXX
95811	CMS	"Pharmacy, NonRx"	SJ023	electrode skin prep tape (One-Step)	inch	0.16	36		XXX
95811	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	18		XXX
95811	CMS	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.09	1		XXX
95811	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	4		XXX
95811	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1		XXX
95811	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
95811	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1		XXX
95812	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
95812	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
95812	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
95812	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1		XXX
95812	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1		XXX
95812	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	3		XXX
95812	CMS	"Accessory, Procedure"	SD054	"electrode, EEG, tin cup (12 pack uou)"	item	15.75	2		XXX
95812	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	2		XXX
95812	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1		XXX
95812	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	42		XXX
95812	CMS	"Pharmacy, NonRx"	SJ014	collodion (2oz uou)	item	2.66	1		XXX
95812	CMS	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.05	5		XXX
95812	CMS	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.15	100		XXX
95812	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10		XXX
95812	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
95812	CMS	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.09	1		XXX
95812	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	0.1		XXX
95812	CMS	Lab	SL001	acetone	ml	0.06	15		XXX
95813	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
95813	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
95813	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
95813	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1		XXX
95813	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1		XXX
95813	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	3		XXX
95813	CMS	"Accessory, Procedure"	SD054	"electrode, EEG, tin cup (12 pack uou)"	item	15.75	2		XXX
95813	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	2		XXX
95813	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1		XXX
95813	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	42		XXX
95813	CMS	"Pharmacy, NonRx"	SJ014	collodion (2oz uou)	item	2.66	1		XXX
95813	CMS	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.05	5		XXX
95813	CMS	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.15	100		XXX
95813	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10		XXX
95813	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
95813	CMS	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.09	1		XXX
95813	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	0.1		XXX
95813	CMS	Lab	SL001	acetone	ml	0.06	15		XXX
95816	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
95816	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
95816	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
95816	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
95816	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1		XXX
95816	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1		XXX
95816	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	3		XXX
95816	CMS	"Accessory, Procedure"	SD054	"electrode, EEG, tin cup (12 pack uou)"	item	15.75	2		XXX
95816	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	2		XXX
95816	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1		XXX
95816	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	42		XXX
95816	CMS	"Pharmacy, NonRx"	SJ014	collodion (2oz uou)	item	2.66	1		XXX
95816	CMS	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.05	5		XXX
95816	CMS	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.15	100		XXX
95816	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10		XXX
95816	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
95816	CMS	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.09	1		XXX
95816	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	0.1		XXX
95816	CMS	Lab	SL001	acetone	ml	0.06	15		XXX
95819	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
95819	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
95819	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
95819	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
95819	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1		XXX
95819	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1		XXX
95819	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	3		XXX
95819	CMS	"Accessory, Procedure"	SD054	"electrode, EEG, tin cup (12 pack uou)"	item	15.75	2		XXX
95819	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	2		XXX
95819	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1		XXX
95819	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	42		XXX
95819	CMS	"Pharmacy, NonRx"	SJ014	collodion (2oz uou)	item	2.66	1		XXX
95819	CMS	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.05	5		XXX
95819	CMS	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.15	100		XXX
95819	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10		XXX
95819	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
95819	CMS	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.09	1		XXX
95819	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	0.1		XXX
95819	CMS	Lab	SL001	acetone	ml	0.06	15		XXX
95822	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
95822	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
95822	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
95822	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
95822	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1		XXX
95822	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1		XXX
95822	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	3		XXX
95822	CMS	"Accessory, Procedure"	SD054	"electrode, EEG, tin cup (12 pack uou)"	item	15.75	2		XXX
95822	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	2		XXX
95822	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	1		XXX
95822	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	42		XXX
95822	CMS	"Pharmacy, NonRx"	SJ014	collodion (2oz uou)	item	2.66	1		XXX
95822	CMS	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.05	5		XXX
95822	CMS	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.15	100		XXX
95822	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10		XXX
95822	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
95822	CMS	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.09	1		XXX
95822	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	0.1		XXX
95822	CMS	Lab	SL001	acetone	ml	0.06	15		XXX
95829	CMS	"Accessory, Procedure"	SD048	"electrode alligator clip, pair"	pair	10.195	1		XXX
95829	CMS	"Accessory, Procedure"	SD058	"electrode, grid"	item	475	1		XXX
95829	CMS	"Accessory, Procedure"	SD059	"electrode, ground"	item	1.28	1		XXX
95829	CMS	"Pharmacy, NonRx"	SJ014	collodion (2oz uou)	item	2.66	1		XXX
95829	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	500		XXX
95830	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	XXX
95830	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	XXX
95830	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1	0	XXX
95830	CMS	"Accessory, Procedure"	SD061	"electrode, sphenoidal"	item	122.04	2	0	XXX
95830	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	2	0	XXX
95830	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	XXX
95830	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	XXX
95830	CMS	"Pharmacy, Rx"	SH030	Emla cream	gm	2.19	5	0	XXX
95830	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	4	0	XXX
95830	CMS	"Pharmacy, NonRx"	SJ014	collodion (2oz uou)	item	2.66	1	0	XXX
95830	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	1	0	XXX
95830	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4	0	XXX
95851	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	XXX
95851	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	XXX
95851	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	XXX
95851	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	XXX
95851	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1	0	XXX
95852	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	XXX
95852	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	XXX
95852	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	XXX
95852	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1	0	XXX
95857	CMS	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1	0	XXX
95857	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	XXX
95857	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	XXX
95857	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	XXX
95857	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	XXX
95857	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	XXX
95857	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1	0	XXX
95857	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	XXX
95857	CMS	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.05	5	0	XXX
95857	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	XXX
95857	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	1	0	XXX
95857	CMS	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.09	1	0	XXX
95857	CMS	Infection Control	SM025	"specula tips, otoscope"	item	0.45	1	0	XXX
95860	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
95860	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
95860	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
95860	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
95860	CMS	"Accessory, Procedure"	SD049	"electrode needle, concentric EMG w-lead"	item	11.42	1		XXX
95860	CMS	"Accessory, Procedure"	SD275	Disposable electrode pack	each	1.42	1		XXX
95860	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	3		XXX
95860	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2		XXX
95860	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		XXX
95860	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	6		XXX
95860	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	3		XXX
95861	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
95861	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
95861	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
95861	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
95861	CMS	"Accessory, Procedure"	SD049	"electrode needle, concentric EMG w-lead"	item	11.42	1		XXX
95861	CMS	"Accessory, Procedure"	SD275	Disposable electrode pack	each	1.42	2		XXX
95861	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	6		XXX
95861	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4		XXX
95861	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		XXX
95861	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	12		XXX
95861	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	5		XXX
95863	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
95863	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
95863	CMS	"Accessory, Procedure"	SD049	"electrode needle, concentric EMG w-lead"	item	11.42	1		XXX
95863	CMS	"Accessory, Procedure"	SD275	Disposable electrode pack	each	1.42	3		XXX
95863	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	9		XXX
95863	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6		XXX
95863	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		XXX
95863	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	18		XXX
95863	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	7		XXX
95864	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
95864	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
95864	CMS	"Accessory, Procedure"	SD049	"electrode needle, concentric EMG w-lead"	item	11.42	1		XXX
95864	CMS	"Accessory, Procedure"	SD275	Disposable electrode pack	each	1.42	4		XXX
95864	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	12		XXX
95864	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	8		XXX
95864	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		XXX
95864	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	24		XXX
95864	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	9		XXX
95865	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
95865	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
95865	CMS	"Accessory, Procedure"	SD049	"electrode needle, concentric EMG w-lead"	item	11.42	1		XXX
95865	CMS	"Accessory, Procedure"	SD275	Disposable electrode pack	each	1.42	1		XXX
95865	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	6		XXX
95865	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4		XXX
95865	CMS	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	6		XXX
95865	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
95865	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	5		XXX
95866	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
95866	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
95866	CMS	"Accessory, Procedure"	SD049	"electrode needle, concentric EMG w-lead"	item	11.42	1		XXX
95866	CMS	"Accessory, Procedure"	SD275	Disposable electrode pack	each	1.42	1		XXX
95866	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	6		XXX
95866	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4		XXX
95866	CMS	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	6		XXX
95866	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
95866	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	5		XXX
95867	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
95867	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
95867	CMS	"Accessory, Procedure"	SD049	"electrode needle, concentric EMG w-lead"	item	11.42	1		XXX
95867	CMS	"Accessory, Procedure"	SD275	Disposable electrode pack	each	1.42	1		XXX
95867	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	6		XXX
95867	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4		XXX
95867	CMS	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	6		XXX
95867	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
95867	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	3		XXX
95868	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
95868	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
95868	CMS	"Accessory, Procedure"	SD049	"electrode needle, concentric EMG w-lead"	item	11.42	1		XXX
95868	CMS	"Accessory, Procedure"	SD275	Disposable electrode pack	each	1.42	1		XXX
95868	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	6		XXX
95868	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	8		XXX
95868	CMS	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	6		XXX
95868	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	8		XXX
95868	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	5		XXX
95869	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
95869	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
95869	CMS	"Accessory, Procedure"	SD049	"electrode needle, concentric EMG w-lead"	item	11.42	1		XXX
95869	CMS	"Accessory, Procedure"	SD275	Disposable electrode pack	each	1.42	1		XXX
95869	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	6		XXX
95869	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4		XXX
95869	CMS	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	6		XXX
95869	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		XXX
95869	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
95869	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	5		XXX
95870	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
95870	CMS	"Accessory, Procedure"	SD049	"electrode needle, concentric EMG w-lead"	item	11.42	1		XXX
95870	CMS	"Accessory, Procedure"	SD275	Disposable electrode pack	each	1.42	1		XXX
95870	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	4		XXX
95870	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6		XXX
95870	CMS	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	4		XXX
95870	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	5		XXX
95870	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	5		XXX
95872	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
95872	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
95872	CMS	"Accessory, Procedure"	SD051	"electrode needle, monopolar EMG w-lead"	item	2.95	1		XXX
95872	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	6		XXX
95872	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4		XXX
95872	CMS	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	6		XXX
95872	CMS	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.05	10		XXX
95872	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
95872	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	3		XXX
95873	CMS	"Accessory, Procedure"	SD050	"electrode needle, injectable (Myoject)"	item	25.09	1		ZZZ
95873	CMS	"Accessory, Procedure"	SD059	"electrode, ground"	item	1.28	1		ZZZ
95873	CMS	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	6		ZZZ
95873	CMS	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.05	1		ZZZ
95873	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		ZZZ
95873	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	5		ZZZ
95874	CMS	"Accessory, Procedure"	SD050	"electrode needle, injectable (Myoject)"	item	25.09	1		ZZZ
95874	CMS	"Accessory, Procedure"	SD059	"electrode, ground"	item	1.28	1		ZZZ
95874	CMS	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	6		ZZZ
95874	CMS	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.05	1		ZZZ
95874	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		ZZZ
95874	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	5		ZZZ
95875	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
95875	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
95875	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
95875	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.46	1		XXX
95875	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	7		XXX
95875	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
95875	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	7		XXX
95875	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	1		XXX
95875	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24		XXX
95875	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
95875	CMS	Lab	SL085	label for microscope slides	item	0.14	14		XXX
95875	CMS	Lab	SL143	test tube	item	0.2	14		XXX
95885	CMS	"Accessory, Procedure"	SD049	"electrode needle, concentric EMG w-lead"	item	11.42	1		ZZZ
95885	CMS	"Accessory, Procedure"	SD059	"electrode, ground"	item	1.28	1		ZZZ
95885	CMS	"Accessory, Procedure"	SD165	"electrode, EEG (single)"	item	2.54	1		ZZZ
95885	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	4		ZZZ
95885	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4		ZZZ
95885	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		ZZZ
95885	CMS	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.05	5		ZZZ
95885	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		ZZZ
95885	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	3		ZZZ
95886	CMS	"Accessory, Procedure"	SD049	"electrode needle, concentric EMG w-lead"	item	11.42	1		ZZZ
95886	CMS	"Accessory, Procedure"	SD059	"electrode, ground"	item	1.28	1		ZZZ
95886	CMS	"Accessory, Procedure"	SD165	"electrode, EEG (single)"	item	2.54	1		ZZZ
95886	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	6		ZZZ
95886	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	6		ZZZ
95886	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		ZZZ
95886	CMS	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.05	5		ZZZ
95886	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	6		ZZZ
95886	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	3		ZZZ
95887	CMS	"Accessory, Procedure"	SD049	"electrode needle, concentric EMG w-lead"	item	11.42	1		ZZZ
95887	CMS	"Accessory, Procedure"	SD059	"electrode, ground"	item	1.28	1		ZZZ
95887	CMS	"Accessory, Procedure"	SD165	"electrode, EEG (single)"	item	2.54	1		ZZZ
95887	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	6		ZZZ
95887	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4		ZZZ
95887	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		ZZZ
95887	CMS	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.05	5		ZZZ
95887	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		ZZZ
95887	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	3		ZZZ
95905	CMS	"Accessory, Procedure"	SD223	"electrode, array, nerve, preconfigured,"	item	21.94	1		XXX
95905	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
95907	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
95907	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
95907	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
95907	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
95907	CMS	"Accessory, Procedure"	SD275	Disposable electrode pack	each	1.42	1		XXX
95907	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4		XXX
95907	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12		XXX
95907	CMS	"Pharmacy, NonRx"	SJ045	"sensor strip, skin temperature"	item	1.32	1		XXX
95907	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
95907	CMS	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.09	1		XXX
95907	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	1		XXX
95908	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
95908	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
95908	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
95908	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
95908	CMS	"Accessory, Procedure"	SD275	Disposable electrode pack	each	1.42	1		XXX
95908	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	8		XXX
95908	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24		XXX
95908	CMS	"Pharmacy, NonRx"	SJ045	"sensor strip, skin temperature"	item	1.32	1		XXX
95908	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	8		XXX
95908	CMS	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.09	1		XXX
95908	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	1		XXX
95909	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
95909	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
95909	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
95909	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
95909	CMS	"Accessory, Procedure"	SD275	Disposable electrode pack	each	1.42	1		XXX
95909	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	12		XXX
95909	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	36		XXX
95909	CMS	"Pharmacy, NonRx"	SJ045	"sensor strip, skin temperature"	item	1.32	1		XXX
95909	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	12		XXX
95909	CMS	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.09	1		XXX
95909	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	1		XXX
95910	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
95910	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
95910	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
95910	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
95910	CMS	"Accessory, Procedure"	SD275	Disposable electrode pack	each	1.42	2		XXX
95910	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	16		XXX
95910	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	48		XXX
95910	CMS	"Pharmacy, NonRx"	SJ045	"sensor strip, skin temperature"	item	1.32	1		XXX
95910	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	16		XXX
95910	CMS	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.09	1		XXX
95910	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	1		XXX
95911	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
95911	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
95911	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
95911	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
95911	CMS	"Accessory, Procedure"	SD275	Disposable electrode pack	each	1.42	2		XXX
95911	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	20		XXX
95911	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	60		XXX
95911	CMS	"Pharmacy, NonRx"	SJ045	"sensor strip, skin temperature"	item	1.32	1		XXX
95911	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	20		XXX
95911	CMS	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.09	1		XXX
95911	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	2		XXX
95912	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
95912	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
95912	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
95912	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
95912	CMS	"Accessory, Procedure"	SD275	Disposable electrode pack	each	1.42	2		XXX
95912	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	24		XXX
95912	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	72		XXX
95912	CMS	"Pharmacy, NonRx"	SJ045	"sensor strip, skin temperature"	item	1.32	1		XXX
95912	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	24		XXX
95912	CMS	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.09	1		XXX
95912	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	2		XXX
95913	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
95913	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
95913	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
95913	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
95913	CMS	"Accessory, Procedure"	SD275	Disposable electrode pack	each	1.42	2		XXX
95913	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	26		XXX
95913	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	78		XXX
95913	CMS	"Pharmacy, NonRx"	SJ045	"sensor strip, skin temperature"	item	1.32	1		XXX
95913	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	26		XXX
95913	CMS	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.09	1		XXX
95913	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	2		XXX
95919	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
95921	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
95921	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	6		XXX
95921	CMS	"Accessory, Procedure"	SD099	"mouthpiece, respiratory"	item	0.24	1		XXX
95921	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2		XXX
95921	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		XXX
95921	CMS	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.05	5		XXX
95921	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
95922	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
95922	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	6		XXX
95922	CMS	"Accessory, Procedure"	SD099	"mouthpiece, respiratory"	item	0.24	1		XXX
95922	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2		XXX
95922	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		XXX
95922	CMS	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.05	5		XXX
95922	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
95923	CMS	"Kit, Pack, Tray"	SA014	"kit, electrode, iontophoresis"	kit	3.93	4		XXX
95923	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
95923	CMS	"Accessory, Procedure"	SD099	"mouthpiece, respiratory"	item	0.24	1		XXX
95923	CMS	"Accessory, Procedure"	SD276	Indicator powder	item		10		XXX
95923	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66	2		XXX
95923	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2		XXX
95923	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		XXX
95923	CMS	"Pharmacy, Rx"	SH002	acetylcholine (for patient use)	gm	0.53	50		XXX
95923	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
95924	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
95924	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	6		XXX
95924	CMS	"Accessory, Procedure"	SD099	"mouthpiece, respiratory"	item	0.24	1		XXX
95924	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2		XXX
95924	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		XXX
95924	CMS	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.05	5		XXX
95924	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
95925	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
95925	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
95925	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1		XXX
95925	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1		XXX
95925	CMS	"Accessory, Procedure"	SD059	"electrode, ground"	item	1.28	1		XXX
95925	CMS	"Accessory, Procedure"	SD165	"electrode, EEG (single)"	item	2.54	8		XXX
95925	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1		XXX
95925	CMS	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	24		XXX
95925	CMS	"Pharmacy, NonRx"	SJ014	collodion (2oz uou)	item	2.66	1		XXX
95925	CMS	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.05	1		XXX
95925	CMS	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.15	10		XXX
95925	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
95925	CMS	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.09	1		XXX
95925	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	6		XXX
95925	CMS	Lab	SL001	acetone	ml	0.06	7		XXX
95925	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.17		XXX
95926	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
95926	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
95926	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1		XXX
95926	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1		XXX
95926	CMS	"Accessory, Procedure"	SD059	"electrode, ground"	item	1.28	1		XXX
95926	CMS	"Accessory, Procedure"	SD165	"electrode, EEG (single)"	item	2.54	8		XXX
95926	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1		XXX
95926	CMS	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	24		XXX
95926	CMS	"Pharmacy, NonRx"	SJ014	collodion (2oz uou)	item	2.66	1		XXX
95926	CMS	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.05	1		XXX
95926	CMS	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.15	10		XXX
95926	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
95926	CMS	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.09	1		XXX
95926	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	6		XXX
95926	CMS	Lab	SL001	acetone	ml	0.06	7		XXX
95926	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.17		XXX
95927	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
95927	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
95927	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1		XXX
95927	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1		XXX
95927	CMS	"Accessory, Procedure"	SD059	"electrode, ground"	item	1.28	1		XXX
95927	CMS	"Accessory, Procedure"	SD166	"electrode, EGG (single)"	item	2.07	4		XXX
95927	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1		XXX
95927	CMS	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	24		XXX
95927	CMS	"Pharmacy, NonRx"	SJ014	collodion (2oz uou)	item	2.66	1		XXX
95927	CMS	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.05	1		XXX
95927	CMS	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.15	10		XXX
95927	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
95927	CMS	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.09	1		XXX
95927	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	6		XXX
95927	CMS	Lab	SL001	acetone	ml	0.06	15		XXX
95927	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.34		XXX
95928	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
95928	CMS	"Accessory, Procedure"	SD059	"electrode, ground"	item	1.28	1		XXX
95928	CMS	"Accessory, Procedure"	SD165	"electrode, EEG (single)"	item	2.54	12		XXX
95928	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1		XXX
95928	CMS	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	24		XXX
95928	CMS	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.05	1		XXX
95928	CMS	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.15	2		XXX
95928	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
95928	CMS	"Office Supply, Grocery"	SK021	emery board	item	0.13	1		XXX
95928	CMS	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.09	1		XXX
95928	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	6		XXX
95928	CMS	Lab	SL001	acetone	ml	0.06	7		XXX
95928	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.17		XXX
95929	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
95929	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
95929	CMS	"Accessory, Procedure"	SD059	"electrode, ground"	item	1.28	1		XXX
95929	CMS	"Accessory, Procedure"	SD165	"electrode, EEG (single)"	item	2.54	12		XXX
95929	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1		XXX
95929	CMS	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	24		XXX
95929	CMS	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.05	1		XXX
95929	CMS	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.15	2		XXX
95929	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
95929	CMS	"Office Supply, Grocery"	SK021	emery board	item	0.13	1		XXX
95929	CMS	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.09	1		XXX
95929	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	6		XXX
95929	CMS	Lab	SL001	acetone	ml	0.06	7		XXX
95929	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.17		XXX
95930	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
95930	CMS	"Accessory, Procedure"	SD059	"electrode, ground"	item	1.28	1		XXX
95930	CMS	"Accessory, Procedure"	SD166	"electrode, EGG (single)"	item	2.07	2		XXX
95930	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2		XXX
95930	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	2.37	1		XXX
95930	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
95930	CMS	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	8		XXX
95930	CMS	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.05	1		XXX
95930	CMS	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.15	10		XXX
95930	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
95930	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.34		XXX
95933	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
95933	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
95933	CMS	"Accessory, Procedure"	SD059	"electrode, ground"	item	1.28	1		XXX
95933	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2		XXX
95933	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24		XXX
95933	CMS	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.05	5		XXX
95933	CMS	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.15	10		XXX
95933	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	1		XXX
95933	CMS	"Pharmacy, NonRx"	SJ045	"sensor strip, skin temperature"	item	1.32	1		XXX
95933	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
95933	CMS	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.09	1		XXX
95933	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	1		XXX
95937	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
95937	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
95937	CMS	"Accessory, Procedure"	SD052	"electrode, bar-style (single)"	item	0.37	1		XXX
95937	CMS	"Accessory, Procedure"	SD059	"electrode, ground"	item	1.28	1		XXX
95937	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2		XXX
95937	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	36		XXX
95937	CMS	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.05	5		XXX
95937	CMS	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.15	100		XXX
95937	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	1		XXX
95937	CMS	"Pharmacy, NonRx"	SJ045	"sensor strip, skin temperature"	item	1.32	1		XXX
95937	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
95937	CMS	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.09	1		XXX
95937	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	1		XXX
95938	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
95938	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
95938	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1		XXX
95938	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1		XXX
95938	CMS	"Accessory, Procedure"	SD059	"electrode, ground"	item	1.28	1		XXX
95938	CMS	"Accessory, Procedure"	SD165	"electrode, EEG (single)"	item	2.54	16		XXX
95938	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2		XXX
95938	CMS	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	48		XXX
95938	CMS	"Pharmacy, NonRx"	SJ014	collodion (2oz uou)	item	2.66	1		XXX
95938	CMS	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.05	2		XXX
95938	CMS	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.15	20		XXX
95938	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
95938	CMS	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.09	1		XXX
95938	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	12		XXX
95938	CMS	Lab	SL001	acetone	ml	0.06	15		XXX
95938	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.34		XXX
95939	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
95939	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
95939	CMS	"Accessory, Procedure"	SD059	"electrode, ground"	item	1.28	1		XXX
95939	CMS	"Accessory, Procedure"	SD165	"electrode, EEG (single)"	item	2.54	24		XXX
95939	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2		XXX
95939	CMS	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	48		XXX
95939	CMS	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.05	2		XXX
95939	CMS	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.15	4		XXX
95939	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
95939	CMS	"Office Supply, Grocery"	SK021	emery board	item	0.13	1		XXX
95939	CMS	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.09	1		XXX
95939	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	12		XXX
95939	CMS	Lab	SL001	acetone	ml	0.06	15		XXX
95939	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	0.34		XXX
95954	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
95954	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
95954	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
95954	CMS	"Hypodermic, IV"	SC018	iv infusion set	item	1.27	1		XXX
95954	CMS	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.54	1		XXX
95954	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1		XXX
95954	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	2		XXX
95954	CMS	"Accessory, Procedure"	SD054	"electrode, EEG, tin cup (12 pack uou)"	item	15.75	2		XXX
95954	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
95954	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1		XXX
95954	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		XXX
95954	CMS	"Pharmacy, Rx"	SH004	albumin saline	ml	0.15	1		XXX
95954	CMS	"Pharmacy, NonRx"	SJ014	collodion (2oz uou)	item	2.66	1		XXX
95954	CMS	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.05	5		XXX
95954	CMS	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.15	100		XXX
95954	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	15		XXX
95954	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
95954	CMS	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.09	1		XXX
95954	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1		XXX
95954	CMS	Lab	SL001	acetone	ml	0.06	15		XXX
95955	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
95955	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
95955	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
95955	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
95955	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1		XXX
95955	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1		XXX
95955	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
95955	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1		XXX
95955	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		XXX
95955	CMS	"Pharmacy, NonRx"	SJ014	collodion (2oz uou)	item	2.66	1		XXX
95955	CMS	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.05	5		XXX
95955	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	15		XXX
95955	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
95955	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	800		XXX
95955	CMS	Lab	SL001	acetone	ml	0.06	15		XXX
95958	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
95958	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
95958	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
95958	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
95958	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1		XXX
95958	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1		XXX
95958	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	2		XXX
95958	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	2		XXX
95958	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1		XXX
95958	CMS	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	6		XXX
95958	CMS	"Pharmacy, NonRx"	SJ014	collodion (2oz uou)	item	2.66	1		XXX
95958	CMS	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.05	1		XXX
95958	CMS	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.15	10		XXX
95958	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10		XXX
95958	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
95958	CMS	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.09	1		XXX
95958	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	200		XXX
95958	CMS	Lab	SL001	acetone	ml	0.06	15		XXX
95961	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
95961	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
95961	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
95961	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
95961	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.67	1		XXX
95961	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1		XXX
95961	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	2		XXX
95961	CMS	"Accessory, Procedure"	SD165	"electrode, EEG (single)"	item	2.54	2		XXX
95961	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	2		XXX
95961	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1		XXX
95961	CMS	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.03	6		XXX
95961	CMS	"Pharmacy, NonRx"	SJ014	collodion (2oz uou)	item	2.66	1		XXX
95961	CMS	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.05	1		XXX
95961	CMS	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.15	10		XXX
95961	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10		XXX
95961	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
95961	CMS	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.09	1		XXX
95961	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	200		XXX
95961	CMS	Lab	SL001	acetone	ml	0.06	0.5		XXX
95981	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	XXX
95982	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	XXX
95990	CMS	"Kit, Pack, Tray"	SA076	"kit, refill for implantable medication pump"	item	24.84	1		XXX
95990	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1		XXX
95990	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1		XXX
95990	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
95990	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2		XXX
95990	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	2		XXX
95990	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
95990	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1		XXX
95990	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1		XXX
95991	CMS	"Kit, Pack, Tray"	SA076	"kit, refill for implantable medication pump"	item	24.84	1	0	XXX
95991	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	XXX
95991	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	XXX
95991	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	XXX
95991	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	2	0	XXX
95991	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	2	0	XXX
95991	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	XXX
95991	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	XXX
95991	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	XXX
95992	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	XXX
95992	CMS	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.45	1	0	XXX
95992	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	XXX
95992	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1	0	XXX
95992	CMS	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.015	2	0	XXX
95992	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	XXX
96041	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	0.32		XXX
96041	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	0.32		XXX
96105	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
96105	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.3	1		XXX
96105	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	1		XXX
96105	CMS	"Office Supply, Grocery"	SK003	"aphasia assessment forms, average"	item	1.99	1		XXX
96110	CMS	"Office Supply, Grocery"	SK001	ages & stages questionnaire	item	0.2	1		XXX
96112	CMS	"Office Supply, Grocery"	SK088	Woodcock Johnson test record	item	1.08	1	0	XXX
96116	CMS	"Office Supply, Grocery"	SK050	"neurobehavioral status forms, average"	item	4	1	0	XXX
96125	CMS	"Office Supply, Grocery"	SK050	"neurobehavioral status forms, average"	item	4	2		XXX
96127	CMS	"Office Supply, Grocery"	SK119	"Beck Youth Inventory, Second Edition (BYI-II); Combination Inventory Booklet"	booklet	1.55	1		XXX
96132	CMS	"Office Supply, Grocery"	SK130	WAIS-IV Record Form	item	5.25	1	0	XXX
96132	CMS	"Office Supply, Grocery"	SK131	WAIS-IV Response Booklet #1	item	3.3	1	0	XXX
96132	CMS	"Office Supply, Grocery"	SK132	WMS-IV Response Booklet #2	item	2	1	0	XXX
96133	CMS	"Office Supply, Grocery"	SK130	WAIS-IV Record Form	item	5.25	1	0	ZZZ
96133	CMS	"Office Supply, Grocery"	SK131	WAIS-IV Response Booklet #1	item	3.3	1	0	ZZZ
96133	CMS	"Office Supply, Grocery"	SK132	WMS-IV Response Booklet #2	item	2	1	0	ZZZ
96136	CMS	"Office Supply, Grocery"	SK130	WAIS-IV Record Form	item	5.25	1	0	XXX
96136	CMS	"Office Supply, Grocery"	SK131	WAIS-IV Response Booklet #1	item	3.3	1	0	XXX
96136	CMS	"Office Supply, Grocery"	SK132	WMS-IV Response Booklet #2	item	2	1	0	XXX
96137	CMS	"Office Supply, Grocery"	SK130	WAIS-IV Record Form	item	5.25	1	0	ZZZ
96137	CMS	"Office Supply, Grocery"	SK131	WAIS-IV Response Booklet #1	item	3.3	1	0	ZZZ
96137	CMS	"Office Supply, Grocery"	SK132	WMS-IV Response Booklet #2	item	2	1	0	ZZZ
96138	CMS	"Office Supply, Grocery"	SK130	WAIS-IV Record Form	item	5.25	1		XXX
96138	CMS	"Office Supply, Grocery"	SK131	WAIS-IV Response Booklet #1	item	3.3	1		XXX
96138	CMS	"Office Supply, Grocery"	SK132	WMS-IV Response Booklet #2	item	2	1		XXX
96139	CMS	"Office Supply, Grocery"	SK130	WAIS-IV Record Form	item	5.25	1		ZZZ
96139	CMS	"Office Supply, Grocery"	SK131	WAIS-IV Response Booklet #1	item	3.3	1		ZZZ
96139	CMS	"Office Supply, Grocery"	SK132	WMS-IV Response Booklet #2	item	2	1		ZZZ
96156	CMS	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.87	0.05	0	XXX
96156	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1	0	XXX
96158	CMS	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.87	0.05	0	XXX
96158	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1	0	XXX
96159	CMS	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.87	0.025	0	ZZZ
96159	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1	0	ZZZ
96160	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	2		ZZZ
96161	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	2		ZZZ
96164	CMS	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.87	0.05	0	XXX
96165	CMS	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.87	0.025	0	ZZZ
96167	CMS	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.87	0.05	0	XXX
96167	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1	0	XXX
96168	CMS	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.87	0.025	0	ZZZ
96168	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1	0	ZZZ
96170	CMS	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.87	0.05	0	XXX
96171	CMS	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.87	0.025	0	ZZZ
96202	CMS	"Office Supply, Grocery"	SK005	assessment monitoring instruments	item	0.34	2	0	XXX
96202	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	6	0	XXX
96202	CMS	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.87	0.014	0	XXX
96202	CMS	"Office Supply, Grocery"	SK134	2 inch 3 ring binder w/set of 8 dividers	item	7.91	0.125	0	XXX
96360	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
96360	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
96360	CMS	"Hypodermic, IV"	SC018	iv infusion set	item	1.27	1		XXX
96360	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
96360	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1		XXX
96360	CMS	"Wound Care, Dressings"	SG014	"bandage, elastic, self-adherent wrap 1in (Coban)"	item	1.59	1		XXX
96360	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
96360	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	2		XXX
96360	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	7		XXX
96360	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
96365	CMS	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1		XXX
96365	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
96365	CMS	"Hypodermic, IV"	SC018	iv infusion set	item	1.27	1		XXX
96365	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
96365	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1		XXX
96365	CMS	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	1		XXX
96365	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	2		XXX
96365	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	1		XXX
96365	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
96367	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		ZZZ
96367	CMS	"Hypodermic, IV"	SC018	iv infusion set	item	1.27	1		ZZZ
96367	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		ZZZ
96367	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1		ZZZ
96368	CMS	"Hypodermic, IV"	SC018	iv infusion set	item	1.27	1		ZZZ
96368	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1		ZZZ
96369	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
96369	CMS	"Hypodermic, IV"	SC013	infusion pump cassette-reservoir	item	8.75	2		XXX
96369	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1		XXX
96369	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2		XXX
96369	CMS	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.78	1		XXX
96369	CMS	"Hypodermic, IV"	SC087	"tubing set, Y-type blood recipient"	item	4.52	1		XXX
96369	CMS	"Hypodermic, IV"	SC093	"IV infusion set, Sof-set (Minimed)"	item	7.48	4		XXX
96369	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
96369	CMS	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	3		XXX
96369	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	2		XXX
96369	CMS	"Wound Care, Dressings"	SG075	"tape, elastic, 1in (Elastoplast, Elasticon) (5yd uou)"	item	5.86	4		XXX
96369	CMS	"Pharmacy, Rx"	SH030	Emla cream	gm	2.19	1		XXX
96369	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	2		XXX
96369	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
96369	CMS	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	1		XXX
96369	CMS	"Office Supply, Grocery"	SK040	graham crackers (one packet)	item	1.11	1		XXX
96369	CMS	"Office Supply, Grocery"	SK042	"juice, apple"	oz	0.09	6		XXX
96369	CMS	"Office Supply, Grocery"	SK095	"battery, AA"	item	0.83	2		XXX
96369	CMS	Lab	SL126	"sodium chloride, 99.0% min."	gm	0.03	1		XXX
96369	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	10		XXX
96371	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		ZZZ
96371	CMS	"Hypodermic, IV"	SC013	infusion pump cassette-reservoir	item	8.75	1		ZZZ
96371	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1		ZZZ
96371	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1		ZZZ
96371	CMS	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.78	1		ZZZ
96371	CMS	"Hypodermic, IV"	SC087	"tubing set, Y-type blood recipient"	item	4.52	1		ZZZ
96371	CMS	"Hypodermic, IV"	SC093	"IV infusion set, Sof-set (Minimed)"	item	7.48	2		ZZZ
96371	CMS	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	1		ZZZ
96371	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		ZZZ
96371	CMS	"Wound Care, Dressings"	SG075	"tape, elastic, 1in (Elastoplast, Elasticon) (5yd uou)"	item	5.86	2		ZZZ
96371	CMS	"Pharmacy, Rx"	SH030	Emla cream	gm	2.19	1		ZZZ
96371	CMS	"Office Supply, Grocery"	SK095	"battery, AA"	item	0.83	1		ZZZ
96371	CMS	Lab	SL126	"sodium chloride, 99.0% min."	gm	0.03	1		ZZZ
96371	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	10		ZZZ
96372	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1		XXX
96372	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
96372	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
96373	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
96373	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
96373	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2		XXX
96373	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
96373	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66	1		XXX
96373	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
96374	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
96374	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1		XXX
96374	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
96374	CMS	"Wound Care, Dressings"	SG014	"bandage, elastic, self-adherent wrap 1in (Coban)"	item	1.59	1		XXX
96374	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
96374	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	2		XXX
96374	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
96375	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		ZZZ
96375	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		ZZZ
96375	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	7		ZZZ
96375	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		ZZZ
96377	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
96377	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
96380	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1		XXX
96380	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
96380	RUC	"Office Supply, Grocery"	SK012	CDC information sheet	item	0.03	1		XXX
96381	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1		XXX
96381	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
96381	RUC	"Office Supply, Grocery"	SK012	CDC information sheet	item	0.03	1		XXX
96401	CMS	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1		XXX
96401	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
96401	CMS	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	1		XXX
96401	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX
96401	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
96401	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
96401	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1		XXX
96401	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1		XXX
96401	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
96401	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66	1		XXX
96401	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	2		XXX
96401	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
96402	CMS	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1		XXX
96402	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2		XXX
96402	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX
96402	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
96402	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66	1		XXX
96402	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	2		XXX
96402	CMS	"Pharmacy, Rx"	SH075	"water, sterile inj"	ml	0.05	1		XXX
96402	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
96405	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	000
96405	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	000
96405	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	6	0	000
96405	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	6	0	000
96405	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	3	0	000
96405	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
96405	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	5	0	000
96405	CMS	"Pharmacy, Rx"	SH075	"water, sterile inj"	ml	0.05	25	0	000
96405	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	1	0	000
96405	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	50	0	000
96405	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	6	0	000
96405	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
96406	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	12.73	1	0	000
96406	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	000
96406	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.54	12	0	000
96406	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	12	0	000
96406	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	6	0	000
96406	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	24	0	000
96406	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	10	0	000
96406	CMS	"Pharmacy, Rx"	SH075	"water, sterile inj"	ml	0.05	50	0	000
96406	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.13	2	0	000
96406	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	100	0	000
96406	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	12	0	000
96406	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
96409	CMS	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1		XXX
96409	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
96409	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX
96409	CMS	"Hypodermic, IV"	SC018	iv infusion set	item	1.27	1		XXX
96409	CMS	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.54	1		XXX
96409	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
96409	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1		XXX
96409	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
96409	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1		XXX
96409	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1		XXX
96409	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
96409	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66	1		XXX
96409	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	7		XXX
96409	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	1		XXX
96409	CMS	"Pharmacy, Rx"	SH075	"water, sterile inj"	ml	0.05	2		XXX
96409	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
96411	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		ZZZ
96411	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		ZZZ
96411	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1		ZZZ
96411	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		ZZZ
96411	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.25	1		ZZZ
96411	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1		ZZZ
96411	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66	1		ZZZ
96411	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	7		ZZZ
96411	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	1		ZZZ
96411	CMS	"Pharmacy, Rx"	SH075	"water, sterile inj"	ml	0.05	2		ZZZ
96411	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		ZZZ
96413	CMS	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1		XXX
96413	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
96413	CMS	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	3		XXX
96413	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX
96413	CMS	"Hypodermic, IV"	SC018	iv infusion set	item	1.27	2		XXX
96413	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
96413	CMS	"Hypodermic, IV"	SC039	"needle, Huber point"	item	3.97	1		XXX
96413	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
96413	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1		XXX
96413	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
96413	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1		XXX
96413	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	3		XXX
96413	CMS	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	1		XXX
96413	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	1		XXX
96413	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1		XXX
96413	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
96413	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
96413	CMS	"Pharmacy, NonRx"	SJ088	"swab, patient prep, 3.0 ml  (chloraprep)"	item	2.18	1		XXX
96416	CMS	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1		XXX
96416	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
96416	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1		XXX
96416	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX
96416	CMS	"Hypodermic, IV"	SC013	infusion pump cassette-reservoir	item	8.75	1		XXX
96416	CMS	"Hypodermic, IV"	SC018	iv infusion set	item	1.27	1		XXX
96416	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2		XXX
96416	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1		XXX
96416	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	3		XXX
96416	CMS	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	1		XXX
96416	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	2		XXX
96416	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1		XXX
96416	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	1		XXX
96416	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
96416	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1		XXX
96416	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	3		XXX
96416	CMS	"Office Supply, Grocery"	SK010	"battery, 9 volt"	item	1.93	2		XXX
96416	CMS	Lab	SL126	"sodium chloride, 99.0% min."	gm	0.03	1		XXX
96417	CMS	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	3		ZZZ
96417	CMS	"Hypodermic, IV"	SC018	iv infusion set	item	1.27	1		ZZZ
96417	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2		ZZZ
96417	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	2		ZZZ
96417	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2		ZZZ
96417	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	2		ZZZ
96417	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		ZZZ
96417	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	3		ZZZ
96417	CMS	Lab	SL126	"sodium chloride, 99.0% min."	gm	0.03	1		ZZZ
96420	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
96420	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
96420	CMS	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	1		XXX
96420	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX
96420	CMS	"Hypodermic, IV"	SC018	iv infusion set	item	1.27	1		XXX
96420	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	4		XXX
96420	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
96420	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66	1		XXX
96420	CMS	"Pharmacy, Rx"	SH075	"water, sterile inj"	ml	0.05	60		XXX
96420	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
96422	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
96422	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
96422	CMS	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	1		XXX
96422	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX
96422	CMS	"Hypodermic, IV"	SC013	infusion pump cassette-reservoir	item	8.75	1		XXX
96422	CMS	"Hypodermic, IV"	SC018	iv infusion set	item	1.27	1		XXX
96422	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	4		XXX
96422	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
96422	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66	1		XXX
96422	CMS	"Pharmacy, Rx"	SH075	"water, sterile inj"	ml	0.05	60		XXX
96422	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
96422	CMS	Lab	SL126	"sodium chloride, 99.0% min."	gm	0.03	1		XXX
96425	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
96425	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
96425	CMS	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	2		XXX
96425	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1		XXX
96425	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX
96425	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	3		XXX
96425	CMS	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	1		XXX
96425	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66	1		XXX
96425	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	2		XXX
96425	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1		XXX
96425	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
96425	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1		XXX
96425	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	3		XXX
96425	CMS	Lab	SL126	"sodium chloride, 99.0% min."	gm	0.03	1		XXX
96440	CMS	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1	0	000
96440	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53	1	0	000
96440	CMS	"Kit, Pack, Tray"	SA077	"kit, pleural catheter insertion"	kit	550.76	1	0	000
96440	CMS	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1	0	000
96440	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
96440	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
96440	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	000
96440	CMS	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	1	0	000
96440	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
96440	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
96440	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
96440	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	000
96440	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2	0	000
96440	CMS	"Hypodermic, IV"	SC013	infusion pump cassette-reservoir	item	8.75	1	0	000
96440	CMS	"Hypodermic, IV"	SC018	iv infusion set	item	1.27	1	0	000
96440	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	000
96440	CMS	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.54	1	0	000
96440	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
96440	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1	0	000
96440	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	000
96440	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
96440	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
96440	CMS	"Accessory, Procedure"	SD093	HEPA filter	item	5	1	0	000
96440	CMS	"Accessory, Procedure"	SD144	"canister, vacuum, pleural (w-drainage line)"	item	15.16	2	0	000
96440	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	1.04	1	0	000
96440	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	000
96440	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	000
96440	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	32	0	000
96440	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	5	0	000
96440	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	000
96440	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
96446	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	XXX
96446	CMS	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	2	0	XXX
96446	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	XXX
96446	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	XXX
96446	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	XXX
96446	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1	0	XXX
96446	CMS	"Hypodermic, IV"	SC013	infusion pump cassette-reservoir	item	8.75	1	0	XXX
96446	CMS	"Hypodermic, IV"	SC018	iv infusion set	item	1.27	1	0	XXX
96446	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1	0	XXX
96446	CMS	"Hypodermic, IV"	SC039	"needle, Huber point"	item	3.97	1	0	XXX
96446	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	3	0	XXX
96446	CMS	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	1	0	XXX
96446	CMS	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1	0	XXX
96446	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	1	0	XXX
96446	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1	0	XXX
96446	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	XXX
96446	CMS	"Pharmacy, Rx"	SH075	"water, sterile inj"	ml	0.05	2	0	XXX
96446	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	3	0	XXX
96446	CMS	"Pharmacy, NonRx"	SJ081	"swab, patient prep, 1.5 ml  (chloraprep)"	item	1.09	1	0	XXX
96446	CMS	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	1	0	XXX
96446	CMS	"Office Supply, Grocery"	SK040	graham crackers (one packet)	item	1.11	1	0	XXX
96446	CMS	"Office Supply, Grocery"	SK042	"juice, apple"	oz	0.09	6	0	XXX
96450	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
96450	CMS	"Kit, Pack, Tray"	SA065	"tray, lumbar puncture"	tray	15.24	1	0	000
96450	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
96450	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
96450	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
96450	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
96450	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
96450	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	3	0	000
96450	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1	0	000
96450	CMS	"Pharmacy, Rx"	SH075	"water, sterile inj"	ml	0.05	1	0	000
96450	CMS	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	1	0	000
96450	CMS	"Office Supply, Grocery"	SK040	graham crackers (one packet)	item	1.11	1	0	000
96450	CMS	"Office Supply, Grocery"	SK042	"juice, apple"	oz	0.09	6	0	000
96521	CMS	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1		XXX
96521	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
96521	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
96521	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1		XXX
96521	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX
96521	CMS	"Hypodermic, IV"	SC013	infusion pump cassette-reservoir	item	8.75	1		XXX
96521	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2		XXX
96521	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	2		XXX
96521	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2		XXX
96521	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
96521	CMS	"Office Supply, Grocery"	SK010	"battery, 9 volt"	item	1.93	2		XXX
96522	CMS	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1		XXX
96522	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
96522	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
96522	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1		XXX
96522	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX
96522	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1		XXX
96522	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1		XXX
96522	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2		XXX
96522	CMS	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.95	1		XXX
96522	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	3		XXX
96522	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
96522	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
96522	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
96523	CMS	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1		XXX
96523	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
96523	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
96523	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1		XXX
96523	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		XXX
96523	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2		XXX
96523	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2		XXX
96523	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
96523	CMS	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	1		XXX
96523	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
96523	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	1		XXX
96523	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.82	1		XXX
96542	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	XXX
96542	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	3	0	XXX
96542	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	XXX
96542	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	XXX
96542	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	XXX
96542	CMS	"Hypodermic, IV"	SC018	iv infusion set	item	1.27	1	0	XXX
96542	CMS	"Hypodermic, IV"	SC039	"needle, Huber point"	item	3.97	1	0	XXX
96542	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.04	1	0	XXX
96542	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	3	0	XXX
96542	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	3	0	XXX
96542	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1	0	XXX
96542	CMS	"Pharmacy, Rx"	SH075	"water, sterile inj"	ml	0.05	2	0	XXX
96542	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	3	0	XXX
96542	CMS	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	1	0	XXX
96542	CMS	"Office Supply, Grocery"	SK040	graham crackers (one packet)	item	1.11	1	0	XXX
96542	CMS	"Office Supply, Grocery"	SK042	"juice, apple"	oz	0.09	6	0	XXX
96567	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
96567	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2		XXX
96567	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		XXX
96567	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	4		XXX
96567	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	1		XXX
96567	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1		XXX
96567	CMS	"Pharmacy, Rx"	SH092	LMX 4% anesthetic cream	gm	3.01	30		XXX
96567	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	0.5		XXX
96567	CMS	"Pharmacy, NonRx"	SJ027	"goggles, uv-blocking"	item	3.12	3		XXX
96567	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	1		XXX
96567	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
96567	CMS	"Office Supply, Grocery"	SK041	ice (per cup)	item	0.03	1		XXX
96567	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
96573	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2		000
96573	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1		000
96573	CMS	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	5		000
96573	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	4		000
96573	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3		000
96573	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		000
96573	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1		000
96573	CMS	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.45	1		000
96573	CMS	"Accessory, Procedure"	SD326	patient/clinician goggles	item	6	3		000
96573	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2		000
96573	CMS	"Wound Care, Dressings"	SG043	"dressing, eye pad (Opticlude)"	item	0.34	2		000
96573	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	4		000
96573	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		000
96573	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1		000
96573	CMS	"Pharmacy, Rx"	SH092	LMX 4% anesthetic cream	gm	3.01	30		000
96573	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	0.5		000
96573	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	3		000
96573	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	4		000
96573	CMS	"Pharmacy, NonRx"	SJ064	zinc oxide ointment	oz	1	2		000
96573	CMS	"Office Supply, Grocery"	SK009	bath soap (one bar uou)	item	0.45	1		000
96573	CMS	"Office Supply, Grocery"	SK045	lip screen	item	1.08	1		000
96573	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		000
96573	CMS	"Office Supply, Grocery"	SK066	plastic wrap	foot	0.02	1		000
96573	CMS	Lab	SL001	acetone	ml	0.06	5		000
96573	CMS	Lab	SL157	"cup, sterile, 8 oz"	item	0.58	1		000
96573	CMS	Lab	SL471	Q-tip	each	0.06	4		000
96573	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3		000
96574	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2		000
96574	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1		000
96574	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	2		000
96574	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.1	1		000
96574	CMS	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	5		000
96574	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2		000
96574	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	5		000
96574	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3		000
96574	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7		000
96574	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1		000
96574	CMS	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.45	1		000
96574	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2		000
96574	CMS	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.78	2		000
96574	CMS	"Accessory, Procedure"	SD326	patient/clinician goggles	item	6	3		000
96574	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	5.67	1		000
96574	CMS	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	2.78	1		000
96574	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2		000
96574	CMS	"Wound Care, Dressings"	SG043	"dressing, eye pad (Opticlude)"	item	0.34	2		000
96574	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	4		000
96574	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12		000
96574	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.08	6		000
96574	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85	1		000
96574	CMS	"Pharmacy, Rx"	SH092	LMX 4% anesthetic cream	gm	3.01	30		000
96574	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.46	0.5		000
96574	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	3		000
96574	CMS	"Pharmacy, NonRx"	SJ064	zinc oxide ointment	oz	1	2		000
96574	CMS	"Pharmacy, NonRx"	SJ088	"swab, patient prep, 3.0 ml  (chloraprep)"	item	2.18	1		000
96574	CMS	"Office Supply, Grocery"	SK009	bath soap (one bar uou)	item	0.45	1		000
96574	CMS	"Office Supply, Grocery"	SK045	lip screen	item	1.08	1		000
96574	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		000
96574	CMS	"Office Supply, Grocery"	SK066	plastic wrap	foot	0.02	1		000
96574	CMS	Lab	SL001	acetone	ml	0.06	5		000
96574	CMS	Lab	SL157	"cup, sterile, 8 oz"	item	0.58	1		000
96574	CMS	Lab	SL471	Q-tip	each	0.06	4		000
96574	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3		000
96900	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
96900	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
96900	CMS	"Office Supply, Grocery"	SK045	lip screen	item	1.08	1		XXX
96900	CMS	"Office Supply, Grocery"	SK078	sunscreen lotion (spf15)	oz	0.75	1		XXX
96900	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
96902	CMS	Lab	SL030	"cover slip, glass"	item	0.114	1	0	XXX
96902	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.8	1	0	XXX
96902	CMS	Lab	SL085	label for microscope slides	item	0.14	1	0	XXX
96902	CMS	Lab	SL095	mounting media (Histomount)	ml	0.5	1	0	XXX
96902	CMS	Lab	SL122	"slide, microscope"	item	0.36	1	0	XXX
96904	CMS	"Gown, Drape"	SB050	"bolster covers, disposable"	item	0.08	3		XXX
96904	CMS	"Gown, Drape"	SB051	Disposable underwear	item		1		XXX
96904	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.8	36		XXX
96904	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1		XXX
96904	CMS	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	1		XXX
96910	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
96910	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
96910	CMS	"Gown, Drape"	SB021	"gloves, cotton"	pair	3.86	1		XXX
96910	CMS	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	2		XXX
96910	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2		XXX
96910	CMS	"Gown, Drape"	SB038	safety glasses	item	1.92	0.1		XXX
96910	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	1		XXX
96910	CMS	"Gown, Drape"	SB040	"slippers, paper"	pair	0.201	1		XXX
96910	CMS	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.45	10		XXX
96910	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	3		XXX
96910	CMS	"Gown, Drape"	SB054	Sauna suit	item	9.99	0.5		XXX
96910	CMS	"Accessory, Procedure"	SD236	"Single Patient Discard Bag, 400 ml"	item	1.04	1		XXX
96910	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2		XXX
96910	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
96910	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12		XXX
96910	CMS	"Pharmacy, Rx"	SH072	triamcinolone acetonide 0.1% cream	gm	0.06	30		XXX
96910	CMS	"Pharmacy, NonRx"	SJ006	anthralin ointment	gm	3.91	3		XXX
96910	CMS	"Pharmacy, NonRx"	SJ013	coal tar soln	ml	0.024	240		XXX
96910	CMS	"Pharmacy, NonRx"	SJ026	Eucerin cream	oz	1.38	4		XXX
96910	CMS	"Pharmacy, NonRx"	SJ027	"goggles, uv-blocking"	item	3.12	0.3		XXX
96910	CMS	"Pharmacy, NonRx"	SJ035	mineral oil	ml	0.02	100		XXX
96910	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
96910	CMS	"Pharmacy, NonRx"	SJ064	zinc oxide ointment	oz	1	1		XXX
96910	CMS	"Office Supply, Grocery"	SK045	lip screen	item	1.08	0.04		XXX
96910	CMS	"Office Supply, Grocery"	SK066	plastic wrap	foot	0.02	2		XXX
96910	CMS	"Office Supply, Grocery"	SK078	sunscreen lotion (spf15)	oz	0.75	2		XXX
96910	CMS	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.015	6		XXX
96910	CMS	Lab	SL087	lens paper	item	0.31	2		XXX
96910	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
96910	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	1		XXX
96910	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	2		XXX
96912	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
96912	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
96912	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	1		XXX
96912	CMS	"Gown, Drape"	SB021	"gloves, cotton"	pair	3.86	1		XXX
96912	CMS	"Gown, Drape"	SB038	safety glasses	item	1.92	0.1		XXX
96912	CMS	"Gown, Drape"	SB040	"slippers, paper"	pair	0.201	1		XXX
96912	CMS	"Gown, Drape"	SB043	"towel, professional 13in x 18in"	item	0.04	2		XXX
96912	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2		XXX
96912	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2		XXX
96912	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
96912	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12		XXX
96912	CMS	"Pharmacy, Rx"	SH072	triamcinolone acetonide 0.1% cream	gm	0.06	30		XXX
96912	CMS	"Pharmacy, NonRx"	SJ006	anthralin ointment	gm	3.91	3		XXX
96912	CMS	"Pharmacy, NonRx"	SJ026	Eucerin cream	oz	1.38	4		XXX
96912	CMS	"Pharmacy, NonRx"	SJ027	"goggles, uv-blocking"	item	3.12	0.3		XXX
96912	CMS	"Pharmacy, NonRx"	SJ034	methoxsalen 10mg (Oxsoralen)	item	6.53	3		XXX
96912	CMS	"Pharmacy, NonRx"	SJ035	mineral oil	ml	0.02	100		XXX
96912	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
96912	CMS	"Pharmacy, NonRx"	SJ064	zinc oxide ointment	oz	1	1		XXX
96912	CMS	"Office Supply, Grocery"	SK045	lip screen	item	1.08	0.04		XXX
96912	CMS	"Office Supply, Grocery"	SK078	sunscreen lotion (spf15)	oz	0.75	2		XXX
96912	CMS	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.015	8		XXX
96912	CMS	Lab	SL087	lens paper	item	0.31	2		XXX
96912	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
96912	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	1		XXX
96912	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	4		XXX
96913	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	2		XXX
96913	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2		XXX
96913	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	1		XXX
96913	CMS	"Gown, Drape"	SB021	"gloves, cotton"	pair	3.86	2		XXX
96913	CMS	"Gown, Drape"	SB038	safety glasses	item	1.92	0.1		XXX
96913	CMS	"Gown, Drape"	SB040	"slippers, paper"	pair	0.201	1		XXX
96913	CMS	"Gown, Drape"	SB043	"towel, professional 13in x 18in"	item	0.04	6		XXX
96913	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	4		XXX
96913	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	6		XXX
96913	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	1.65	2		XXX
96913	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
96913	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12		XXX
96913	CMS	"Pharmacy, Rx"	SH072	triamcinolone acetonide 0.1% cream	gm	0.06	60		XXX
96913	CMS	"Pharmacy, NonRx"	SJ006	anthralin ointment	gm	3.91	6		XXX
96913	CMS	"Pharmacy, NonRx"	SJ013	coal tar soln	ml	0.024	480		XXX
96913	CMS	"Pharmacy, NonRx"	SJ026	Eucerin cream	oz	1.38	4		XXX
96913	CMS	"Pharmacy, NonRx"	SJ027	"goggles, uv-blocking"	item	3.12	0.3		XXX
96913	CMS	"Pharmacy, NonRx"	SJ035	mineral oil	ml	0.02	300		XXX
96913	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	12		XXX
96913	CMS	"Pharmacy, NonRx"	SJ064	zinc oxide ointment	oz	1	1		XXX
96913	CMS	"Office Supply, Grocery"	SK045	lip screen	item	1.08	0.04		XXX
96913	CMS	"Office Supply, Grocery"	SK078	sunscreen lotion (spf15)	oz	0.75	2		XXX
96913	CMS	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.015	24		XXX
96913	CMS	Lab	SL087	lens paper	item	0.31	2		XXX
96913	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
96913	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	2		XXX
96913	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.07	8		XXX
96920	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
96920	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	2	0	000
96920	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	1	0	000
96920	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	2	0	000
96920	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
96920	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
96920	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2	0	000
96920	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
96920	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
96920	RUC	"Pharmacy, Rx"	SH030	Emla cream	gm	2.19	1	0	000
96920	RUC	"Pharmacy, Rx"	SH072	triamcinolone acetonide 0.1% cream	gm	0.06	1	0	000
96920	RUC	"Pharmacy, NonRx"	SJ026	Eucerin cream	oz	1.38	12	0	000
96920	RUC	"Pharmacy, NonRx"	SJ027	"goggles, uv-blocking"	item	3.12	0.3	0	000
96920	RUC	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	1	0	000
96920	RUC	"Pharmacy, NonRx"	SJ035	mineral oil	ml	0.02	2	0	000
96920	RUC	"Pharmacy, NonRx"	SJ095	Mupirocin 2% Topical Ointment 22 grams	gram	0.139	15	0	000
96920	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
96920	RUC	"Office Supply, Grocery"	SK078	sunscreen lotion (spf15)	oz	0.75	1	0	000
96920	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.015	6	0	000
96920	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3	0	000
96921	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
96921	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	2	0	000
96921	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
96921	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	2	0	000
96921	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
96921	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
96921	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2	0	000
96921	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	3	0	000
96921	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
96921	RUC	"Pharmacy, Rx"	SH030	Emla cream	gm	2.19	1	0	000
96921	RUC	"Pharmacy, Rx"	SH072	triamcinolone acetonide 0.1% cream	gm	0.06	1	0	000
96921	RUC	"Pharmacy, NonRx"	SJ026	Eucerin cream	oz	1.38	12	0	000
96921	RUC	"Pharmacy, NonRx"	SJ027	"goggles, uv-blocking"	item	3.12	0.3	0	000
96921	RUC	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	2	0	000
96921	RUC	"Pharmacy, NonRx"	SJ035	mineral oil	ml	0.02	4	0	000
96921	RUC	"Pharmacy, NonRx"	SJ095	Mupirocin 2% Topical Ointment 22 grams	gram	0.139	18	0	000
96921	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
96921	RUC	"Office Supply, Grocery"	SK078	sunscreen lotion (spf15)	oz	0.75	1	0	000
96921	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.015	6	0	000
96921	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3	0	000
96922	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
96922	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	4	0	000
96922	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	2	0	000
96922	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	3	0	000
96922	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
96922	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
96922	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2	0	000
96922	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	4	0	000
96922	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
96922	RUC	"Pharmacy, Rx"	SH030	Emla cream	gm	2.19	1	0	000
96922	RUC	"Pharmacy, Rx"	SH072	triamcinolone acetonide 0.1% cream	gm	0.06	1	0	000
96922	RUC	"Pharmacy, NonRx"	SJ026	Eucerin cream	oz	1.38	12	0	000
96922	RUC	"Pharmacy, NonRx"	SJ027	"goggles, uv-blocking"	item	3.12	0.3	0	000
96922	RUC	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.4	4	0	000
96922	RUC	"Pharmacy, NonRx"	SJ035	mineral oil	ml	0.02	8	0	000
96922	RUC	"Pharmacy, NonRx"	SJ095	Mupirocin 2% Topical Ointment 22 grams	gram	0.139	22	0	000
96922	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.62	1	0	000
96922	RUC	"Office Supply, Grocery"	SK078	sunscreen lotion (spf15)	oz	0.75	1	0	000
96922	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.015	6	0	000
96922	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3	0	000
96931	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
96931	CMS	"Kit, Pack, Tray"	SA121	Imaging Tray	item	9.56	1		XXX
96931	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	3		XXX
96931	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	3		XXX
96931	CMS	"Office Supply, Grocery"	SK068	razor	item	0.51	1		XXX
96931	CMS	"Office Supply, Grocery"	SK125	Adhesive ruler	item	9.31	1		XXX
96931	CMS	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.04	1		XXX
96932	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
96932	CMS	"Kit, Pack, Tray"	SA121	Imaging Tray	item	9.56	1		XXX
96932	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	3		XXX
96932	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	3		XXX
96932	CMS	"Office Supply, Grocery"	SK068	razor	item	0.51	1		XXX
96932	CMS	"Office Supply, Grocery"	SK125	Adhesive ruler	item	9.31	1		XXX
96932	CMS	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.04	1		XXX
96934	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	3		ZZZ
96934	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	3		ZZZ
96934	CMS	"Office Supply, Grocery"	SK068	razor	item	0.51	1		ZZZ
96935	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	3		ZZZ
96935	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	3		ZZZ
96935	CMS	"Office Supply, Grocery"	SK068	razor	item	0.51	1		ZZZ
97007	RUC	"Kit, Pack, Tray"	SA141	Scalp Cooling Cap/Kit	item	1800	1		XXX
97012	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
97012	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
97012	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.015	2		XXX
97012	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	2		XXX
97014	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
97014	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
97014	RUC	"Accessory, Procedure"	SD055	"electrode, electrical stimulation"	item	0.41	2		XXX
97014	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		XXX
97014	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
97014	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.015	1		XXX
97014	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	1		XXX
97016	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
97016	RUC	"Wound Care, Dressings"	SG027	"cast, stockinette 4in"	yd	0.6	1		XXX
97018	RUC	"Office Supply, Grocery"	SK061	paraffin for therapy bath	lb	3.1	0.25		XXX
97018	RUC	"Office Supply, Grocery"	SK066	plastic wrap	foot	0.02	1.5		XXX
97022	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
97022	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
97022	RUC	Infection Control	SM026	whirlpool antiseptic (80gm pack) (Chlorazene)	item	1.79	1		XXX
97028	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66	1		XXX
97032	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
97032	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
97032	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	1		XXX
97032	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
97032	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.015	1		XXX
97032	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	1		XXX
97033	RUC	"Kit, Pack, Tray"	SA014	"kit, electrode, iontophoresis"	kit	3.93	1		XXX
97033	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.26	1		XXX
97033	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		XXX
97033	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
97034	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
97034	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
97034	RUC	Infection Control	SM026	whirlpool antiseptic (80gm pack) (Chlorazene)	item	1.79	1		XXX
97035	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
97035	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
97035	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.03	30		XXX
97035	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.015	1		XXX
97035	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	1		XXX
97036	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1		XXX
97036	CMS	Infection Control	SM026	whirlpool antiseptic (80gm pack) (Chlorazene)	item	1.79	1		XXX
97110	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
97110	RUC	"Pharmacy, NonRx"	SJ056	Thera-bands (6in width)	foot	0.602	0.9		XXX
97110	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.015	4		XXX
97110	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	5		XXX
97112	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
97112	RUC	"Pharmacy, NonRx"	SJ056	Thera-bands (6in width)	foot	0.602	0.9		XXX
97112	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.015	4		XXX
97112	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	5		XXX
97113	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
97113	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.015	4		XXX
97113	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	5		XXX
97116	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
97116	RUC	"Pharmacy, NonRx"	SJ056	Thera-bands (6in width)	foot	0.602	0.9		XXX
97116	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.015	4		XXX
97116	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	5		XXX
97124	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	0.5		XXX
97124	CMS	"Office Supply, Grocery"	SK046	"lotion, massage, unscented"	oz	0.31	0.5		XXX
97129	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	3	0	XXX
97130	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	3	0	ZZZ
97140	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
97140	RUC	"Office Supply, Grocery"	SK046	"lotion, massage, unscented"	oz	0.31	2		XXX
97140	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.015	4		XXX
97140	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	5		XXX
97150	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
97150	CMS	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.45	1		XXX
97150	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1		XXX
97150	CMS	Infection Control	SM020	"lotion, antibacterial"	oz	0.26	1		XXX
97150	CMS	Infection Control	SM024	"soap, liquid, antibacterial"	oz	0.17	1		XXX
97161	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
97161	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	4		XXX
97161	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
97162	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
97162	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	4		XXX
97162	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
97163	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
97163	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	4		XXX
97163	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
97164	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
97164	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	4		XXX
97164	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5		XXX
97165	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
97165	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	1		XXX
97165	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	3		XXX
97165	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	2		XXX
97165	CMS	Infection Control	SM020	"lotion, antibacterial"	oz	0.26	1		XXX
97166	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
97166	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	1		XXX
97166	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	3		XXX
97166	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	2		XXX
97166	CMS	Infection Control	SM020	"lotion, antibacterial"	oz	0.26	1		XXX
97167	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
97167	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	1		XXX
97167	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	3		XXX
97167	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	2		XXX
97167	CMS	Infection Control	SM020	"lotion, antibacterial"	oz	0.26	1		XXX
97168	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
97168	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	1		XXX
97168	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	3		XXX
97168	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	2		XXX
97168	CMS	Infection Control	SM020	"lotion, antibacterial"	oz	0.26	1		XXX
97530	RUC	"Kit, Pack, Tray"	SA040	"kit, woodworking"	kit	12.99	0.25		XXX
97530	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
97530	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.015	4		XXX
97530	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	5		XXX
97533	RUC	"Kit, Pack, Tray"	SA028	"kit, sensory integration"	kit	27.43	1		XXX
97533	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
97533	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.015	4		XXX
97533	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	5		XXX
97535	RUC	"Kit, Pack, Tray"	SA007	"kit, cooking activity ingredients (mac-cheese)"	kit	0.97	1		XXX
97535	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
97535	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.015	4		XXX
97535	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	5		XXX
97537	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
97537	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.015	4		XXX
97537	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	5		XXX
97542	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
97542	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.015	4		XXX
97542	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	5		XXX
97550	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	XXX
97550	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	2	0	XXX
97550	CMS	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	2	0	XXX
97550	CMS	"Office Supply, Grocery"	SK020	drinking straw	item	0.02	2	0	XXX
97550	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	3	0	XXX
97550	CMS	"Office Supply, Grocery"	SK077	"spoon, plastic"	item	0.04	2	0	XXX
97550	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5	0	XXX
97550	CMS	Infection Control	SM024	"soap, liquid, antibacterial"	oz	0.17	1	0	XXX
97552	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	XXX
97552	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	2	0	XXX
97552	CMS	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	2	0	XXX
97552	CMS	"Office Supply, Grocery"	SK020	drinking straw	item	0.02	2	0	XXX
97552	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	3	0	XXX
97552	CMS	"Office Supply, Grocery"	SK077	"spoon, plastic"	item	0.04	2	0	XXX
97552	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5	0	XXX
97552	CMS	Infection Control	SM024	"soap, liquid, antibacterial"	oz	0.17	1	0	XXX
97597	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	000
97597	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
97597	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
97597	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
97597	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
97597	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
97597	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
97597	CMS	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.45	2	0	000
97597	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
97597	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
97597	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	000
97597	CMS	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.34	1	0	000
97597	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	000
97597	CMS	"Wound Care, Dressings"	SG052	"gauze, self-adherent roll 0.5in to 2in (Fabco, Gauztex)"	inch	0.08	72	0	000
97597	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	000
97597	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	000
97597	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
97597	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	000
97597	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	10	0	000
97597	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	000
97598	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	ZZZ
97598	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	ZZZ
97598	CMS	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.45	1	0	ZZZ
97598	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	ZZZ
97598	CMS	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.34	1	0	ZZZ
97598	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	ZZZ
97598	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	ZZZ
97598	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	ZZZ
97598	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	ZZZ
97598	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	10	0	ZZZ
97605	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	1	0	XXX
97605	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	XXX
97605	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	XXX
97605	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	XXX
97605	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	XXX
97606	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	1	0	XXX
97606	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	XXX
97606	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	XXX
97606	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	XXX
97606	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	XXX
97607	CMS	"Kit, Pack, Tray"	SA131	"kit, negative pressure wound therapy, disposable"	kit	263.25	1	0	XXX
97607	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	1	0	XXX
97607	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	XXX
97607	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	XXX
97607	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	XXX
97607	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	XXX
97607	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	XXX
97608	CMS	"Kit, Pack, Tray"	SA131	"kit, negative pressure wound therapy, disposable"	kit	263.25	1	0	XXX
97608	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	1	0	XXX
97608	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	XXX
97608	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	XXX
97608	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	XXX
97608	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	XXX
97608	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	XXX
97610	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	XXX
97610	CMS	"Kit, Pack, Tray"	SA119	"kit, low frequency ultrasound wound therapy (MIST)"	kit	320.18	1	0	XXX
97610	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	XXX
97610	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	XXX
97610	CMS	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.34	1	0	XXX
97610	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	XXX
97610	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	2	0	XXX
97610	CMS	"Wound Care, Dressings"	SG052	"gauze, self-adherent roll 0.5in to 2in (Fabco, Gauztex)"	inch	0.08	36	0	XXX
97610	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	XXX
97750	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
97755	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	0.2		XXX
97755	CMS	"Pharmacy, NonRx"	SJ001	alcohol isopropyl 70%	ml	0.03	24		XXX
97755	CMS	"Office Supply, Grocery"	SK020	drinking straw	item	0.02	0.3		XXX
97755	CMS	"Office Supply, Grocery"	SK039	"foam 3in, therapy positioning (per 1 sq in)"	item	0.11	6		XXX
97755	CMS	"Office Supply, Grocery"	SK084	"Velcro, standard"	foot	0.97	0.2		XXX
97755	CMS	"Office Supply, Grocery"	SK085	"Velcro, strong (Poly-Lock)"	foot	3.85	0.2		XXX
97760	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	0.5		XXX
97760	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
97760	CMS	"Wound Care, Dressings"	SG002	"adhesive bonder, orthotic"	oz	0.375	0.5		XXX
97760	CMS	"Pharmacy, Rx"	SH035	fluori-methane (cold spray)	ml	0.68	5		XXX
97760	CMS	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.015	4		XXX
97760	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	85		XXX
97760	CMS	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	5		XXX
97761	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	0.5		XXX
97761	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	0.75		XXX
97761	CMS	"Wound Care, Dressings"	SG027	"cast, stockinette 4in"	yd	0.6	0.3		XXX
97761	CMS	"Wound Care, Dressings"	SG058	moleskin 9in width	foot	3.85	0.2		XXX
97761	CMS	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.015	4		XXX
97761	CMS	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	5		XXX
97763	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	0.5		XXX
97763	CMS	"Wound Care, Dressings"	SG002	"adhesive bonder, orthotic"	oz	0.375	0.5		XXX
97763	CMS	"Wound Care, Dressings"	SG027	"cast, stockinette 4in"	yd	0.6	0.4		XXX
97763	CMS	"Wound Care, Dressings"	SG058	moleskin 9in width	foot	3.85	0.7		XXX
97763	CMS	"Wound Care, Dressings"	SG060	outrigger line	yd	0.04	7		XXX
97763	CMS	"Wound Care, Dressings"	SG061	outrigger post	item	0.399	3		XXX
97763	CMS	"Pharmacy, Rx"	SH035	fluori-methane (cold spray)	ml	0.68	5		XXX
97763	CMS	"Pharmacy, NonRx"	SJ047	splint straps 1in	item	2.56	0.7		XXX
97763	CMS	"Pharmacy, NonRx"	SJ048	splint straps 2in	item	3.36	1.3		XXX
97763	CMS	"Office Supply, Grocery"	SK071	"rubber bands, non-sterile"	item	0.03	4		XXX
97763	CMS	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.015	4		XXX
97763	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	85		XXX
97763	CMS	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	5		XXX
97802	CMS	"Office Supply, Grocery"	SK043	label for files-folders	item	0.07	0.25	0	XXX
97802	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	2	0	XXX
97802	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	0.25	0	XXX
97803	CMS	"Office Supply, Grocery"	SK043	label for files-folders	item	0.07	0.25	0	XXX
97803	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	2	0	XXX
97803	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	0.25	0	XXX
97804	CMS	"Office Supply, Grocery"	SK043	label for files-folders	item	0.07	0.25	0	XXX
97804	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	2	0	XXX
97804	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	0.1	0	XXX
97810	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	XXX
97810	RUC	"Hypodermic, IV"	SC075	"needle, acupuncture"	item	0.199	13	0	XXX
97810	RUC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	4	0	XXX
97810	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	XXX
97810	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	XXX
97811	RUC	"Hypodermic, IV"	SC075	"needle, acupuncture"	item	0.199	10	0	ZZZ
97811	RUC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	3	0	ZZZ
97811	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	ZZZ
97813	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	XXX
97813	RUC	"Hypodermic, IV"	SC075	"needle, acupuncture"	item	0.199	14	0	XXX
97813	RUC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	4	0	XXX
97813	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	XXX
97813	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	XXX
97814	RUC	"Hypodermic, IV"	SC075	"needle, acupuncture"	item	0.199	10	0	ZZZ
97814	RUC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.02	3	0	ZZZ
97814	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	ZZZ
98940	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
98940	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	000
98941	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
98941	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	000
98942	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
98942	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	000
98943	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	XXX
98943	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	XXX
98960	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	0.25		XXX
98961	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	0.25		XXX
98962	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	0.25		XXX
99151	CMS	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	19.2	1	0	XXX
99152	CMS	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	19.2	1	0	XXX
99170	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
99170	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
99170	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
99170	CMS	"Accessory, Procedure"	SD118	"specula, vaginal"	item	1.36	1	0	000
99170	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2	0	000
99170	CMS	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.57	1	0	000
99170	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
99170	CMS	Lab	SL146	tubed culture media	item	0.92	2	0	000
99170	CMS	Lab	SL157	"cup, sterile, 8 oz"	item	0.58	1	0	000
99174	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	1		XXX
99174	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1		XXX
99175	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX
99175	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	1		XXX
99175	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	2		XXX
99175	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1		XXX
99175	CMS	"Pharmacy, NonRx"	SJ030	ipecac syrup (1oz uou)	item	2.59	1		XXX
99177	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	1		XXX
99177	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1		XXX
99188	CMS	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1	0	XXX
99188	CMS	"Pharmacy, Rx"	SH106	CavityShield 5% Varnish .25mL	item	0.91	1	0	XXX
99188	CMS	"Office Supply, Grocery"	SK012	CDC information sheet	item	0.03	1	0	XXX
99195	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1		XXX
99195	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1		XXX
99195	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1		XXX
99195	CMS	"Hypodermic, IV"	SC004	blood collection bag	item	9.38	1		XXX
99195	CMS	"Wound Care, Dressings"	SG014	"bandage, elastic, self-adherent wrap 1in (Coban)"	item	1.59	1		XXX
99195	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
99195	CMS	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	1		XXX
99195	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66	1		XXX
99195	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	1		XXX
99195	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	3		XXX
99195	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	3		XXX
99202	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	XXX
99202	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1	0	XXX
99203	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	XXX
99203	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1	0	XXX
99204	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	XXX
99204	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1	0	XXX
99205	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	XXX
99205	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1	0	XXX
99211	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	XXX
99211	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1	0	XXX
99212	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	XXX
99212	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1	0	XXX
99213	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	XXX
99213	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1	0	XXX
99214	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	XXX
99214	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1	0	XXX
99215	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	XXX
99215	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1	0	XXX
99242	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	XXX
99242	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1	0	XXX
99243	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	XXX
99243	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1	0	XXX
99244	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	XXX
99244	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1	0	XXX
99245	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	XXX
99245	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1	0	XXX
99291	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	XXX
99291	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	2.45	1	0	XXX
99291	CMS	"Hypodermic, IV"	SC018	iv infusion set	item	1.27	2	0	XXX
99291	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1	0	XXX
99291	CMS	"Accessory, Procedure"	SD084	"gas, oxygen"	liter	0.01	120	0	XXX
99291	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	XXX
99291	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	2	0	XXX
99291	CMS	"Pharmacy, Rx"	SH075	"water, sterile inj"	ml	0.05	30	0	XXX
99291	CMS	Infection Control	SM016	"eye shield, splash protection"	item	3.18	1	0	XXX
99292	CMS	"Accessory, Procedure"	SD084	"gas, oxygen"	liter	0.01	60	0	ZZZ
99292	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	3.39	1	0	ZZZ
99341	CMS	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1		XXX
99342	CMS	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1		XXX
99344	CMS	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1		XXX
99344	CMS	Infection Control	SM025	"specula tips, otoscope"	item	0.45	1		XXX
99345	CMS	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1		XXX
99345	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
99345	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
99345	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	1		XXX
99345	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
99345	CMS	Infection Control	SM025	"specula tips, otoscope"	item	0.45	1		XXX
99347	CMS	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1		XXX
99348	CMS	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1		XXX
99348	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
99348	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
99349	CMS	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1		XXX
99349	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
99349	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
99350	CMS	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1		XXX
99350	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
99350	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
99366	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	0.33	0	XXX
99381	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	XXX
99381	CMS	"Gown, Drape"	SB032	"liner, baby scale"	item	0.074	1	0	XXX
99381	CMS	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.09	1	0	XXX
99382	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	XXX
99382	CMS	"Gown, Drape"	SB032	"liner, baby scale"	item	0.074	1	0	XXX
99382	CMS	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.09	1	0	XXX
99383	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	XXX
99384	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	XXX
99385	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	XXX
99386	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	XXX
99387	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	XXX
99391	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	XXX
99391	CMS	"Gown, Drape"	SB032	"liner, baby scale"	item	0.074	1	0	XXX
99391	CMS	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.09	1	0	XXX
99392	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	XXX
99392	CMS	"Gown, Drape"	SB032	"liner, baby scale"	item	0.074	1	0	XXX
99392	CMS	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.09	1	0	XXX
99393	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	XXX
99394	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	XXX
99395	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	XXX
99396	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	XXX
99397	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	XXX
99401	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	XXX
99402	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	XXX
99403	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	XXX
99404	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	XXX
99406	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1	0	XXX
99407	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1	0	XXX
99408	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1	0	XXX
99409	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1	0	XXX
99411	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	XXX
99411	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1	0	XXX
99412	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	XXX
99412	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1	0	XXX
99459	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	14.38	1		ZZZ
99461	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	XXX
99461	CMS	"Gown, Drape"	SB032	"liner, baby scale"	item	0.074	1	0	XXX
99461	CMS	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.09	1	0	XXX
99483	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	XXX
99483	CMS	"Office Supply, Grocery"	SK005	assessment monitoring instruments	item	0.34	1	0	XXX
99483	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1	0	XXX
99483	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1	0	XXX
99484	CMS	"Office Supply, Grocery"	SK005	assessment monitoring instruments	item	0.34	1	0	XXX
99492	CMS	"Office Supply, Grocery"	SK005	assessment monitoring instruments	item	0.34	4	0	XXX
99492	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	2	0	XXX
99492	CMS	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.87	0.05	0	XXX
99493	CMS	"Office Supply, Grocery"	SK005	assessment monitoring instruments	item	0.34	4	0	XXX
99493	CMS	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.87	0.05	0	XXX
99495	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	XXX
99496	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	XXX
99497	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1	0	XXX
99497	CMS	"Office Supply, Grocery"	SK115	Reproduced patient worksheet	item		1	0	XXX
G0011	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	0.5	0	XXX
G0012	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1		XXX
G0012	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1		XXX
G0012	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
G0013	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	XXX
G0013	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1	0	XXX
G0101	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	XXX
G0104	CMS	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1	0	000
G0104	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	2	0	000
G0104	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	5	0	000
G0104	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
G0104	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	0	000
G0104	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	3	0	000
G0104	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	000
G0104	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1	0	000
G0104	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
G0104	CMS	"Accessory, Procedure"	SD040	"cytology, brush"	item	1.3	1	0	000
G0104	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
G0104	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	3	0	000
G0104	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	10	0	000
G0104	CMS	"Pharmacy, NonRx"	SJ001	alcohol isopropyl 70%	ml	0.03	3	0	000
G0104	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
G0104	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.54	4	0	000
G0104	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.02	6	0	000
G0104	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	1	0	000
G0104	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	3.15	1	0	000
G0104	CMS	Infection Control	SM015	enzymatic detergent	oz	0.22	1	0	000
G0104	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	3.44	6.4	0	000
G0104	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.84	1	0	000
G0105	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	6	0	000
G0105	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
G0105	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
G0105	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
G0105	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
G0105	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	000
G0105	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
G0105	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1	0	000
G0105	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	000
G0105	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
G0105	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	000
G0105	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
G0105	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
G0105	CMS	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32	1	0	000
G0105	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	4	0	000
G0105	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
G0105	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	000
G0105	CMS	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	4.01	1	0	000
G0105	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
G0108	CMS	"Office Supply, Grocery"	SK043	label for files-folders	item	0.07	0.5		XXX
G0108	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	4		XXX
G0108	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	0.5		XXX
G0109	CMS	"Office Supply, Grocery"	SK043	label for files-folders	item	0.07	0.25		XXX
G0109	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	2		XXX
G0109	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	0.1		XXX
G0117	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12	1		XXX
G0117	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	3		XXX
G0117	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
G0118	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	3.12	1		XXX
G0118	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	3		XXX
G0118	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
G0121	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	6	0	000
G0121	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
G0121	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	000
G0121	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
G0121	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	3	0	000
G0121	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	000
G0121	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	3	0	000
G0121	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.84	1	0	000
G0121	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	3	0	000
G0121	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	2	0	000
G0121	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.83	1	0	000
G0121	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
G0121	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.31	1	0	000
G0121	CMS	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.32	1	0	000
G0121	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	4	0	000
G0121	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.67	1	0	000
G0121	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	7.02	1	0	000
G0121	CMS	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	4.01	1	0	000
G0121	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
G0127	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	000
G0127	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
G0127	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	000
G0127	CMS	"Gown, Drape"	SB040	"slippers, paper"	pair	0.201	1	0	000
G0127	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	2	0	000
G0127	CMS	"Cutters, Closures, Cautery"	SF009	"blade, surgical chisel 81-86 (Beaver)"	item	3.6	1	0	000
G0127	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2	0	000
G0127	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	2	0	000
G0127	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	10	0	000
G0127	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	000
G0127	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
G0130	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
G0130	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
G0136	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	0.5	0	XXX
G0138	CMS	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1		XXX
G0138	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
G0138	CMS	"Hypodermic, IV"	SC018	iv infusion set	item	1.27	1		XXX
G0138	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1		XXX
G0138	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1		XXX
G0138	CMS	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	1		XXX
G0138	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	2		XXX
G0138	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	1		XXX
G0138	CMS	"Pharmacy, Rx"	SH111	Opfolda (65 mg capsule)	item	33.52	3.5		XXX
G0138	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
G0166	CMS	"Gown, Drape"	SB037	pillow case	item	0.47	1		XXX
G0166	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	3		XXX
G0166	CMS	"Accessory, Procedure"	SD341	EECP compression equipment package	item	826.75	0.01		XXX
G0166	CMS	"Accessory, Procedure"	SD342	EECP electrical equipment package	item	752	0.0025		XXX
G0166	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
G0166	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	4		XXX
G0166	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	3		XXX
G0168	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	1	0	000
G0168	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	000
G0168	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	1	0	000
G0168	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	000
G0168	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
G0168	RUC	"Pharmacy, Rx"	SH076	"adhesive, cyanoacrylate (2ml uou).doc"	item	31.35	1	0	000
G0168	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	10	0	000
G0168	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
G0245	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	XXX
G0246	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	XXX
G0247	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	ZZZ
G0247	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	ZZZ
G0247	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	ZZZ
G0247	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	ZZZ
G0247	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	ZZZ
G0247	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	ZZZ
G0247	CMS	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.45	2	0	ZZZ
G0247	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	ZZZ
G0247	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	ZZZ
G0247	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	2	0	ZZZ
G0247	CMS	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.34	1	0	ZZZ
G0247	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	ZZZ
G0247	CMS	"Wound Care, Dressings"	SG052	"gauze, self-adherent roll 0.5in to 2in (Fabco, Gauztex)"	inch	0.08	72	0	ZZZ
G0247	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	2	0	ZZZ
G0247	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	12	0	ZZZ
G0247	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	ZZZ
G0247	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	ZZZ
G0247	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.04	10	0	ZZZ
G0247	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19	1	0	ZZZ
G0248	CMS	"Hypodermic, IV"	SC021	lancet	item	0.21	4		XXX
G0248	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	4		XXX
G0248	CMS	"Pharmacy, NonRx"	SJ055	"test strip, INR"	item	4.71	4		XXX
G0248	CMS	"Office Supply, Grocery"	SK011	"battery, AAA"	item	1.03	3		XXX
G0248	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
G0249	CMS	"Hypodermic, IV"	SC021	lancet	item	0.21	6		XXX
G0249	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	6		XXX
G0249	CMS	"Pharmacy, NonRx"	SJ055	"test strip, INR"	item	4.71	6		XXX
G0268	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
G0268	CMS	"Cutters, Closures, Cautery"	SF023	curette for ear cerumen	item	0.76	2	0	000
G0268	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.07	2	0	000
G0268	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.25	1	0	000
G0268	CMS	Infection Control	SM025	"specula tips, otoscope"	item	0.45	1	0	000
G0270	CMS	"Office Supply, Grocery"	SK043	label for files-folders	item	0.07	1	0	XXX
G0270	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	2	0	XXX
G0270	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	0.33	0	XXX
G0271	CMS	"Office Supply, Grocery"	SK043	label for files-folders	item	0.07	1	0	XXX
G0271	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	2	0	XXX
G0271	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	0.1	0	XXX
G0277	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	0.25		XXX
G0277	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13	0.25		XXX
G0277	CMS	"Accessory, Procedure"	SD077	"gas, air"	cu ft	0.025	7.5		XXX
G0277	CMS	"Accessory, Procedure"	SD084	"gas, oxygen"	liter	0.01	11900		XXX
G0277	CMS	"Pharmacy, NonRx"	SJ063	urinal	item	3.4	0.25		XXX
G0277	CMS	"Pharmacy, NonRx"	SJ069	"test strip, glucose (blood test)"	item	1.42	0.5		XXX
G0277	CMS	Lab	SL088	lint-free cloth	item	0.26	1		XXX
G0277	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	0.25		XXX
G0277	CMS	Infection Control	SM025	"specula tips, otoscope"	item	0.45	0.5		XXX
G0281	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
G0281	CMS	"Accessory, Procedure"	SD055	"electrode, electrical stimulation"	item	0.41	2		XXX
G0281	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		XXX
G0281	CMS	"Pharmacy, NonRx"	SJ024	electrolyte coupling gel	ml	0.04	1		XXX
G0281	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
G0281	CMS	"Office Supply, Grocery"	SK068	razor	item	0.51	1		XXX
G0283	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
G0283	RUC	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1		XXX
G0283	RUC	"Accessory, Procedure"	SD055	"electrode, electrical stimulation"	item	0.41	2		XXX
G0283	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6		XXX
G0283	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1		XXX
G0283	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.015	1		XXX
G0283	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.05	1		XXX
G0296	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	0.5	0	XXX
G0323	CMS	"Office Supply, Grocery"	SK005	assessment monitoring instruments	item	0.34	1	0	XXX
G0329	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1		XXX
G0329	CMS	"Gown, Drape"	SB049	"condom, Diapulse, Asepticap"	item	0.76	1		XXX
G0329	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	2		XXX
G0341	CMS	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	33.72	1	0	000
G0341	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.07	1	0	000
G0341	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
G0341	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.27	1	0	000
G0341	CMS	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.51	1	0	000
G0341	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	1.14	2	0	000
G0341	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	5.38	1	0	000
G0341	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	9.15	1	0	000
G0341	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.47	4	0	000
G0341	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	3	0	000
G0341	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	5.13	2	0	000
G0341	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
G0341	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
G0341	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
G0341	CMS	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	10.74	1	0	000
G0341	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	172.85	1	0	000
G0341	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
G0341	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	27.42	1	0	000
G0341	CMS	"Accessory, Procedure"	SD136	vascular sheath	item	24.444	1	0	000
G0341	CMS	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	50.65	1	0	000
G0341	CMS	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	13.22	1	0	000
G0341	CMS	"Accessory, Procedure"	SD153	"catheter, curved"	item	18.25	1	0	000
G0341	CMS	"Accessory, Procedure"	SD154	"catheter, microcatheter (selective 3rd order)"	item	332.11	1	0	000
G0341	CMS	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.99	2	0	000
G0341	CMS	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	48.27	1	0	000
G0341	CMS	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	231.59	1	0	000
G0341	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	1	0	000
G0341	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.15	4	0	000
G0341	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.05	2	0	000
G0341	CMS	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	0.6	1	0	000
G0341	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	000
G0341	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	000
G0341	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	6	0	000
G0341	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.47	5	0	000
G0341	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	10	0	000
G0341	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.68	2	0	000
G0341	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.38	60	0	000
G0341	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.18	1	0	000
G0342	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		2.5	090
G0342	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	6.5		1	090
G0343	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.64		1	090
G0343	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
G0343	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
G0343	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.13		3	090
G0343	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91		6	090
G0343	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6	090
G0343	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21		1	090
G0343	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.22		3	090
G0343	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2		3	090
G0343	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54		3	090
G0343	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01		18	090
G0343	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.85		0.5	090
G0343	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.19		3	090
G0396	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1	0	XXX
G0397	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1	0	XXX
G0402	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	XXX
G0402	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1	0	XXX
G0403	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	10		XXX
G0403	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	2		XXX
G0403	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	4		XXX
G0412	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		3	090
G0412	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
G0413	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
G0413	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
G0414	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
G0414	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
G0415	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01		4	090
G0415	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	6.53		1	090
G0416	CMS	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	1.06	2		XXX
G0416	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	0.1		XXX
G0416	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	0.1		XXX
G0416	CMS	"Accessory, Procedure"	SD005	biopsy sponge (Histo-Prep)	item	0.2665	12		XXX
G0416	CMS	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	2.61	1.2		XXX
G0416	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.66	0.1		XXX
G0416	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.03	12		XXX
G0416	CMS	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.015	2		XXX
G0416	CMS	Lab	SL020	bleach	ml	0.01	10		XXX
G0416	CMS	Lab	SL030	"cover slip, glass"	item	0.114	36		XXX
G0416	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.19	12		XXX
G0416	CMS	Lab	SL058	embedding cassette	item	0.1805	12		XXX
G0416	CMS	Lab	SL060	embedding mold	item	0.1231	12		XXX
G0416	CMS	Lab	SL061	embedding paraffin	kg	9.38	0.1		XXX
G0416	CMS	Lab	SL068	fixative (for tissue specimen)	ml	0.013	600		XXX
G0416	CMS	Lab	SL070	fixative processing (buffered formalin)	ml	0.009	168		XXX
G0416	CMS	Lab	SL078	histology freezing spray (Freeze-It)	oz	1.32	1.2		XXX
G0416	CMS	Lab	SL085	label for microscope slides	item	0.14	36		XXX
G0416	CMS	Lab	SL093	"mold release agent, liquid"	ml	0.1	1.2		XXX
G0416	CMS	Lab	SL095	mounting media (Histomount)	ml	0.5	12		XXX
G0416	CMS	Lab	SL122	"slide, microscope"	item	0.36	36		XXX
G0416	CMS	Lab	SL135	"stain, hematoxylin"	ml	0.044	192		XXX
G0416	CMS	Lab	SL151	xylenes solvent	ml	0.012	360		XXX
G0416	CMS	Lab	SL189	"ethanol, 100%"	ml	0.0033	360		XXX
G0416	CMS	Lab	SL190	"ethanol, 70%"	ml	0.0033	48		XXX
G0416	CMS	Lab	SL201	"stain, eosin"	ml	0.06	48		XXX
G0416	CMS	Lab	SL248	"ethanol, 95%"	ml	0.0033	216		XXX
G0416	CMS	Lab	SL468	Paraffin repel	ml	0.21	12		XXX
G0416	CMS	Lab	SL469	Clarifier	ml	0.007	24		XXX
G0416	CMS	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.04	12		XXX
G0420	CMS	"Office Supply, Grocery"	SK043	label for files-folders	item	0.07	1		XXX
G0420	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	2		XXX
G0420	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
G0421	CMS	"Office Supply, Grocery"	SK043	label for files-folders	item	0.07	0.5		XXX
G0421	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	2		XXX
G0421	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	0.2		XXX
G0429	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
G0429	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
G0429	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	1	0	000
G0429	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
G0438	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1		XXX
G0438	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1		XXX
G0439	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1		XXX
G0439	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1		XXX
G0442	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	10	0	XXX
G0443	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1	0	XXX
G0444	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	10	0	XXX
G0445	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	0.5	0	XXX
G0446	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	0.5	0	XXX
G0447	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	0.5	0	XXX
G0451	CMS	"Office Supply, Grocery"	SK001	ages & stages questionnaire	item	0.2	1		XXX
G0455	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
G0455	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1	0	000
G0455	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0	000
G0455	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	1	0	000
G0455	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
G0455	CMS	"Accessory, Procedure"	SD277	polypropelene funnel	item	0.53	1	0	000
G0455	CMS	Lab	SL018	"beaker, 250 ml"	item	0.44	1	0	000
G0455	CMS	Lab	SL020	bleach	ml	0.01	300	0	000
G0455	CMS	Lab	SL066	"filter, nylon mesh (55mm)"	item	0.47	1	0	000
G0455	CMS	Lab	SL107	phosphate buffered saline solution	ml	0.01	50	0	000
G0455	CMS	Infection Control	SM016	"eye shield, splash protection"	item	3.18	1	0	000
G0465	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	11.09	1	0	000
G0465	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
G0465	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.51	1	0	000
G0465	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.63	1	0	000
G0465	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
G0465	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	1	0	000
G0465	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
G0465	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.43	2	0	000
G0465	CMS	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.45	2	0	000
G0465	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
G0465	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	1.13	1	0	000
G0465	CMS	"Accessory, Procedure"	SD343	3C patch system	item	770.83	1	0	000
G0465	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.68	2	0	000
G0465	CMS	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.34	1	0	000
G0465	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.7	1	0	000
G0465	CMS	"Wound Care, Dressings"	SG052	"gauze, self-adherent roll 0.5in to 2in (Fabco, Gauztex)"	inch	0.08	72	0	000
G0465	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	1.2	1	0	000
G0465	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.01	10	0	000
G0465	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	3.34	1	0	000
G0465	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	2	1	0	000
G0465	CMS	Lab	SL033	culture swab system (Culturette)	item	0.96	1	0	000
G0473	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	0.1	0	XXX
G0500	CMS	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	19.2	1	0	XXX
G0516	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
G0516	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
G0516	RUC	"Gown, Drape"	SB013	"drape, sterile, hand-upper extremity"	item	8.38	1	0	000
G0516	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
G0516	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
G0516	RUC	"Gown, Drape"	SB029	"cap-headcover, patient"	item	0.05	1	0	000
G0516	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
G0516	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
G0516	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
G0516	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1	0	000
G0516	RUC	"Cutters, Closures, Cautery"	SF044	"blade, surgical, super-sharp"	item	4.59	1	0	000
G0516	RUC	"Wound Care, Dressings"	SG013	"bandage, elastic wrap 6in (Ace)"	item	0.8	1	0	000
G0516	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	000
G0516	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	000
G0516	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	000
G0516	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	15	0	000
G0516	RUC	"Pharmacy, Rx"	SH076	"adhesive, cyanoacrylate (2ml uou).doc"	item	31.35	1	0	000
G0516	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	000
G0516	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
G0516	RUC	"Pharmacy, NonRx"	SJ088	"swab, patient prep, 3.0 ml  (chloraprep)"	item	2.18	2	0	000
G0517	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
G0517	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
G0517	RUC	"Gown, Drape"	SB013	"drape, sterile, hand-upper extremity"	item	8.38	1	0	000
G0517	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	2	0	000
G0517	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0	000
G0517	RUC	"Gown, Drape"	SB029	"cap-headcover, patient"	item	0.05	1	0	000
G0517	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
G0517	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
G0517	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
G0517	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	1	0	000
G0517	RUC	"Cutters, Closures, Cautery"	SF044	"blade, surgical, super-sharp"	item	4.59	1	0	000
G0517	RUC	"Wound Care, Dressings"	SG013	"bandage, elastic wrap 6in (Ace)"	item	0.8	1	0	000
G0517	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	1	0	000
G0517	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	2	0	000
G0517	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	1	0	000
G0517	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	15	0	000
G0517	RUC	"Pharmacy, Rx"	SH076	"adhesive, cyanoacrylate (2ml uou).doc"	item	31.35	1	0	000
G0517	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	1	0	000
G0517	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	1	0	000
G0517	RUC	"Pharmacy, NonRx"	SJ088	"swab, patient prep, 3.0 ml  (chloraprep)"	item	2.18	2	0	000
G0518	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	4.01	1	0	000
G0518	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.07	1	0	000
G0518	RUC	"Gown, Drape"	SB013	"drape, sterile, hand-upper extremity"	item	8.38	2	0	000
G0518	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.91	4	0	000
G0518	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	4	0	000
G0518	RUC	"Gown, Drape"	SB029	"cap-headcover, patient"	item	0.05	1	0	000
G0518	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	3.4	2	0	000
G0518	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.1	2	0	000
G0518	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.32	1	0	000
G0518	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.04	1	0	000
G0518	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.21	1	0	000
G0518	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.49	2	0	000
G0518	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	8.52	1	0	000
G0518	RUC	"Cutters, Closures, Cautery"	SF044	"blade, surgical, super-sharp"	item	4.59	2	0	000
G0518	RUC	"Wound Care, Dressings"	SG013	"bandage, elastic wrap 6in (Ace)"	item	0.8	2	0	000
G0518	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.41	2	0	000
G0518	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.19	4	0	000
G0518	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.54	2	0	000
G0518	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.06	30	0	000
G0518	RUC	"Pharmacy, Rx"	SH076	"adhesive, cyanoacrylate (2ml uou).doc"	item	31.35	1	0	000
G0518	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.48	2	0	000
G0518	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2	0	000
G0518	RUC	"Pharmacy, NonRx"	SJ088	"swab, patient prep, 3.0 ml  (chloraprep)"	item	2.18	4	0	000
G0537	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	0.5	0	XXX
G0539	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	XXX
G0539	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	2	0	XXX
G0539	CMS	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	2	0	XXX
G0539	CMS	"Office Supply, Grocery"	SK020	drinking straw	item	0.02	2	0	XXX
G0539	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	3	0	XXX
G0539	CMS	"Office Supply, Grocery"	SK077	"spoon, plastic"	item	0.04	2	0	XXX
G0539	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5	0	XXX
G0539	CMS	Infection Control	SM024	"soap, liquid, antibacterial"	oz	0.17	1	0	XXX
G0541	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	XXX
G0541	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	2	0	XXX
G0541	CMS	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	2	0	XXX
G0541	CMS	"Office Supply, Grocery"	SK020	drinking straw	item	0.02	2	0	XXX
G0541	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	3	0	XXX
G0541	CMS	"Office Supply, Grocery"	SK077	"spoon, plastic"	item	0.04	2	0	XXX
G0541	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5	0	XXX
G0541	CMS	Infection Control	SM024	"soap, liquid, antibacterial"	oz	0.17	1	0	XXX
G0543	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	2	0	XXX
G0543	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	2	0	XXX
G0543	CMS	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	2	0	XXX
G0543	CMS	"Office Supply, Grocery"	SK020	drinking straw	item	0.02	2	0	XXX
G0543	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.02	3	0	XXX
G0543	CMS	"Office Supply, Grocery"	SK077	"spoon, plastic"	item	0.04	2	0	XXX
G0543	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	5	0	XXX
G0543	CMS	Infection Control	SM024	"soap, liquid, antibacterial"	oz	0.17	1	0	XXX
G0560	CMS	"Office Supply, Grocery"	SK005	assessment monitoring instruments	item	0.34	0.25	0	XXX
G0560	CMS	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.87	0.1	0	XXX
G0560	CMS	"Office Supply, Grocery"	SK115	Reproduced patient worksheet	item		0.5	0	XXX
G0568	CMS	"Office Supply, Grocery"	SK005	assessment monitoring instruments	item	0.34	4	0	ZZZ
G0568	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	2	0	ZZZ
G0568	CMS	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.87	0.05	0	ZZZ
G0569	CMS	"Office Supply, Grocery"	SK005	assessment monitoring instruments	item	0.34	4	0	ZZZ
G0569	CMS	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.87	0.05	0	ZZZ
G0570	CMS	"Office Supply, Grocery"	SK005	assessment monitoring instruments	item	0.34	1	0	ZZZ
G2082	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	XXX
G2082	CMS	"Pharmacy, Rx"	SH109	Esketamine (56 mg vial)	item	834.2	1	0	XXX
G2082	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1	0	XXX
G2083	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	5.468	1	0	XXX
G2083	CMS	"Pharmacy, Rx"	SH110	Esketamine (84 mg vial)	item	1251.31	1	0	XXX
G2083	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.07	1	0	XXX
G2086	CMS	"Office Supply, Grocery"	SK005	assessment monitoring instruments	item	0.34	4.5	0	XXX
G2086	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	2	0	XXX
G2086	CMS	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.87	0.35	0	XXX
G2086	CMS	"Office Supply, Grocery"	SK115	Reproduced patient worksheet	item		1	0	XXX
G2087	CMS	"Office Supply, Grocery"	SK005	assessment monitoring instruments	item	0.34	4.5	0	XXX
G2087	CMS	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.87	0.35	0	XXX
G2087	CMS	"Office Supply, Grocery"	SK115	Reproduced patient worksheet	item		1	0	XXX
G2213	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1	0	ZZZ
G2214	CMS	"Office Supply, Grocery"	SK005	assessment monitoring instruments	item	0.34	2	0	XXX
G2214	CMS	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.87	0.025	0	XXX
G9187	CMS	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.22	1		XXX
G9187	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.3	1		XXX
G9187	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.04	2		XXX
G9187	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.03	1		XXX
G9187	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	2.8	1		XXX
G9187	CMS	Infection Control	SM025	"specula tips, otoscope"	item	0.45	1		XXX
Q0035	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.06	10		XXX
Q0035	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.56	2		XXX
Q0035	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.06	4		XXX
Q0091	CMS	"Gown, Drape"	SB026	"gown, patient"	item	0.59	1	0	XXX
Q0091	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0	XXX
